The patient may be connected to a heart monitor and echocardiograph or the physician may simply use a stethoscope to monitor the heart. Sometimes an indwelling needle is inserted for accurate pressure measurements
The Valsalva maneuver is used with patients who have suspected heart abnormalities, often in conjunction with echocardiography.
The Valsalva maneuver can be safe when done correctly, but it can also be risky if not done properly. It is important to be cautious and avoid excessive straining when performing the maneuver to prevent potential complications.
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The Valsalva maneuver can indeed induce strokes in the brain due to higher blood pressure in the head, and perhaps broken capillary blood vessels in the eyeballs and elsewhere. Do the maneuver only just as hard as needed to relieve your symptoms (by increasing heart rate, usually).
vocal folds
The Valsalva maneuver should not be performed by patients who have severe coronary artery disease, have experienced recent heart attack, or have a moderate to severe reduction in blood volume.
when a doctor listens to the chest with a stethoscope during the Valsalva maneuver, characteristic heart sounds are heard. Variations in these sounds can indicate the type of abnormality present in the heart.
Unrelated to any evaluation of the heart, the Valsalva maneuver also is taught to patients with multiple sclerosis who are unable to fully empty the bladder (flaccid bladder).
It's called a Muller maneuver and involves forced inspiration against a closed glottis.
The Valsalva maneuver also corrects some rapid heartbeats originating in the atria. When the maneuver is done correctly, blood pressure rises. This forces the heart to respond by correcting its rhythm and beating more slowly.
valsalva maneuver
In all my years of SCUBA diving, this had never come up as a potential hazard. I was close to dismissing this question but a little googling shows that the Valsalva maneuver can, indeed, result in an elevated blood pressure. Seems to me that it would need to be some really aggressive Valsalva-ing and a susceptible individual for it to be dangerous. See the link for one opinion.