Beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver

David S. Goldstein, William P. Cheshire

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Measurement of beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver is the basis for a highly informative autonomic function test. Whereas in the past this measurement required intra-arterial cannulation, the development of finger cuff devices that acquire arterial pressure waveforms indistinguishable from those recorded intra-arterially has made it possible to obtain accurate measurements noninvasively. In a patient with orthostatic hypotension, the pattern of blood pressure responses during and after the release of the maneuver can identify a neurogenic basis: sympathetic neurocirculatory failure. The quantifiable change in cardiac interbeat interval per unit change in systolic pressure during the maneuver can identify baroreflex-cardiovagal failure.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalClinical Autonomic Research
DOIs
StateAccepted/In press - Oct 19 2017

Fingerprint

Valsalva Maneuver
Heart Rate
Blood Pressure
Orthostatic Hypotension
Baroreflex
Catheterization
Fingers
Arterial Pressure
Equipment and Supplies

Keywords

  • Autonomic
  • Blood pressure
  • Parasympathetic
  • Sympathetic
  • Valsalva

ASJC Scopus subject areas

  • Endocrine and Autonomic Systems
  • Clinical Neurology

Cite this

Beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver. / Goldstein, David S.; Cheshire, William P.

In: Clinical Autonomic Research, 19.10.2017, p. 1-7.

Research output: Contribution to journalArticle

@article{fe0417b9c09744ab90e3fffb36cd3e48,
title = "Beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver",
abstract = "Measurement of beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver is the basis for a highly informative autonomic function test. Whereas in the past this measurement required intra-arterial cannulation, the development of finger cuff devices that acquire arterial pressure waveforms indistinguishable from those recorded intra-arterially has made it possible to obtain accurate measurements noninvasively. In a patient with orthostatic hypotension, the pattern of blood pressure responses during and after the release of the maneuver can identify a neurogenic basis: sympathetic neurocirculatory failure. The quantifiable change in cardiac interbeat interval per unit change in systolic pressure during the maneuver can identify baroreflex-cardiovagal failure.",
keywords = "Autonomic, Blood pressure, Parasympathetic, Sympathetic, Valsalva",
author = "Goldstein, {David S.} and Cheshire, {William P.}",
year = "2017",
month = "10",
day = "19",
doi = "10.1007/s10286-017-0474-y",
language = "English (US)",
pages = "1--7",
journal = "Clinical Autonomic Research",
issn = "0959-9851",
publisher = "D. Steinkopff-Verlag",

}

TY - JOUR

T1 - Beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver

AU - Goldstein, David S.

AU - Cheshire, William P.

PY - 2017/10/19

Y1 - 2017/10/19

N2 - Measurement of beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver is the basis for a highly informative autonomic function test. Whereas in the past this measurement required intra-arterial cannulation, the development of finger cuff devices that acquire arterial pressure waveforms indistinguishable from those recorded intra-arterially has made it possible to obtain accurate measurements noninvasively. In a patient with orthostatic hypotension, the pattern of blood pressure responses during and after the release of the maneuver can identify a neurogenic basis: sympathetic neurocirculatory failure. The quantifiable change in cardiac interbeat interval per unit change in systolic pressure during the maneuver can identify baroreflex-cardiovagal failure.

AB - Measurement of beat-to-beat blood pressure and heart rate responses to the Valsalva maneuver is the basis for a highly informative autonomic function test. Whereas in the past this measurement required intra-arterial cannulation, the development of finger cuff devices that acquire arterial pressure waveforms indistinguishable from those recorded intra-arterially has made it possible to obtain accurate measurements noninvasively. In a patient with orthostatic hypotension, the pattern of blood pressure responses during and after the release of the maneuver can identify a neurogenic basis: sympathetic neurocirculatory failure. The quantifiable change in cardiac interbeat interval per unit change in systolic pressure during the maneuver can identify baroreflex-cardiovagal failure.

KW - Autonomic

KW - Blood pressure

KW - Parasympathetic

KW - Sympathetic

KW - Valsalva

UR - http://www.scopus.com/inward/record.url?scp=85031789892&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031789892&partnerID=8YFLogxK

U2 - 10.1007/s10286-017-0474-y

DO - 10.1007/s10286-017-0474-y

M3 - Article

AN - SCOPUS:85031789892

SP - 1

EP - 7

JO - Clinical Autonomic Research

JF - Clinical Autonomic Research

SN - 0959-9851

ER -