The Valsalva maneuver: A bedside "biomarker" for heart failure

American Journal of Medicine

Volumn 119, Issue 2, 2006, Pages 117-122

  Felker, G Michael ^a   Cuculich, Phillip S ^b   Gheorghiade, Mihai ^b  

^a DUKE CLINICAL RESEARCH INSTITUTE   (United States)

^b NORTHWESTERN UNIVERSITY   (United States)

Author keywords

Diagnosis; Heart failure; Physical examination; Valsalva maneuver

Indexed keywords

DIURETIC AGENT;

BLOOD PRESSURE MEASUREMENT; CARDIOVASCULAR RESPONSE; ECHOCARDIOGRAPHY; HEART FAILURE; HEART HEMODYNAMICS; HEART VOLUME; HOSPITALIZATION; HUMAN; HYPERVOLEMIA; POINT OF CARE TESTING; PRIORITY JOURNAL; PULSE RATE; REVIEW; SYSTOLIC BLOOD PRESSURE; VALSALVA MANEUVER;

EID: 31444442802     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjmed.2005.06.059     Document Type: Article

References (42)

1. G.M. Felker, K.F. Adams, M.A. Konstam The problem of decompensated heart failure nomenclature, classification, and risk stratification Am Heart J 145 2 2003 S18 S25
2. G.C. Fonarow, K.F. Adams Jr, W.T. Abraham Risk stratification for in-hospital mortality in acutely decompensated heart failure classification and regression tree analysis JAMA 293 5 2005 572 580
3. A.F. Connors Jr, T. Speroff, N.V. Dawson SUPPORT Investigators The effectiveness of right heart catheterization in the initial care of critically ill patients JAMA 276 11 1996 889 897
4. G.P. Sanders, L.A. Mendes, W.S. Colucci, M.M. Givertz Noninvasive methods for detecting elevated left-sided cardiac filling pressure J Card Fail. 6 2000 157 164
5. L.W. Stevenson, J.K. Perloff The limited reliability of physical signs for estimating hemodynamics in chronic heart failure JAMA 261 6 1989 884 888
6. R.J. Rodeheffer Measuring plasma B-type natriuretic peptide in heart failure good to go in 2004? J Am Coll Cardiol. 44 2004 740 749
7. C.W. Yancy, W.T. Abraham Non-invasive hemodynamic monitoring in heart failure utilization of impedance cardiography Congest Heart Fail. 9 2003 241 250
8. A. Magalski, P. Adamson, F. Gadler Continuous ambulatory right heart pressure measurements with an implantable hemodynamic monitor a multicenter, 12-month follow-up study of patients with chronic heart failure J Card Fail. 8 2 2002 63 70
9. V.J. Derbes, A. Kerr Valsalva's maneuver and Weber's experiment N Engl J Med. 253 1955 822 823
10. W.F. Hamilton, R.A. Woodbury, H.T. Haper Arterial cerebrospinal and venous pressures in man during cough and strain Am J Physiol. 14 1944 42 50
11. M.J. Zema, B. Restivo, T. Sos Left ventricular dysfunction - bedside Valsalva manoeuvre Br Heart J 44 5 1980 560 569
12. J.C. Greenfield, R.L. Cox, R.R. Hernandez Pressure-flow studies in man during Valsalva maneuver with observations on mechanical proprieties of the ascending aorta Circulation 35 1967 653 661
13. W.C. Little, W.K. Barr, M.H. Crawford Altered effect of the Valsalva maneuver on left ventricular volume in patients with cardiomyopathy Circulation 71 2 1985 227 233
14. D. Weilenmann, H. Rickli, F. Follath Noninvasive evaluation of pulmonary capillary wedge pressure by BP response to the Valsalva maneuver Chest 122 1 2002 140 145
15. M.J. Zema, M. Caccavano, P. Kligfield Detection of left ventricular dysfunction in ambulatory subjects with the bedside Valsalva maneuver Am J Med. 75 2 1983 241 248
16. A.F. Parisi, J.J. Harrington, J. Askenazi Echocardiographic evaluation of the Valsalva maneuver in healthy subjects and patients with and without heart failure Circulation 54 6 1976 921 927
17. D. Robertson, R.M. Stevens, G.C. Friesinger, J.A. Oates The effect of the Valsalva maneuver on echocardiographic dimensions in man Circulation 55 4 1977 596-562
18. W.C. Little, W.K. Barr, M.H. Crawford Altered effect of the Valsalva maneuver on left ventricular volume in patients with cardiomyopathy Circulation 71 2 1985 227 233
19. K.M. McIntyre, J.A. Vita, C.T. Lambrew A noninvasive method of predicting pulmonary capillary wedge pressure N Engl J Med. 327 1992 1715 1720
20. G.V.R.K. Sharma, P.A. Woods, C.T. Lambrew Evaluation of a noninvasive system for determining left ventricular filling pressure Arch Intern Med. 162 18 2002 2084 2088
21. M.M. Givertz, M.T. Slawsky, D.L. Moraes Noninvasive determination of pulmonary artery wedge pressure in patients with chronic heart failure Am J Cardiol. 87 10 2001 1213 1215
22. H.P. Rocca, D. Weilenmann, H. Rickli Is blood pressure response to the Valsalva maneuver related to neurohormones, exercise capacity, and clinical findings in heart failure? Chest 116 4 1999 861 867
23. R. Kazanegra, V. Cheng, A. Garcia A rapid test for B-type natriuretic peptide correlates with falling wedge pressures in patients treated for decompensated heart failure a pilot study J Card Fail. 7 1 2001 21 29
24. K. Hogg, K. Swedberg, J. McMurray Heart failure with preserved left ventricular systolic function epidemiology, clinical characteristics, and prognosis J Am Coll Cardiol. 43 3 2004 317 327
25. E.F. Philbin, T.A. Rocco, N.W. Lindenmuth Systolic versus diastolic heart failure in community practice clinical features, outcomes, and the use of angiotensin-converting enzyme inhibitors Am J Med. 109 8 2000 605 613
26. L. Bernaldi, R. Saviolo, D.H. Spodick Do hemodynamic responses to the Valsalva maneuver reflect myocardial dysfunction? Chest 95 1989 986 991
27. D.E. Schmidt, P.K. Shah Accurate detection of elevated left ventricular filling pressure by a simplified bedside application of the Valsalva maneuver Am J Cardiol. 71 5 1993 462 465
28. M.A. Konstam "Systolic and diastolic dysfunction" in heart failure? Time for a new paradigm J Card Fail. 9 1 2003 1 3
29. M.R. Bristow, L.A. Saxon, J. Boehmer Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure N Engl J Med. 350 21 2004 2140 2150
30. E.A. Rose, A.C. Gelijns, A.J. Moskowitz Long term use of left-ventricular assist device for end-stage heart failure N Engl J Med. 345 2001 1435 1443
31. W.T. Abraham, W.G. Fisher, A.L. Smith Cardiac resynchronization in chronic heart failure N Engl J Med. 346 24 2002 1845 1853
32. S.A. Hunt Current status of cardiac transplantation JAMA 280 19 1998 1692 1698
33. G.M. Felker, R.E. Thompson, J.M. Hare Underlying causes and long-term survival in patients with initially unexplained cardiomyopathy N Engl J Med. 342 15 2000 1077 1084
34. J.N. Cohn, T.B. Levine, M.T. Olivari Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure N Engl J Med. 311 1984 819 823
35. J.A. Ezekowitz, F.A. McAlister, P.W. Armstrong Anemia is common in heart failure and is associated with poor outcomes insights from a cohort of 12 065 patients with new-onset heart failure Circulation 107 2 2003 223 225
36. K.D. Aaronson, J.S. Schwartz, T.M. Chen Development and prospective validation of a clinical index to predict survival in ambulatory patients referred for cardiac transplant evaluation Circulation 95 12 1997 2660 2667
37. R. Berger, M. Huelsman, K. Strecker B-type natriuretic peptide predicts sudden death in patients with chronic heart failure Circulation 105 20 2002 2392 2397
38. V. Cheng, R. Kazanagra, A. Garcia A rapid bedside test for B-type peptide predicts treatment outcomes in patients admitted for decompensated heart failure a pilot study J Am Coll Cardiol. 37 2 2001 386 391
39. D. an Kraaij, M. Schuurmans, R. Jansen Use of the Valsalva manoeuvre to identify haemodialysis patients at risk of congestive heart failure Nephrol Dial Transplant. 13 6 1998 1518 1523
40. M.J. Zema Prognosis after myocardial-infarction - prediction in ambulatory patients by use of the bedside Valsalva maneuver Angiology 36 2 1985 96 104
41. L.W. Stevenson, J.H. Tillisch, M. Hamilton Importance of hemodynamic response to therapy in predicting survival with ejection fraction less than or equal to 20% secondary to ischemic or nonischemic dilated cardiomyopathy Am J Cardiol. 66 19 1990 1348 1354
42. D. Logeart, G. Thabut, P. Jourdain Predischarge B-type natriuretic peptide assay for identifying patients at high risk of re-admission after decompensated heart failure J Am Coll Cardiol. 43 4 2004 635 641