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Valsalva Manœuvre in the Diagnosis of Left Ventricular Failure in Chronic Obstructive Pulmonary Disease Exacerbation

This study has been completed.
Information provided by (Responsible Party):
Nouira, University of Monastir Identifier:
First received: June 12, 2012
Last updated: September 23, 2013
Last verified: September 2013

Left ventricular failure (LVF) is a common cause of acute exacerbation of chronic obstructive pulmonary disease (AECOPD).

This association is frequently underestimated with regard to the difficulty of clinical diagnosis .

The investigators expect that Valsalva Maneuver (VM) could be useful in this issue.

Condition Intervention
Acute Heart Failure
COPD Exacerbation
Other: Valsalva maneuver

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Diagnostic
Official Title: Study of the Valsalva Manœuvre in the Diagnosis of Left Ventricular Failure During Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Resource links provided by NLM:

Further study details as provided by University of Monastir:

Primary Outcome Measures:
  • left ventricular dysfunction [ Time Frame: 24 hours ]

Enrollment: 150
Study Start Date: May 2011
Study Completion Date: June 2013
Primary Completion Date: June 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
acute heart failure
control arm
Other: Valsalva maneuver
Experimental: COPD exacerbation
COPD exacerbation
Other: Valsalva maneuver


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria

  • We included in this group, patients with a history (previous history) of COPD who consulted the emergency room for an exacerbation of COPD defined by a respiratory rate> 25c/min and a pH <7.35 and a PaCO2 >6 KPa.
  • This group is also divided into two groups according to clinical expert assessment and the BNP value: Group1 : BNP> 400pg/ml, Group2 : BNP <400PG / ml

Exclusion Criteria:

  • We excluded from this study patients with Prominent cardiac arrest
  • Rhythm disorders including severe tachycardia arrhythmia
  • Auricular fibrillation
  • Hemodynamic instability requiring the use of vasoactive drugs and a contre indications of non invasive ventilation such us consciousness disorders with a Glasgow score <12/15,a swallowing disorder
  • A significant bronchial obstruction ,the upper airway obstruction , in upper gastrointestinal bleeding in progress, an extreme obesity and Cirrhosis or cancer.
  • We are also excluded patients who did not cooperate and those who refused the study.
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Please refer to this study by its identifier: NCT01619540

University Hospital of Monastir
Monastir, Monstir, Tunisia, 5000
Fattouma Bourguiba University hospital
Monastir, Tunisia, 5000
University hospital of Moastir
Monastir, Tunisia, 5000
University hospital of Monastir
Monastir, Tunisia, 5000
Sponsors and Collaborators
University of Monastir
Principal Investigator: Nouira Semir, Professor Monastir University
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Nouira, Study of the Valsalva Manœuvre in Diagnoses of Left Ventricular Failure During Acute Exacerbation of Chronic Obstructive Pulmonary Desease, University of Monastir Identifier: NCT01619540     History of Changes
Other Study ID Numbers: Valsalva
Study First Received: June 12, 2012
Last Updated: September 23, 2013

Keywords provided by University of Monastir:
Left Ventricular Failure
Valsalva Manoeuver

Additional relevant MeSH terms:
Heart Failure
Lung Diseases
Lung Diseases, Obstructive
Pulmonary Disease, Chronic Obstructive
Heart Diseases
Cardiovascular Diseases
Respiratory Tract Diseases processed this record on May 23, 2017