Valsalva
Increases thoracic pressure and lowers preload; then then decreased CO and afterload
Increases<unk> in MP & HOCM
With release: right<unk>  return first
Hand grip
Increases HR + CO
Increases<unk> in MR, MS, AR
Decreases<unk> in AS and HOCM
Squatting
Increased venous return
Delays MP click
Standing
Dec in both right & left venous return & SV
Decreases<unk> of PS, AS, AR, TR, VSD
Increases<unk> of HOCM
Inspiration
Increases right sided venous return while decreasing left sided return
Increases S2 splitting with P2 further from A2
Increases in right sided S3 & S4
Increases TS opening snap &<unk>  PR, TR
Decreases MS opening snap, MVP<unk> Increases thoracic pressure and lowers preload; then then decreased CO and afterload
Increases<unk> in MP & HOCM
With release: right<unk>  return first
Increases HR + CO
Increases<unk> in MR, MS, AR
Decreases<unk> in AS and HOCM
Increased venous return
Delays MP click
Dec in both right & left venous return & SV
Decreases<unk> of PS, AS, AR, TR, VSD
Increases<unk> of HOCM
Increases right sided venous return while decreasing left sided return
Increases S2 splitting with P2 further from A2
Increases in right sided S3 & S4
Increases TS opening snap &<unk>  PR, TR
Decreases MS opening snap, MVP<unk>
Heart murmurs
Mitral stenosis
Palpitations
Mitral regurgitation
Chest pain 
Mitral valve prolapse
Stridor 
Aortic stenosis