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The Valsalva maneuver is essential for evaluating left ventricular diastolic function and diagnosing patent foramen ovale (PFO). Furthermore, in association with the recent insurance coverage for myocardial myosin inhibitors, a new drug for hypertrophic cardiomyopathy, the Valsalva maneuver has become increasingly important in the diagnosis of hypertrophic obstructive cardiomyopathy. Based on the above background, the Guideline Committee of the Japanese Society of Echocardiography prepared the practice guidance for \u201cStress echocardiography using the Valsalva maneuver\u201d as the focused update incorporated into the \u201cPractice guidance for the implementation of stress echocardiography.\u201d<\/jats:p>","DOI":"10.1007\/s12574-026-00735-0","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T07:33:04Z","timestamp":1780903984000},"page":"162-169","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["2026 focsused update incorporated into the Japanese society of echocardiography 2023 practice guidance for the implementation of stress echocardiography \u201cstress echocardiography using the Valsalva maneuver\u201d"],"prefix":"10.1007","volume":"24","author":[{"given":"Yutaka","family":"Hirano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Iwano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Ohara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Guideline Committee of the Japanese Society of Echocardiography","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Okura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Amano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromi","family":"Umeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Obokata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Kagiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Daimon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidekazu","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihisa","family":"Toh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"735_CR1","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/S0025-6196(12)61852-7","volume":"61","author":"RA Nishimura","year":"1986","unstructured":"Nishimura RA, Tajik AJ. 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