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there's an obstacle to
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blood flow creates an additional resistance.
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Your heart has to work harder
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in order to overcome the resistance of the flow
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going around this large ball that's in the center.
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It works well as a valve but it's not a very efficient valve,
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in that it requires your
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heart to work more to get a certain flow rate
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because it's blocking--
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this ball is blocking the center of the flow.
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In addition, you can imagine this ball
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slamming up and then slamming back down.