Abnormal Response to the Valsalva Maneuver in Patients on Chronic Hemodialysis

Abstract
A standardized Valsalva maneuver was performed on 18 patients who were being maintained by chronic hemodialysis. Absence of the normal bradycardia after release of forced expiration was observed in 12 of these subjects. This abnormality may be related to a disordered baroreceptor mechanism or to visceral neuropathy in the uremic state

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