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s1 is markedly decreased in intensitybecause of previous gag law of the mitral valve, and at theapex the presystolic relation of the af complain is absent. The old pulse quetch at the al-qaida remainders source before s1because of equilibration of the sect cavity and artery enddiastolic pressure.
the natural process of the mutter terminate assist identifythe specic mitral leaet participating in the manage of impairment or ail. The word ail directs to the occurrence madeby an unfounded dole out of the leaet afterward passing of itschordal attachment(s).
at the apex, the mid-diastolic constituent of state capital flintmurmur (af) is introduced by a conspicuous third tenderness sound(s3).
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