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December 1, 1976Circulation

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

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Why the study?

How does the echocardiographic and hemodynamic response to the Valsalva maneuver differ between healthy subjects, patients with normal ejection fractions, and patients with heart failure and depressed ejection fractions?

Population

30 subjects divided into three groups: 10 normal volunteers, 10 patients with no history of heart failure…

Comparison

Valsalva maneuver evaluated by echocardiography vs Comparison between normal volunteers, patients…

Design

Cross-sectional

Authors

APAttilio ParisiForo Italico University of RomeJHJohn HarringtonJohn Hunter HospitalJAJoseph AskenaziTel Aviv University

Discussion

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Implication

Valsalva echocardiography may identify fixed output in HFrEF; hypothesis-generating for diagnostic phenotyping pending validation.

Structured PICO

How does the echocardiographic and hemodynamic response to the Valsalva maneuver differ between healthy subjects, patients with normal ejection fractions, and patients with heart failure and depressed ejection fractions?

P
Population
30 subjects divided into three groups: 10 normal volunteers, 10 patients with no history of heart failure and normal ejection fractions, and 10 patients with heart failure and depressed ejection fractions.
I
Intervention
Valsalva maneuver evaluated by echocardiography
C
Comparator
Comparison between normal volunteers, patients with normal ejection fractions, and patients with heart failure and depressed ejection fractions
O
Outcome
Left ventricular internal dimensions, calculated stroke volume, and arterial pressure response during and after the Valsalva maneuversurrogate

Echocardiography during the Valsalva maneuver demonstrates that patients with heart failure and depressed ejection fractions have a fixed stroke output and a square wave pressure response, unlike those with normal ventricular function.

Cite This Study

Parisi et al. (1976) studied this question.

synapsesocial.com/papers/6a6feb0e8031ec7bb1dc0276https://doi.org/10.1161/01.cir.54.6.921

Topics

EchocardiographyHeart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Left Ventricular Volumes and Ejection Fraction by Echocardiography1971 · 650 citations
  2. 2THE EFFECT OF THE VALSALVA MANOEUVRE ON THE SYSTEMIC AND PULMONARY ARTERIAL PRESSURE IN MAN1954 · 92 citations
  3. 3Ultrasound measurements of the left ventricle. A correlative study with angiocardiography1972 · 272 citations
  4. 4Alterations in left ventricular volumes induced by Valsalva manoeuvre.1974 · 42 citations
  5. 5Effects of Valsalva's Man uvre on the Normal and Failing Circulation1955 · 228 citations