Valsalva Maneuver | Physiology, Benefits, Dangers

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Published 2023-03-01
In this video, Dr Mike explains the complex physiology of the valsalva maneuver (manoeuvre?). This procedure can be utilised for people experiencing supraventricular tachycardia (SVT) to help normalise their heart rhythm, used by weightlifters when lifting a load greater than 80% their 1 rep max, and commonly used when trying to pass a bowel movement!
Let's find out how it works!!

All Comments (21)
  • All the way from India here. Thank you Dr. Mike for being the best teacher ❤️
  • I literally gave a presentation on SVT and the VSM this morning and now this pops up! 😅
  • @justan0therpleb599
    Thanks for providing one of the easiest and most understandable explanation of valsalva maneuver. Could you also explain its use and effect in change of ambient pressure like during flight descent, diving,etc?
  • Thank you Sir for explaining that in detail. I have tachycardia and every kind of defense I can use is a blessing
  • Thank you for this man, love your enthusiasm and knowledge. RN's like me need videos like this. THANKS!
  • Thanks doc you've made it much easier than our lecture note wish you the best 👌 🔥
  • @MsBaster12
    the best explanation online for that maneuver
  • @GungaLaGunga
    Thank you for sharing this knowledge. This works to manage my SVT episodes until I can get ablation surgery. Works like a charm.
  • @TheKeatyBear
    Great video. Explains a lot. I notice that when lifting heavy, I'll get episodes of a really high heart rate. This triggering of the sympathetic system triggers a panic attack that makes things worse. I'll try this maneuver next time to lower my heart rate.
  • @df6148
    Learned this the hard way while deadlifting. Collapsed with the straps still in my hand. Just muscle strained back THANKFULLY but I lost all feeling in my legs before feeling a surge of heat returning to my legs (which was the blood). My immediate reaction was that I must’ve tore something but now I know better. I also learned just how important breathing out is during a lift. It’s not just for show. It’s to prevent injuries and sudden collapse.

    Update 2 months after initial post:

    actually herniated the L4-L5 and L5-S1. Have spinal stenosis where the nerve now compresses onto my sciatic nerve. Annnnnd the Doctors say once a disc is herniated it never replaces itself. The herniation may dissolve over time or can be removed surgically but the space where it used to be (the gap leftover from the disc pushing outwards) is said to remain that way for life. Thankfully it wasn’t an extreme herniation. It’s a moderate and mild one. Be safe fellow lifters! I’ve been advised not to Squat or Deadlift ever again but we’ll see how it goes.

    The biggest factor outside of the weight itself (515) was that I started another set while winded. And I was dehydrated that day. I contemplated getting a sip at the water fountain because I had dry mouth but decided to do it after my final set. Big mistake! Your spines discs are composed of fluid that needs water to retain its shape and structure. Lifting heavy while dehydrated isn’t only bad because you can pass it, it is also bad structurally for your spines strength!
  • I severe have mitral valve leak and now with moderate aorta problem , I dont want surgery is there any option?