Heart murmur causes. Most heart murmurs are caused by blood flowing through healthy valves in a healthy heart and do not require treatment. However, heart murmurs can be caused by blood flowing through a damaged or overworked heart valve. Heart valve defects may be present at birth or may result from other diseases, such as rheumatic fever, heart disease, heart attacks or infective endocarditis.
Hi! You can use estudiosa. Or trabajadora is a good one too, though it is slightly different. It means hard-working.. Other good adjectives which are along this line, though not exactly interchangeable would be Inteligente = intelligent; lista = clever.
Spanish word for Apple. The Spanish translation for the word âappleâ is âmanzanaâ. Sounds like â man-thahâ-nah. Listen to the audio pronunciation â. manzana = apple in Spanish.