Cerebrovascular response to valsalva maneuver: Methodology, normal values, and retest reliability

Journal of Clinical Ultrasound

Volumn 40, Issue 9, 2012, Pages 540-546

  Wallasch, Thomas Martin ^a   Kropp, Peter ^b  

^a MEDAS Ostschweiz Interdisciplinary Medicine   (Switzerland)

^b Medical Faculty of the University   (Germany)

Author keywords

Cerebral autoregulation; Cerebral blood flow velocity; Transcranial Doppler sonography; Valsalva maneuver

Indexed keywords

ADULT; AGE; ARTICLE; BLOOD FLOW VELOCITY; BLOOD PRESSURE; BRAIN CIRCULATION; DOPPLER ECHOGRAPHY; ECHOGRAPHY; FEMALE; HEART RATE; HOMEOSTASIS; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; PHYSIOLOGIC MONITORING; PHYSIOLOGY; REFERENCE VALUE; REPRODUCIBILITY; VALSALVA MANEUVER;

ADULT; AGE FACTORS; BLOOD FLOW VELOCITY; BLOOD PRESSURE; CEREBROVASCULAR CIRCULATION; FEMALE; HEART RATE; HOMEOSTASIS; HUMANS; MALE; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; MONITORING, PHYSIOLOGIC; REFERENCE VALUES; REPRODUCIBILITY OF RESULTS; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL; VALSALVA MANEUVER; YOUNG ADULT;

EID: 84867745228     PISSN: 00912751     EISSN: 10970096     Source Type: Journal    
DOI: 10.1002/jcu.21936     Document Type: Article

References (34)

1. Aaslid R, Markwalder T-M, Nornes H. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 1982; 57: 769.
2. Aaslid R, Huber P, Nornes H. Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 1984; 60: 37.
3. Jorgensen LG, Perko G, Secher NH. Regional cerebral artery mean flow velocity and blood flow during dynamic exercise in humans. J Appl Physiol 1992; 73: 1825.
4. Sorond FA, Hollenberg NK, Panych LP, et al. Brain flow and velocity. J Ultrasound Med 2010; 29: 1017.
5. Baumbach GL, Heistad DD. Regional, segmental and temporal heterogeneity of cerebral vascular autoregulation. Ann Biomed Eng 1985; 13: 303.
6. Wagner EM, Traystman RJ. Cerebrovascular transmural pressure and autoregulation. Ann Biomed Eng 1985; 13: 311.
7. Tiecks FP, Lam AL, Aaslid R, et al. Comparison of static and dynamic cerebral autoregulation measurements. Stroke 1995; 26: 1014.
8. Van Lieshout JJ, Secher NH. Point:counterpoint: sympathetic activity does/does not influence cerebral blood flow. J Appl Physiol 2008; 105: 1364.
9. Zhang R, Zuckermann JH, Iwasaki K, et al. Autonomic neural control of dynamic cerebral autoregulation in humans. Circulation 2002; 106: 1814.
10. Valsalva AM. De Aura Humana Tractatus. Trajecti ad Rhenum, Utrecht, 1704, 34.
11. Porth CJM, Bamrah VS, Tristani FE, et al. The Valsalva maneuver: mechanisms and clinical implications. Heart Lung 1984; 13: 507.
12. Ewing DJ. Recent advances in the non-invasive investigation of diabetic autonomic neuropathy. In: Bannister R, editor. Autonomic failure. 2nd ed. Oxford: Oxford University Press; 1988, p 667.
13. Tiecks FP, Lam AM, Matta BF, et al. Effects of the Valsalva maneuver on cerebral circulation in healthy adults: a transcranial Doppler study. Stroke 1995; 26: 1386.
14. Boehmer RD. Continuous, real time, noninvasive monitor of blood pressure. Penaz methodology applied to the finger. J Clin Monit 1987; 3: 282.
15. Panerai RB, Dawson SL, Eames PJ, et al. Cerebral blood flow velocity response to induced and spontaneous sudden changes in arterial blood pressure. Am J Physiol Heart Cir Physiol 2001; 280: H2162.
16. Zhang R, Crandall CG, Levine BD. Cerebral hemodynamics during the Valsalva maneuver. Stroke 2004; 35: 843.
17. Aaslid R. Transcranial Doppler examination techniques. In: Aaslid R, editor. Transcranial Doppler Sonography. Wien/New York: Springer Verlag; 1986, p 39.
18. Greenfied JC, Rembert JC, Tindall GT. Transient changes in cerebral vascular resistance during the Valsalva maneuver in man. Stroke 1984; 15: 76.
19. Hamilton WF, Woodbury RA, Harper HTJr. Arterial, cerebrospinal and venous pressures in man during cough and strain. Am J Physiol 1944; 141: 42.
20. Dawson S, Panerai RB, Potter JF. Critical closing pressure explains cerebral hemodynamics during the Valsalva maneuver. J Appl Physiol 1999; 86: 675.
21. Hetzel A, Reinhard M, Guschlbauer B, et al. Challenging cerebral autoregulation in patients with preganglionic autonomic failure. Clin Autonom Res 2003; 13: 27.
22. Liang F, Liu H. Simulation of hemodynamic responses to the Valsalva maneuver: an integrative computational model of the cardiovascular system and the autonomic nervous system. J Physiol Sci 2006; 56: 45.
23. Smith ML, Beightol LA, Fritsch-Yelle JM, et al. Valsalva's maneuver revisited: a quantitative method yielding insights into human autonomic control. Am J Physiol 1996; 271: H1240.
24. Paulson OB, Strandgaard S, Edvinsson L. Cerebral autoregulation. Cerebrovas Brain Metab Rev 1990; 2: 161.
25. Sakai F, Meyer JS. Abnormal cerebrovascular reactivity in patients with migraine and cluster headache. Headache 1979; 19: 257.
26. Thomas TD, Harpold GJ, Troost BT. Cerebrovascular reactivity in migraineurs as measured by transcranial Doppler. Cephalalgia 1990; 10: 95.
27. 2 reactivity in migraine: assessment by transcranial Doppler ultrasound. J Neurol 1991; 238: 23.
28. Lindegaard KF. Indices of pulsality. In: Newell DW, Aaslid R, editors. Transcranial Doppler. New York: Raven Press Publishers; 1992, p 67.
29. Oleson J. The effect of intracarotid epinephrine, norepinephrine, and angiotensin on the regional cerebral blood flow in man. Neurology 1972; 22: 978.
30. Meyer JS, Gotoh F, Takagi Y, et al. Cerebral hemodynamics, blood gases, and electrolytes during breath holding and the Valsalva maneuver. Circulation 1996; 33-34( suppl. II): 35.
31. Hetzel A, Braune S, Guschlbauer B, et al. Multimodality monitoring during passive tilt, Valsalva maneuver under hypercapnia. J Neuroimaging 1999; 9: 108.
32. Newell DW, Aaslid R, Lam A, et al. Comparison of flow and velocity during dynamic autoregulation testing in humans. Stroke 1994; 25: 793.
33. Tiecks FP, Lam AM, Matta BF, et al. Effects of the Valsalva maneuver on cerebral circulation in healthy adults: a transcranial Doppler study. Stroke 1995; 26: 1386.
34. Geary GG, Buchholz JN. Selected contribution: effects of aging on cerebrovascular tone and [Ca2+]i. J Appl Physiol 2003; 95: 1746.