Vixiar Peer-Reviewed Publications


  • Galiatsatos P, Win TT, Monti J, et al. Usefulness of a Noninvasive Device to Identify Elevated Left Ventricular Filling Pressure Using Finger Photoplethysmography During a Valsalva Maneuver. Am J Cardiol. 2017;119(7):1053‐1060. doi:10.1016
  • Galiatsatos P, Parakh K, Monti J, Thavarajah S, Aneke-Ogbu H, Watson A, Kim D, Wang NY, Shafi T, Silber HA. A Finger Photoplethysmography Waveform During the Valsalva Maneuver Detects Changes in Left Heart Filling Pressure After Hemodialysis. BMC Nephrol. 2015 Aug 14;16:13
  • Gilotra NA, Tedford RJ, Wittstein IS, Yenokyan G, Sharma K, Russell SD, Silber HA. Usefulness of Pulse Amplitude Changes During the Valsalva Maneuver Measured Using Finger Photoplethysmography to Identify Elevated Pulmonary Capillary Wedge Pressure in Patients With Heart Failure. Am J Cardiol. 2017 Sep 15;120(6):966-972.
  • Gilotra NA, Wanamaker BL, Rahim H, Kunkel K, Yenokyan G, Schulman,S, Tedford R,   Russell T,  Silber H. Usefulness of Noninvasively Measured Pulse Amplitude Changes During the Valsalva Maneuver to Identify Hospitalized Heart Failure Patients at Risk of 30-Day Heart Failure Events (From the PRESSURE-HF Study) Am J Cardiol. 2020;125(6):916‐923. doi:10.1016/j.amjcard.2019.12.027
  • Silber HA, Trost JC, Johnston PV, Maughan WL, Wang NY, Kasper EK, Aversano TR, Bush DE. Am J Physiol Heart Circ Physiol.  Finger photoplethysmography during the Valsalva maneuver reflects left ventricular filling pressure. 2012 May 15;302(10):H2043-7.

References Related to the Valsalva Maneuver, Congestion and Heart Failure


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  • Felker GM, Cuculich PS, Gheorghiade M. The Valsalva Maneuver: a bedside biomarker for heart failure? Am J Med. 2006 Feb;119(2):117-22.
  • Fritsch-Yelle JM, Convertino VA, Schlegel TT. Acute manipulations of plasma volume alter arterial pressure responses during Valsalva maneuvers. J Appl Physiol (1985). 1999;86(6):1852‐1857.
  • Gheorghiade M, Follath F, Ponikowski P, et al. Assessing and grading congestion in acute heart failure: a scientific statement from the acute heart failure committee of the heart failure association of the European Society of Cardiology and endorsed by the European Society of Intensive Care Medicine. Eur J Heart Fail. 2010;12(5):423‐433.
  • Hamilton WF, Woodbury RA, Harper HT. Arterial, cerebrospinal, and venous pressures in man during cough and strain. Am J Physiol 1944;141:42-50.
  • Klein L. Treating Hemodynamic Congestion Is the Key to Prevent Heart Failure Hospitalizations. JACC Heart Fail. 2016;4(5):345‐347.
  • Judson WE, Hatcher JD, Wilkins RW. Blood pressure responses to the Valsalva maneuver in cardiac patients with and without congestive failure. Circulation. 1955;11(6):889‐899.
  • Knowles JH, Gorlin R, Storey CF. Clinical test for pulmonary congestion with use of the Valsalva maneuver. J Am Med Assoc. 1956;160(1):44‐48.
  • Liniado GE, Beck MA, Gimeno GM, González AL, Cianciulli TF, Castiello GG, Gagliardi. Clinical examination and the Valsalva maneuver. .Medicina (B Aires). 2018;78(3):163-170
  • Melenovsky V, Andersen MJ, Andress K, Reddy YN, Borlaug BA. Lung congestion in chronic heart failure: haemodynamic, clinical, and prognostic implications. Eur J Heart Fail. 2015;17(11):1161‐1171.
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  • Schmidt DE, Shah PK. Accurate detection of elevated left ventricular filling pressure by a simplified bedside application of the Valsalva maneuver. Am J Cardiol. 1993;71(5):462‐465.
  • Sharpey-Schafer EP. Effects of Valsalva’s manoeuvre on the normal and failing circulation. Br Med J. 1955;1(4915):693‐695.
  • Stucki P, Hatcher JD, Judson WE, Wilkins RW. Studies on circulation time during the Valsalva test in normal subjects and in patients with congestive heart failure. Circulation. 1955;11(6):900‐908.
  • Van Kraaij DJ, Jansen RW, Bouwels LH, Go RI, Verheugt FW, Hoefnagels WH. Use of Valsalva’s maneuver to detect early recurrence of congestive heart failure in a randomized trial of furosemide withdrawal in older patients. J Am Geriatr Soc. 1999;47(11):1384‐1385.
  • Van Kraaij DJ, Schuurmans MM, Jansen RW, Hoefnagels WH, Go RI. Use of the Valsalva manoeuvre to identify haemodialysis patients at risk of congestive heart failure. Nephrol Dial Transplant. 1998;13(6):1518‐1523.
  • Wilkinson PL, Stowe DF, Tyberg JV, Parmley WW. Pressure and flow changes during Valsalva-like maneuvers in dogs following volume infusion. Am J Physiol. 1977;233(1):H93‐H99.
  • Zema MJ. The Valsalva maneuver: Isn’t it finally time? JACC Heart Fail. 2018 Nov;6(11):969-971. doi:10.1016/j.jchf.2018.07.004.
  • Zema MJ. Heart failure and the bedside Valsalva maneuver. Chest. 1990 Apr;97(4):772-3. doi:10.1378/chest.97.4.772.