According to The Hollywood Reporter, the four voice actors who make up the Family Guy cast -- Alex Borstein, Mila Kunis, Seth Green and Mike Henry -- has collectively negotiated a new salary between $175,000 and $225,000 per episode.
Hence, a patient with first degree heart block will typically have a soft first heart sound. For the same reasons a patient with variable PR interval (Mobitz I second degree AV block or third degree heart block) can have changing intensity of the first heart sound. Lyme carditis, anatomically corrected transposition and maternal lupus can all cause complete heart block.
This puts stress on the heart and makes it harder for the heart to pump blood. Valve disease is usually first found if your doctor hears a noise called a heart murmur during a routine exam. If you have a heart murmur, your doctor may order an echocardiogram. This will depend on the sounds the doctor hears. An echocardiogram is a simple ultrasound that creates images of your heart.