english: It happens when there's a thickening in the pulmonary veins, making the right side of the heart work overtime, and causing what I call the reverse-Grinch effect.
non_english: Do toga dolazi kada se javi zadebljanje na plućnim venama, koje čini da desna strana srca preterano radi, što dovodi do, kako ja to zovem, obrnutog Grinč efekta.