While the hemodynamic changes of the Valsalva maneuver are complex and broken into four stages, the main effect occurs during phase 2 which acts to decrease venous return to the heart and blood ...
resulting in less blood returning to the heart and decreasing left ventricular preload — similar to the effect seen with the Valsalva maneuver. This maneuver will increase the murmur of HOCM and ...
OBJECTIVE: To determine the effect of increasing vesical volume on the Valsalva leak-point pressure, examine the relationship between leakage at a given volume and clinical incontinence severity ...