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The Validity of Valsalva Maneuver in Distinguishing Pseudonormalization of Left Ventricular Filling Pattern in Hypertensive Patients. | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 2, Issue 4, 2005, Pages 410-414 | ||
| Authors | ||
| Sabah Mil; ; Mansour Abbas Al-Sultani; Mansour Abbas Al-Sultani | ||
| Abstract | ||
| This srudy was peftbmed in Baghdad Teaching Ilospital to study rhe validity of Valsalva nraneuver as a clirical non-invasive preload nranipulation pfocedurc to improve Ieft ventricular conpliance dufing diaslole to distirguish pseudonorDal;zation oftransmitrai flow pattern in hypedensive palients. Out of200 patienls examined by echo/Dopplef lechnique 127 patienls showed appar€nlly nomlal transmiiral flow pattefn but orr exposing Lhem lo Valsalva maneuvef only 85 patients rcnraiied with nomral transinitml l]ow paitern and 42 parienls changed 10 impaired rclaxatiol1 paltefn (a gmde before pseudonormalization) indicalirg that those 42 patients were having a pseudonomal tmnsmilral flow pattern. We concluded that Valsalva maneLrver i! a simple vaiid bedside preload manipulation procedrre io dislirlguish pseudonofnralization of lelt ventricular filling pattern, a step that is i podant in improvnrg the grading sysiem ofdiastolic dystunction drat will nr turn decide the lire of trcatment of hypetensive patients who complah of shortness of brcath of different | ||
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