Clinical studyDetection of left ventricular dysfunction in ambulatory subjects with the bedside Valsalva maneuver
References (49)
- et al.
Left ventricular gallop sound and acute myocardial infarction
Am Heart J
(1973) - et al.
The ventricular end-diastolic pressure: appraisal of its value in the recognition of ventricular failure in man
Am J Med
(1963) - et al.
Hemodynamic aspects of heart failure
Am J Cardiol
(1968) - et al.
Left ventricular end-diastolic pressure in chronic heart disease
Am J Med
(1970) - et al.
Clinical utility of gated cardiac blood pool imaging in congestive left heart failure
Am J Med
(1978) - et al.
Left ventricular function and coronary obstruction as predictors of survival following aorto-coronary bypass
J Thorac Cardiovasc Surg
(1976) - et al.
Serial measurements of left ventricular ejection fraction by radionuclide angiography early and late after myocardial infarction
Am J Cardiol
(1976) - et al.
The Valsalva maneuver as a test of cardiac function
Am J Med
(1957) - et al.
Valsalva's maneuver in atrial septal defect
Am Heart J
(1963) - et al.
Syncope induced by the Valsalva maneuver
Am J Med
(1964)
De aura humana tractus
Arterial, cerebrospinal and venous pressures in man during cough and strain
Am J Physiol
Effects of Valsalva's maneuver on the normal and failing circulation
Br Med J
Clinical test for pulmonary congestion with use of the Valsalva maneuver
JAMA
Valsalva maneuver as a diagnostic aid
JAMA
Physical diagnosis
Bedside diagnostic examination
Methods of clinical examination
Chronic congestive heart failure in coronary artery disease; clinical criteria
Ann Intern Med
Left ventricular end-diastolic pressure in evaluating left ventricular function
Clin Cardiol
Prognosis in medically treated coronary artery disease: the value of ejection fraction compared with other measurements
Circulation
Risk factors in coronary artery bypass surgery
Arch Surg
Left ventricular ejection fraction as a prognostic guide in surgical treatment of coronary and valvular heart disease
Am J Cardiol
Radionuclide descriptors of myocardial infarction and long-term prognosis (abstr)
Circulation
Cited by (45)
Valsalva-derived Measures and Phenylephrine Test in Patients With Heart Failure With Reduced Ejection Fraction Receiving Comprehensive Neurohormonal Blockade Drug Therapy: A 5-year Event-free Survival Analysis
2022, Journal of Cardiac FailureCitation Excerpt :The applicability of the Valsalva test in clinical practice merits comment. Although a full analysis and interpretation of the Valsalva test requires continuous recording of the blood pressure waveform, which can be collected noninvasively (ie, with the device using the volume–clamp technique33), the presence or absence of SBP overshoot defined as SBP rise above a prespecified threshold can be assessed without specialized equipment, by simple bedside sphygmomanometry, as described by Zema et al.44 In brief, cuff pressure is locked at the threshold value (usually, 15 mm Hg above the baseline SBP), and then the patient is asked to perform the Valsalva maneuver. In a normal (sinusoidal) blood pressure response to Valsalva, Korotkoff sounds are heard only in phase IV and not in phase II.
Reply: Abnormal Valsalva: Not Always Due to Heart Failure
2019, JACC: Heart FailureDiagnosing Heart Failure by the Valsalva Maneuver: Isn't it Finally Time?
2018, JACC: Heart FailureThe Valsalva maneuver: A bedside "biomarker" for heart failure
2006, American Journal of MedicineCitation Excerpt :In patients with severe heart failure, Korotkoff sounds are appreciated during phase 2 but not phase 4 (square wave) (Table 1). This method has been demonstrated to be a reasonable screening test for left ventricular systolic dysfunction in unselected outpatients in a cardiology clinic.15 Echocardiographic evaluation of the cardiac response to Valsalva maneuver has identified differences in atrial and ventricular dimensions between patients with and without heart failure.16-18
Noninvasive evaluation of pulmonary capillary wedge pressure by BP response to the valsalva maneuver
2002, ChestCitation Excerpt :Zema and coworkers171825 have proposed this noninvasive assessment since the early 1980s. But, despite the easy applicability and various studies showing the clinical usefulness of the VM,121718252627 this clinical tool is continually neglected.28 We have shown26 that an abnormal response of BP during the VM is associated with a considerable elevation of natriuretic peptides and is inversely related to indexes of functional capacity, such as peak oxygen uptake and respiratory response to exercise.