A series of bedside maneuvers and interventions may enhance diagnostic accuracy, and should be a part of a custom cardiac examination.

Selected Maneuvers (effects)

maneuver
Hemodynamic Effects
Preload LV volume
heart size
Afterload (peripheral resistance)
heart rate (HR)
cardiac output (CO)
Effects on Heart Sounds
AS murmur
HCM murmur					any
AR murmur
MR murmur
MVP murmur
MS murmur
VSD murmur