Valsalva maneuver in echocardiography | SpringerLink

A Comprehensive New Approach Based on the Valsalva Hypothesis

Do repetitive Valsalva maneuvers change maximum …

Introduction and hypothesis: This study seeks to quantify differences in anterior vaginal wall prolapse during sequential Valsalva attempts on dynamic magnetic resonance imaging (MRI). Methods: Subjects were taken from an on-going case-control study evaluating anterior vaginal wall prolapse. Women with a prolapse whose leading edge extended ≥1 cm beyond the hymenal ring were included (n=40). All subjects performed three maximal Valsalva efforts while mid-sagittal dynamic MRI scans were obtained. Bladder descent between the first, second, and third maximal Valsalva efforts were compared. Results: Forty percent of women had a greater than 2-cm increase in prolapse size from their first to third Valsalva attempt. Ninety-five percent of women extended their prolapse further with a third Valsalva. Conclusions: As is true during clinical examination, several attempts may be required to have maximal anterior compartment prolapse present during dynamic MRI of the pelvic floor.

The polio subjects had a lower heart rate response to the Valsalva manoeuvre but the same respiratory sinus arrhythmia as the controls.

Cardiac Output and Valsalva Maneuver - Reviews - Treato

The NHLBI Working Group specifically recommended:


A major emphasis in the coming years will be the development of a national ACHD database to be the catalyst for hypothesis-driven research to advance the evidenced-based medical care for this unique and challenging population.


These patients can usually be cared for in the general medical community

Native conditions:
- Isolated congenital aortic valve disease
- Isolated congenital mitral valve disease (except parachute valve, cleft leaflet)
- Isolated patent foramen ovale or small atrial septal defect
- Isolated small ventricular septal defect (no associated lesions)
- Mild pulmonic stenosis

Repaired conditions:
- Previously ligated or occluded ductus arteriosus
- Repaired secundum or sinus venosus atrial septal defect without residua
- Repaired ventricular septal defect without residua


These patients should be seen periodically at regional congenital heart centers

- Aorto-left ventricular fistulae
- Anomalous pulmonary venous drainage (partial or total)
- Atrioventricular canal defects (partial or complete)
- Coarctation of the aorta
- Ebstein's Anomaly
- Infundibular right ventricular outflow obstruction of significance
- Ostium primum atrial septal defect
- Patent ductus arteriosus (not closed)
- Pulmonary valve regurgitation (moderate to severe)
- Pulmonic valve stenosis (moderate to severe)
- Sinus of Valsalva fistula/aneurysm
- Sinus venosus atrial septal defect
- Subvalvar or supravalvar aortic stenosis (except HOCM = hypertrophic obstructive cardiomyopathy
- Tetralogy of Fallot
- Ventricular septal defect with
--- Absent valve or valves
--- Aortic regurgitation
--- Coarctation of the aorta
--- Mitral Disease
--- Right ventricular outflow tract obstruction
--- Straddling tricuspid/mitral valve
--- Subaortic stenosis


These patients should be seen regularly at adult congenital heart disease centers

- Conduits, valved or nonvalved
- Cyanotic congenital heart disease (all forms)
- Double-outlet ventricle
- Eisenmenger syndrome
- Fontan procedure
- Mitral Atresia
- Single Ventricle (also called double inlet or outlet, common or primitive)
- Pulmonary Atresia (all forms)
- Pulmonary vascular obstructive diseases
- Transposition of the Great Arteries - D Type
- Transposition of the Great Arteries - L Type (Congenitally Corrected TGA)
- Tricuspid Atresia Truncus arteriosus/hemitruncus
- Other abnormalities of atrioventricular or ventriculoarterial connection not included above (i.e.

The Effect of Modified Valsalva Maneuver on Filling …

AB - Introduction and hypothesis: This study seeks to quantify differences in anterior vaginal wall prolapse during sequential Valsalva attempts on dynamic magnetic resonance imaging (MRI). Methods: Subjects were taken from an on-going case-control study evaluating anterior vaginal wall prolapse. Women with a prolapse whose leading edge extended ≥1 cm beyond the hymenal ring were included (n=40). All subjects performed three maximal Valsalva efforts while mid-sagittal dynamic MRI scans were obtained. Bladder descent between the first, second, and third maximal Valsalva efforts were compared. Results: Forty percent of women had a greater than 2-cm increase in prolapse size from their first to third Valsalva attempt. Ninety-five percent of women extended their prolapse further with a third Valsalva. Conclusions: As is true during clinical examination, several attempts may be required to have maximal anterior compartment prolapse present during dynamic MRI of the pelvic floor.

A comprehensive new approach based on the Valsalva Hypothesis