Why would you do that, Jongleur? I was familar with it only in connection with an ENT checking your ear. (then I didn't know the technical term).
From my reading of the piece below, the use of the maneuver to control premature ejaculation appears to be variation on other techniques. However, I'm not sure how a sexual partner would interrupt one grabbing ones nose and puffing-up at that "special moment" ;^)))))
AS A SLEEP AID: A series of deep breathing (yoga like) and pre-meditation procedures would seem better. The artificial inducement of a cardiac constraint, followed by rise and then fall in blood pressure is something that probably won't kill most healthy people. You could bend down and grab your ankles, then compress your abdominal muscles too. Then ease-up and relax.
I copied the little piece below off the WEB:
Valsalva Maneuver
Definition
The Valsalva maneuver is performed by attempting to forcibly exhale while keeping the mouth and nose closed. It isused as a diagnostic tool to evaluate the condition of the heart and is sometimes done as a treatment to correctabnormal heart rhythms or relieve chest
pain.
Purpose
The Valsalva maneuver is used with patients who have suspected heart abnormalities, often in conjunction with
echocardiography. The maneuver is based on the fact that when a patient forcibly exhales against a closed nose andmouth while bearing down, as if having a bowel movement, specific changes occur in blood pressure and the rate andvolume of blood returning to the heart.
Comparing the changes in a diseased heart to those expected in a normal heart gives clues to the type and location ofheart damage. In addition, 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 theheart. A 2004 study found that blood pressure response to the Valsalva maneuver could predict mortality in elderlypatients with congestive
heart failure. This could prove to be a new noninvasive way to help determine how long elderlypatients with congestive heart failure are expected to live.
The Valsalva maneuver also corrects some rapid heartbeats originating in the atria. When the maneuver is donecorrectly, blood pressure rises. This forces the heart to respond by correcting its rhythm and beating more slowly. Onrare occasions, the Valsalva maneuver can be used to diminish chest pain in patients with mild coronary disease.
Unrelated to any evaluation of the heart, the Valsalva maneuver also is taught to patients with
multiple sclerosis whoare unable to fully empty the bladder (flaccid bladder). It sometimes is used in sexual therapy to help men avoid
premature ejaculation.
Precautions
The Valsalva maneuver should not be performed by patients who have severe
coronary artery disease, haveexperienced recent
heart attack, or have a moderate to severe reduction in blood volume.
Description
When performed formally, the patient is asked to blow against an aneroid pressure measuring device (manometer) andmaintain a pressure of 40 millimeters of mercury (mm Hg) for 30 seconds. Or, less formally, the patient may be asked tobear down, as if having a bowel movement. During this 30 second period, a recording is made of the changes in bloodpressure and murmurs of the heart.
Preparation
The patient may be connected to a heart monitor and echocardiograph or the physician may simply use a stethoscope tomonitor the heart. Sometimes an indwelling needle is inserted for accurate pressure measurements, depending onwhether the procedure is being done for corrective or diagnostic purposes.
Aftercare
When this procedure is done to regulate irregular heart rhythms, the patient usually remains on a heart monitor toevaluate heartbeat.
Risks
The patient may feel dizzy or faint during the procedure, but serious consequences are rare. There is a risk that theValsalva maneuver can cause
blood clots to detach, bleeding, and abnormal rhythms originating in the ventricle. It canalso cause cardiac arrest. Consequently, the procedure is usually performed in a setting where emergency equipment isaccessible.
Normal results
There are four characteristic changes or phases in a normal heart's response to the Valsalva maneuver. An abnormalityin any of these phases indicates a cardiovascular abnormality.
Resources
Periodicals
Jancin, Bruce. "New Mortality Predictor Found for Heart Failure."
Family Practice News March 15, 2004: 48-49.
Key terms
Atria — The heart has four chambers. The right and left atria are at the top of the heart and receive returning blood fromthe veins. The right and left ventricles are at the bottom of the heart and act as the body's main pumps.
Echocardiography — An ultrasound test that shows the size, shape, and movement of the heart.
Gale Encyclopedia of Medicine. Copyright 2008 The Gale Group, Inc. All rights reserved.
Valsalva maneuver
[val-sal´vah]
1. increase of intrathoracic pressure by forcible exhalation against the closed glottis; this maneuver causes trapping ofblood in the great veins, preventing it from entering the chest and right atrium. When the breath is released, theintrathoracic pressure drops and the trapped blood is quickly propelled through the heart, producing
tachycardia (increasedheart rate) and a rise in
blood pressure; this is followed almost immediately by a reflex
bradycardia. The Valsalvamaneuver occurs when one strains to defecate and urinate, uses the arms and upper trunk muscles to move up in bed,or strains during coughing, gagging, or vomiting. The increased pressure, immediate tachycardia, and reflex bradycardiacan bring about cardiac arrest in vulnerable heart patients.
2. increase in the pressure in the eustachian tube and middle ear by forcible exhalation against closed nostrils andmouth.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.