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. 2011 Sep 1;14(4):199–204. doi: 10.1016/j.jus.2011.08.001

Table 2.

Dubin classification.

Grade Features
0 Moderate, transient venous reflux during the Valsalva maneuver (physiologic findings)
1 Persistent venous reflux that ends before the Valsalva maneuver is completed
2 Persistent venous reflux throughout the entire Valsalva maneuver
3 Venous reflux that is present under basal conditions and does not change during the Valsalva maneuver