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.
Juana. BACK; NEXT ; Character Analysis Not-So-Desperate Housewife. If Kino is obsessed with being a man, he is equally obsessed with keeping Juana in her place as a woman. And Juana doesnât seem to mind. She accepts that she is to be passive, submissive, and deferential. Yet, despite her passivity, Juana manages to function as a pillar of strength for her husband.