Valsalva: When you valsalva, you increase intra-abdominal pressure, reduce venous return, reduce the ventricular chamber dimension, reduce cardiac output, reduce blood pressure and stimulate the vagus nerve which slows heart rate. Net effect: it can help certain tachyarrhythmias. I would have expected it to exacerbate your lightheadedness unless that symptom is independent of your BP.
Answered 2/2/2015
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