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The Valsalva Maneuver, Set in Stone

  • Daniel M. Gelfman
    Correspondence
    Requests for reprints should be addressed to Daniel M. Gelfman, MD, Clinical Professor Emeritus of Medicine, Department of Medicine, Marian University College of Osteopathic Medicine, 3200 Cold Spring Road, Indianapolis, IN 46222.
    Affiliations
    Division of Clinical Affairs, Marian University College of Osteopathic Medicine, Indianapolis, Ind
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      The Valsalva maneuver is a technique best known today for its uses in cardiology, from both a diagnostic and therapeutic standpoint, and not for its original function of expelling pus from the middle ear.
      • Derbes VJ
      • Kerr A
      Valsalva's maneuver and Weber's experiment.
      Uses today are multiple and as diverse as differentiating heart murmurs, estimating filling pressures in heart failure patients,
      • Felker GM
      • Cuculich PS
      • Gheorghiade M
      The Valsalva maneuver: a bedside “biomarker” for heart failure.
      or terminating supraventricular reentrant tachycardia.
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      References

        • Derbes VJ
        • Kerr A
        Valsalva's maneuver and Weber's experiment.
        N Engl J Med. 1955; 253: 822-823
        • Felker GM
        • Cuculich PS
        • Gheorghiade M
        The Valsalva maneuver: a bedside “biomarker” for heart failure.
        Am J Med. 2006; 119: 117-122
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