Changes in BP variation during a Valsalva maneuver in adrenergic failure

Changes in BP variation during a Valsalva maneuver in adrenergic failure

What are the changes seen in the blood pressure variation during a Valsalva maneuver in a patient with adrenergic failure? 

In patients with inadequate response of the adrenergic system, the blood pressure fails to increase in late phase II.

By the same token, the blood pressure fails to overshoot the baseline level in phase IV

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