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Valsalva Maneuver

Maneuver Valsalva's


Presentation

  • We reproduced, in part, the hemodynamic and biochemical manifestations of this presentation with Valsalva maneuver in healthy subjects.[ncbi.nlm.nih.gov]
  • On presentation, he was hypertensive with a systolic blood pressure of 255 mmHg and was found to have a large left cerebellar hemorrhage.[ncbi.nlm.nih.gov]
  • The present study tested the hypothesis that impaired BRS predicts the CV mortality in a population-based sample of middle-aged subjects.[ncbi.nlm.nih.gov]
  • A case of soft tissue cavernous hemangioma located in the right side of the face and neck is presented. The importance of the Valsalva maneuver in outlining this lesion is described, and a brief review of the literature is presented.[ncbi.nlm.nih.gov]
  • A case of documented severe idiopathic hypertrophic subaortic stenosis in which the Valsalva maneuver resulted in paradoxic attenuation of the systolic ejection murmur is presented.[ncbi.nlm.nih.gov]
Hypesthesia
  • After 1 year of follow-ups, he still experienced a mild weakness and hypesthesia of the right leg but no further episodes of priapism or sexual dysfunction.[ncbi.nlm.nih.gov]

Workup

Esophageal Motility Disorder
  • Lethal cardiac arrhythmias should be considered when sudden deaths occur in individuals with esophageal motility disorders, as well as in other situations where the Valsalva maneuver may have been used, and where no other anatomic cause of death is identified[ncbi.nlm.nih.gov]
Ventricular Hypertrophy
  • We report a case of pheochromocytoma with echocardiographic demonstration of markedly increased mitral regurgitation during the Valsalva maneuver in a patient with left ventricular hypertrophy and a dynamic outflow tract obstruction.[ncbi.nlm.nih.gov]

Treatment

  • However, this study proposes the right internal jugular vein approach as a safer method for the treatment of nutcracker syndrome since the stent can be easily captured along the guidewire if undersized.[ncbi.nlm.nih.gov]
  • The Valsalva maneuver is used in clinical medicine for the diagnosis and/or treatment of various cardiovascular conditions. It can also be used in activities of daily living, such as defecation.[ncbi.nlm.nih.gov]
  • METHODS: Thirty-two patients (32 eyes) with early-to-moderate glaucoma under treatment and 30 normal healthy participants (30 eyes) were prospectively enrolled.[ncbi.nlm.nih.gov]
  • Safety and efficacy of paramedic treatment of regular supraventricular tachycardia. Heart. 2013;99(suppl 2):A46.1-A46. Further Reading Treating Supraventricular Tachycardia With Adenosine[ecgmedicaltraining.com]
  • If this procedure does not stop your SVT and the palpitations continue for more than 20 minutes, you may need to go to the emergency department for treatment.[fairview.org]

Prognosis

  • Myelopathy-related priapism potentiated by the Valsalva maneuver can be easily overlooked without heightened vigilance, leading to poor therapeutic response and prognosis.[ncbi.nlm.nih.gov]
  • Prognosis. Abstract Introduction and objectives. In patients with systolic dysfunction, different ventricular filling patterns are associated with different prognoses.[revespcardiol.org]
  • Age Persons of any age can be affected. [7] Prognosis Prognosis is generally good, as complete recovery of vision (with observation) usually occurs within weeks to months following onset.[emedicine.com]
  • Complications associated with laser membranotomy include macular hole, retinal detachment, and epiretinal membrane formation. [7] [8] Prognosis Good prognosis with complete recovery to baseline vision after resolution occurring within weeks to months[eyewiki.aao.org]

Etiology

  • The disorder is enigmatic yet devastating because of its elusive etiology, irreversible erectile tissue damage, and resultant erectile dysfunction.[ncbi.nlm.nih.gov]
  • The association of valvular insufficiency and longer reflux times with the occurrence of a trigger event further suggests that cerebral venous congestion is an important etiological factor in transient global amnesia.[ncbi.nlm.nih.gov]
  • ORIGINAL COMMUNICATION First Online: 07 July 2005 Abstract Objective While transient global amnesia (TGA) is a clinically well defined disorder, its etiology is poorly understood.[doi.org]
  • Etiology It occurs after an increase in intrathoracic or intraabdominal pressure due to activities such as coughing, vomiting, lifting, straining for a bowel movement, strenuous exertion, sexual intercourse, labor, blowing musical instruments and compression[eyewiki.aao.org]
  • Ventricular dysfunction was due to an ischemic etiology in the majority of cases (26), 6 patients had dilated cardiomyopathy and 5 had other conditions (alcoholic or hypertensive heart disease).[revespcardiol.org]

Epidemiology

  • You see, like most things in the human body, the response to the Valsalva maneuver is nuanced and extraordinarily complex. ( Editor's note: while all the details behind the Valsalva’s physiology and related epidemiology is beyond the scope of this article[floelite.com]
  • Baltimore, Maryland. 5 Department of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, Maryland. 6 Departments of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Biostatistics and Epidemiology[ncbi.nlm.nih.gov]
  • Epidemiology Frequency The frequency of Valsalva retinopathy is difficult to ascertain considering the rare nature of the condition. United States The incidence of Valsalva retinopathy in the United States has not been reported.[emedicine.com]
Sex distribution
Age distribution

Pathophysiology

  • The clinical relevance of this finding and the pathophysiologic implications are reviewed and discussed.[ncbi.nlm.nih.gov]
  • INTRODUCTION: Pelvic floor muscle (PFM) involvement is suspected in the pathophysiology of provoked vestibulodynia (PVD); however, the underlying mechanisms are unclear.[ncbi.nlm.nih.gov]
  • The pathophysiology of transient global amnesia (TGA) has been obscure since the definition of this syndrome more than 30 years ago. Current hypotheses include migraine, seizure, or transient cerebral arterial ischaemia.[ncbi.nlm.nih.gov]
  • Evidence in experimental animal and humans, pathophysiological mechanisms, and potential clinical consequences. Hypertension 28(3): 494-504.[medcraveonline.com]
  • […] and positioning PubMed Osborne K et al, 2009, Pushing Techniques Used by Midwives When Providing Second Stage Labor Care Marquette University Research Valsalva manevuer Encyclopedia.com Goldstein DS et al, 2009, Neurogenic Orthostatic Hypotension, A Pathophysiological[ehealthstar.com]

Prevention

  • In management of air embolism, sealing the site of air entry is an important step in preventing further episodes.[ncbi.nlm.nih.gov]
  • How to prevent pain in the ear when you are in the plane? Mun Fitness Blog[lifehacker.com]
  • CONCLUSIONS: Our data suggest that TI is a major factor to prevent E/A inversion during a VM in patients with pseudonormal diastolic function.[ncbi.nlm.nih.gov]
  • The maneuver causes a trapping of blood in the great veins, preventing it from entering the chest and right atrium.[breathing.com]

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