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Specifically, it states: "The strictest interpretation of the trial would suggest that all small breed dogs with a left apical systolic murmur of grade 3/6 or louder should have radiographs taken and an echocardiogram performed to determine if substantial cardiac enlargement is present and pimobendan therapy warranted." * In a July 2017 "update", the CEG changed the "above 11.5" to "11.5 or above", making the risk even greater that dogs with no enlargement at all will be prescribed pimobendan

2023;30(9):e220414

doi:10.1111/j.1875-595x.2004.tb00263.x

JAMA Ophthalmology, 2024, DOI: 10.1001/jamaophthalmol.2024.2296, Written by Tarun Sai Lomte Tarun is a writer based in Hyderabad, India

However, genetic factors also play a role in their development

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