Diagnosing Heart Failure by the Valsalva Maneuver

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Echocardiographic evaluation of the Valsalva Maneuver in healthy subjects and patients with and without heart failure.

The Valsalva maneuver was evaluated by echocardiography in three groups: A) 10 normal volunteers, B) 10 patients with no history of heart failure and normal ejection fractions, and C) 10 patients with heart failure and depressed ejection fractions. Groups A and B had a significant fall in left ventricular internal dimensions and calculated stroke volume by end strain which returned rapidly to b...

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Goitre plongeant: intrathoracic goiter demonstrated by the Valsalva maneuver.

A PATIENT was found to have a mediastin-al inass on a routine chest x-ray. The inat-Lne of the lesion, anl intrathoracic. goiter, was determined only after several diagnostie procedures. In r etrospect, the correct diagnosis could have been made during the initial physical examiniationi by mleanis of the Valsalva mnaneuver. A seconid patienit was reeelntly seeni with a sinmilar lesion. The Vals...

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Digitized QT dispersion by the Valsalva Maneuver in Hypertensive Patients

BACKGROUND Hypertension is an important risk factor for sudden cardiac death, of which the incidence increases with increases in blood pressure. Prolonged QT dispersion has been identified to indicate increased risk of life-threatening ventricular arrhythmia and sudden cardiac death. In this study, QT dispersion was investigated in hypertensive patients during the strain phase of the Valsalva m...

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Modified Valsalva Maneuver vs. Standard Valsalva Maneuver on Emergency Department Patients Presenting with Supraventricular Tachycardia

Background: Supraventricular tachycardia (SVT) is a relatively common dysrhythmia among the general population and a common dysrhythmia presenting to the emergency department. Generally speaking, it is assumed the provider should attempt a vagal maneuver as first-line treatment for SVT, and the most common vagal maneuver used is the Valsalva. Current resources describing the method to perform t...

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Is blood pressure response to the Valsalva maneuver related to neurohormones, exercise capacity, and clinical findings in heart failure?

OBJECTIVES To investigate the relationship of the BP response to the Valsalva maneuver (VM) to parameters of congestive heart failure (CHF) other than hemodynamic measures. DESIGN Comparison of neurohormones (atrial natriuretic peptide [ANP], brain natriuretic peptide [BNP], norepinephrine [NE]), parameters of spiroergometry, and clinical parameters with BP response to the VM. SETTING Terti...

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ژورنال

عنوان ژورنال: JACC: Heart Failure

سال: 2018

ISSN: 2213-1779

DOI: 10.1016/j.jchf.2018.07.004