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The Valsalva maneuver: a bedside "biomarker" for heart failure.

Publication ,  Journal Article
Felker, GM; Cuculich, PS; Gheorghiade, M
Published in: Am J Med
February 2006

Accurate assessment of volume status remains an important clinical goal in the management of patients with heart failure. Although physical examination can provide clues to volume status, its sensitivity and reproducibility are limited. Other noninvasive methods, such as measurement of natriuretic peptides or the use of impedance cardiography, are not well validated. The cardiovascular response to the Valsalva maneuver had been proposed as a simple, inexpensive bedside test for estimating filling pressures in patients with heart failure. Our objective was to summarize and critically evaluate the evidence for the use of the Valsalva maneuver in evaluating volume status in patients with heart failure. Studies have demonstrated a significant correlation between the cardiovascular response to the Valsalva maneuver and invasively measured ventricular filling pressures in patients with clinical heart failure. Although often overlooked in clinical training and practice, the cardiovascular response to the Valsalva maneuver is a potentially useful, noninvasive means of evaluating filling pressures in patients with heart failure.

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Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

February 2006

Volume

119

Issue

2

Start / End Page

117 / 122

Location

United States

Related Subject Headings

  • Ventricular Pressure
  • Valsalva Maneuver
  • Stroke Volume
  • Prognosis
  • Humans
  • Heart Failure
  • General & Internal Medicine
  • Cardiac Volume
  • Blood Volume
  • Blood Pressure Determination
 

Citation

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ICMJE
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Felker, G. M., Cuculich, P. S., & Gheorghiade, M. (2006). The Valsalva maneuver: a bedside "biomarker" for heart failure. Am J Med, 119(2), 117–122. https://doi.org/10.1016/j.amjmed.2005.06.059
Felker, G Michael, Phillip S. Cuculich, and Mihai Gheorghiade. “The Valsalva maneuver: a bedside "biomarker" for heart failure.Am J Med 119, no. 2 (February 2006): 117–22. https://doi.org/10.1016/j.amjmed.2005.06.059.
Felker GM, Cuculich PS, Gheorghiade M. The Valsalva maneuver: a bedside "biomarker" for heart failure. Am J Med. 2006 Feb;119(2):117–22.
Felker, G. Michael, et al. “The Valsalva maneuver: a bedside "biomarker" for heart failure.Am J Med, vol. 119, no. 2, Feb. 2006, pp. 117–22. Pubmed, doi:10.1016/j.amjmed.2005.06.059.
Felker GM, Cuculich PS, Gheorghiade M. The Valsalva maneuver: a bedside "biomarker" for heart failure. Am J Med. 2006 Feb;119(2):117–122.
Journal cover image

Published In

Am J Med

DOI

EISSN

1555-7162

Publication Date

February 2006

Volume

119

Issue

2

Start / End Page

117 / 122

Location

United States

Related Subject Headings

  • Ventricular Pressure
  • Valsalva Maneuver
  • Stroke Volume
  • Prognosis
  • Humans
  • Heart Failure
  • General & Internal Medicine
  • Cardiac Volume
  • Blood Volume
  • Blood Pressure Determination