The physical examination is the initial step to identify the cause and the severity of the valvular pathology causing a<unk><unk> .  Provocative maneuvers such as hand grip (which increases systemic vascular resistance), the valsalva maneuver (which reduces return of blood to the right side of the<unk> , and inspiration (which increase blood return to the right side of the<unk>  may help to identify the underlying valvular pathology.
Heart murmur physical examination
Chest pain physical examination
Pulmonary hypertension physical examination
Cardiomyopathy physical examination
Pulmonary embolism physical examination
Bradycardia physical examination
Cyanosis physical examination
Cardiomegaly physical examination