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Russian distinguishes between consonant phonemes with palatal secondary articulation and those without, the so-called soft and hard sounds. This distinction is found between pairs of almost all consonants and is one of the most distinguishing features of the language.
This sound is called Korotkoff sound. The beginning of the Korotkoff sound indicates systolic BP (see the third arm of previous diagram). As the deflation continues, Korotkoff sound disappears, at certain point (see the fourth arm of the previous diagram). This is the diastolic pressure. Here is a graph, showing Korotkoff sounds and their relation with the blood pressure.