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dilated cardiomyopathy in cats

Lately she does not have much appetite and we had to increase her dose of furosemide. Cardiomyopathy literally means "disease of the heart muscle." At the time she developed the DCM she also developed a Corneal Sequstrum . Hypertrophic cardiomyopathy: This is by far the most common form of cardiomyopathy. Dr. Elliott, BVMS, MRCVS is a veterinarian with over 30 years of experience in veterinary surgery and companion animal practice. My cat Morty is 8 years old I took him to get him to get his teeth cleaned last July and after he woke up from anesthesia they heard something in his heart. Novotny M J, Hogan P M, Flannigan G (1994) Echocardiographic evidence for myocardial failure induced by taurine deficiency in domestic cats. The common symptoms found in Dilated cardiomyopathy in dogs and cats include easily tiring, swollen legs, shortness of breath which may cause chest pain and collapse as well as complications, such as heart failure, heart attack, and abnormal heart rate. To understand feline dilated cardiomyopathy, a basic understanding of heart anatomy is required. The doctor will review the feline’s medical history, talk to the owner about her current diet and medications, then move on to complete the following diagnostic exams: Dilated cardiomyopathy in cats is treated with therapeutic diuretic, angiotensin converting enzyme inhibitor drugs in severe cases, but additional medications may be needed depending on the specific case. The symptoms caused by dilated cardiomyopathy in cats is related to the decreased blood flow in the body. Loss of appetite is a symptom of dilated cardiomyopathy and may have progressed as the condition got worse resulting in increasing the dose of furosemide. This is a disease that occurs in purebred and non-purebred cats of any age. The results of this study s … This amino acid before 1980 was absent in a lot of canned … The left side then pumps the newly oxygenated blood out into the body, through the arteries. The exact way the disease occurs in cats is unknown, but the … A special blood test when her Popliteal nodes ( glands at the back of her hind legs) became swollen too - results still inflammation, no spike. He has signs of pericardial effusion and polmonary edema. Dilated cardiomyopathy (DCM) is a condition in which the heart becomes enlarged and cannot pump blood effectively. Dilated Cardiomyopathy. IS this normal for this condition?? Try to offer Bobby a more appetising meal like tuna or something else smelly and delicious or try warming up the food slightly to make it smell more appealing. She has been on this medication for two years now. She was 4 years old when it happened. Dr. Elliott, BVMS, MRCVS is a veterinarian with over 30 years of experience in veterinary surgery and companion animal practice. Her specialist at her 6 month scans said she is only the second cat he's seen in 15 years that's responded to Taurine 500mg ! Diskospondylitis (Intervertebral Disk Infection) in Dogs and Cats ... Hypertrophic Cardiomyopathy in Cats. Increased LVID d If you really can’t stand to see another ad again, then please consider supporting our work with a contribution to wikiHow. In cats, three classes of cardiomyopathy have been described: hypertrophic, dilated, and intermediate or restrictive cardiomyopathy. Discoid Lupus Erythematosus (DLE) in Dogs. Taurine x2 daily He went to the hospital with liquid in the torax, he spent there one night to get exams. Dilated cardiomyopathy (DCM) is characterized by a dilated heart with thin walls and decreased systolic function. The feline may also appear weak and have a poor body condition as it ages. Hypocalcemia (Low Blood Calcium) in Cats and Dogs. In the late 1980s, it was discovered that insufficient taurine in feline diets was the cause of most cases of dilated cardiomyopathy. Life expectancy in cats with cardiomyopathy and congestive heart failure is shortened to 18 months or less, with six months on average. of dilated cardiomyopathy in cats [6]. However the most common type of cardiomyopathy in cats is an inherited disease called hypertrophic cardiomyopathy. Below is an overview of Dilated Cardiomyopathy in Cats (DCM) followed by in-depth information on … Canine dilated cardiomyopathy (DCM) is a primary disease of cardiac muscle that results in a decreased ability of the heart to generate pressure to pump blood through the vascular system. Causes include genetics, alcohol, cocaine, certain … Symptoms vary from none to feeling tired, leg swelling, and shortness of breath. HCM is a primary heart muscle disease in which the muscular walls of the ventricles become abnormally thickened (hypertrophied). Blood chemistry profile: assess the levels of circulating taurine and electrolytes, and evaluate the liver and kidneys. Data showed that clinically affected cats were significantly more interrelated than randomly chosen case-control populations from the same colony. Hypertrophic cardiomyopathy (HCM) is the most common acquired heart disease in cats. Plavix x1 daily Does your cat avoid activities that it used to enjoy, such as playing with a string or laser pointer? Disease of the heart muscle is the most common heart problem for cats. Dilated cardiomyopathy (DCM) in cats is a heart disease of the ventricular muscle, which prevents the organ from moving blood out of the bottom of the heart at full capacity. Reduced flow due Taurine is an amino acid that cats cannot make on their own. At one time, Dilated Cardiomyopathy was a common condition seen in cats and studies suggested that diet played a key role in why some cats developed the disorder more than others. This restricts the relaxation, filling, and pumping of the heart. Lawler D F, Templeton A J, Monti K L (1993) Evidence for genetic involvement in feline dilated cardiomyopathy. She is currently on furosemide to remove liquid around her heart. These tests are usually paired with blood work to obtain a full evaluation of the cat’s most recent condition. Finally she's had surgery to excise one of the popliteal nodes - results should be back in a couple of days. My cat has a heart murmur and Cardiomyopathy. Animals: Client-owned dogs (n = 71). And among all feline breeds, he adds, Maine Coons and Ragdolls seem to be at elevated risk. This gives it a chance to fill more fully and thus pump more effectively. You may also be advised to feed your cat a specialized diet, low in sodium, to aid in cardiovascular recovery. We know ads can be annoying, but they’re what allow us to make all of wikiHow available for free. Hypertrophic Cardiomyopathy. These findings support the conclusion that most cases of dilated cardiomyopathy in cats have a common etiopathogenesis related to diet and as such … Disseminated Intravascular Coagulation (DIC) in Dogs and Cats. Below is an overview of Dilated Cardiomyopathy in Cats (DCM) followed by in-depth information on the diagnosis and treatment of this feline heart disease. Thank you for your email. Methods: Medical records of dogs diagnosed with DCM between January 1, 2014 and September 30, 2018 were reviewed. Genetic predisposition: Certain breeds (especially the Main Coon) get heart disease more often, which is then passed down from parent to kitten when they have babies. The United States Food and Drug Administration is investigating possible diet-associated dilated cardiomyopathy (DCM) in dogs and cats. I have a 7 month old British Shorthair with DCM. DCM is a disease of the heart muscle that results in weakened contractions and poor pumping ability. This weakens the heart and leads to less powerful contractions, which can ultimately cause congestive heart failure. Anemia / Coughing / Increased Heart Rate / Lethargy / Pain / Paralysis, Radiography: x-ray of the chest and abdomen. It is characterized by dilated, or enlarged heart chambers, and reduced contraction ability. “Cardiomyopathy” refers generically to an Between October 1986 and September 1988, 37 cats with moderate to severe idiopathic myocardial failure (dilated cardiomyopathy) were evaluated. X Siamese Cats have also been diagnosed with another form of cardiomyopathy, dilated cardiomyopathy, where the heart muscle gets thinner as the heart enlarges. Calcium channel blockers: These drugs, such as diltiazem, help the heart muscle to relax in between beats. When she came into the hospital there was a regular visiting cardiac consultant who managed to save her life. However, due to cat food manufacturers adding this essential ingredient into their products, DCM is rarely caused by taurine deficiency. This is referred to as compensated heart disease. Quantitative genetic evaluation of clinical dilated cardiomyopathy (DCM) was conducted in a large cattery with known history. After appetite stimulants were given, he has been better. Hypertrophic cardiomyopathy is the most common cardiac disease in cats. I would follow the Cardiologist’s advice for an ECG and to monitor for electrical disturbances. Lawler D F, Templeton A J, Monti K L (1993) Evidence for genetic involvement in feline dilated cardiomyopathy. The cardiologist diagnosed him when he was 5 months old. In the past, feline dilated cardiomyopathy was due to dietary deficiency … She's now home and back on the Frusemide .25 of a tab per day. You may also notice that your cat is exhausted and has a lack of endurance, which is another potential sign of heart trouble. Risk Factors for Dilated Cardiomyopathy Hypocalcemia (Low Blood Calcium) in Cats and Dogs. However, taurine deficiency is rarely detected in cats as most commercial cat foods have an adequate amount of taurine supplementation. Historically, feline dilated cardiomyopathy was linked to a deficiency in the essential amino acid, taurine. Dilated cardiomyopathy was once linked to a dietary deficiency in the amino acid, taurine. In the early stages of disease, the cat may not show any signs of disease. Poor cardiac output signs may predominate in some cats, so that they present with hypotension, hypothermia and bradycardia (essentially, cardiogenic shock) without marked fluid retention. There are a number of specific types of cardiomyopathy that occur in dogs and cats and therefore there are a number of causes as well. Cardiomyopathy is a medical term that simply means the heart muscle is diseased in some way. January 1, 2014 – April 30, 2019 . Cardiomyopathy in Cats There are two forms of cardiomyopathy in cats : Dilated (the heart wall becomes thin) and hypertrophic (the heart wall thickens). Since then she has had all the lymph nodes in her neck swell up its been ongoing over last six weeks. DCM occasionally develops in conjunction with proliferation of fibroelastic fibers in the endocardium, producing endocardial fibroelastosis (EFE). I hope that he is comfrotable for a while longer. This is a sign that the heart is having to work harder than it should to pump blood throughout the body. Discoid Lupus Erythematosus (DLE) in Dogs. However, taurine deficiency is rarely detected in cats as most commercial cat foods have an adequate amount of taurine supplementation. The other symptom I noticed she would also have her head shaking, almost like a tremor or a vibration? All four chambers of his heart are enlarged with left and right systolic dysfunction. O bjective: To review the clinical and diagnostic findings and survival of dilated cardiomyopathy from a large population of dogs in England.. M ethods: A retrospective study of the case records of dogs with dilated cardiomyopathy collected between January 1993 and May 2006.. R esults: There were 369 dogs with dilated cardiomyopathy of which all were pure‐bred dogs except … The prognosis for felines with dilated cardiomyopathy is variable, depending on the underlying cause. The former has recently been linked to some cats’ need for larger amounts of taurine (an amino acid) or inefficient way of absorbing this nutrient from the gastrointestinal tract. O bjective: To review the clinical and diagnostic findings and survival of dilated cardiomyopathy from a large population of dogs in England.. M ethods: A retrospective study of the case records of dogs with dilated cardiomyopathy collected between January 1993 and May 2006.. R esults: There were 369 dogs with dilated cardiomyopathy of which all were pure‐bred dogs except … Taurine is an important building block of protein. Dilated cardiomyopathy. They are recommending six different medications for treatment but not sure if doing that will help as he is older and the diagnosis is so poor. The main cause is due to the lack of the amino acid taurine in the diet. The word “dilated” indicates that the main pumping chambers of the heart (the ventricles) are enlarged compared to their normal size. The role of digoxin in treatment of cats with dilated cardiomyopathy and other forms of myocardial failure is unclear. Cardiomyopathy is a term used to describe diseases of the heart muscle. We use cookies to make wikiHow great. Meanwhile two days post op I had to take her back as her belly had become swollen and I suspected Ascities. Regards Dr Callum Turner DVM. Cats with dilated cardiomyopathy are rarely diagnosed while asymptomatic, and generally present with a varying combination of output failure and congestive signs. I took him in after I saw that he would pant after minimal exercise. For cats over the age of 12 years, a twice yearly check up is advisable to spot problems such as cardiomyopathy as quickly as possible. From 317 quotes ranging from $500 - $4,000. … I am wondering if it could be caused by hyperthyroidism. This article has been viewed 9,610 times. Objectives: To retrospectively review DCM cases for signalment, diet information, echocardiographic changes, and survival. Last Updated: June 30, 2020 Anatomy of the heart of a dog. J Vet Intern Med 7 (6), 383-387 PubMed. Be aware that recovery may not be permanent. With smaller chambers holding less blood, each heartbeat pumps out less blood into the body. Cats that are very sick when the disease is caught do less well, but there is a chance of stabilization. Your veterianarian may diagnose hypertrophic cardiomyopathy during a routine examination. “Cardiomyopathy” refers generically to an abnormality of the heart muscle. Dilated Cardiomyopathy in Dogs and Cats. For this reason, the condition is often termed idiopathic, or arising without prior warning or sign. Cat owners should expect to have the same test repeated every two to three months for the first year and follow check-up visits for the remainder of the cat’s life, as requested by the veterinarian. Her medication is:- ble diet-associated dilated cardiomyopathy (DCM) in dogs and cats. In the case of dilated cardiomyopathy, the ventricular chambers are dilated. … Dilated cardiomyopathy. Regards Dr Callum Turner DVM. Dilated Cardiomyopathy (DCM) Dilated cardiomyopathy is rarely seen in cats today. *Wag! This could be a sign that it is having some health problems. Distichiasis Requires Permanent Eyelash Removal in Dogs. They asked me to measure his breaths per minute when he's asleep, and he's been within normal range (22-25 breaths per minute). Is it somehow normal? To treat cardiomyopathy in cats, take it to the vet if it has trouble breathing or pain when moving, which may be signs of advanced heart disease. Canine dilated cardiomyopathy (DCM) is a primary disease of cardiac muscle that results in a decreased ability of the heart to generate pressure to pump blood through the vascular system. He is breading well and calm but is still colder than it should. Dogs were … Diuretics: These are drugs, such as furosemide, decrease fluid within the body. For more tips from our Veterinary co-author, including how to care for a cat with long-term cardiac problems, keep reading! Most of the dogs and cats died unexpectedly. Complications can include heart failure, heart valve disease, or an irregular heartbeat.. Cardiomyopathy in Cats . The feline’s heart has four chambers, just like the human heart, with two right and left aortas atop two right and left ventricles. To understand feline dilated cardiomyopathy, a basic understanding of heart anatomy is required. Dilated cardiomyopathy possess a threat for blood clots, stroke and heart failure in cats, therefore treatment must be sought by a veterinary professional. Much like a similar disease in humans, HCM in cats is thought to be inherited. Dilated cardiomyopathy (DCM) is a myocardial disease characterized by ventricular chamber dilation associated with systolic myocardial dysfunction in the absence of … Upon receiving his test results, they were also quite surprised to see all of his blood work came back perfectly fine, and that the testing showed he was healthy. In cats, there are at least 3 classes of cardiomyopthies that have been described, namely hypertrophic, restrictive and dilated cardiomyopathy. © 2020 Wag Labs, Inc. All rights reserved. Thinner muscle walls decrease the heart’s contractility (how strong it can contract and pump … Spontaneous parvoviral infection in the dogs caused acute (myocytolysis with presence of intranuclear inclusion bodies in the myocytes), subacute (inflammatory reaction … Now he has been throwing up more frequently. http://www.nhlbi.nih.gov/health/health-topics/topics/cm, https://www.vetmed.wsu.edu/outreach/Pet-Health-Topics/categories/diseases/hypertrophic-cardiomyopathy-in-cats, https://www.vet.cornell.edu/departments-centers-and-institutes/cornell-feline-health-center/health-information/feline-health-topics/cardiomyopathy, http://www.vcahospitals.com/main/pet-health-information/article/animal-health/heart-disease-cardiomyopathy-in-cats/61, https://www.vet.upenn.edu/docs/default-source/ryan/cardiology-brochures-(ryan)/understanding-feline-cardiomyopathy.pdf?sfvrsn=0, http://icatcare.org/advice/cat-health/cardiomyopathy-heart-disease-cats, http://lib.dr.iastate.edu/cgi/viewcontent.cgi?article=3096&context=iowastate_veterinarian, http://www.vcahospitals.com/main/pet-health-information/article/animal-health/taurine-in-cats/3857, consider supporting our work with a contribution to wikiHow. The left ventricle is most always involved. Dilated Cardiomyopathy in Cats What is dilated cardiomyopathy? Dilated cardiomyopathy or DCM occurs in cats where it is associated with a nutritional deficiency. As they become thinner they also stretch and become unable to contract properly. Instead of being 4-5 mm thick, they may become only 1-2 mm thick. Diseases of this type fall into one of three major categories: dilated cardiomyopathy, hypertrophic cardiomyopathy, and restrictive cardiomyopathy. Today, unless the feline is fed a naturally sourced diet, DCM occurs for idiopathic (unknown) reasons. Cardiomyopathy refers to any disease that affects the heart muscle. Restricted cardiomyopathy: This condition is caused by a build-up of scar tissue on a chamber of the heart, the ventricle. Although it primarily affects larger breeds, it may strike at any time and in any animal. Dietary deficiency: A lack of taurine, a type of amino acid, in the cat's diet can affect its heart. Call the veterinary clinic on the way there so that they can prepare for your arrival. Should I take him to the vet? This document compiles all reports of dilated cardiomyopathy in dogs and cats that This helps to get rid of fluid that has accumulated in or around the lungs, which makes breathing more difficult. This article has been viewed 9,610 times. This disease can come in a variety of forms but in general the heart just cannot work as well as it should. The U.S. Food and Drug Administration began an investigation in July 2018 after increased reports of canine dilated cardiomyopathy occurring in dog breeds not typically genetically prone to the disease. Dilated Cardiomyopathy in Dogs & Cats: Complaints Submitted to FDA-CVM . Cats with DCM usually progress to congestive heart failure. This reduces the volume of blood within the heart and also prevents the heart … Hypertrophic cardiomyopathy (HCM) – this is the most common form of heart disease in cats and occurs where there is an increase in the thickness of the muscular wall of the heart. Research and education center within the National Institutes of Health Dilated cardiomyopathy (DCM) is characterized by a dilated heart with thin walls and decreased systolic function. ACE inhibitors: These are drugs, such as benazepril, which increase the size of small blood vessels in the body. It is thought that a diet lacking in the correct levels of an amino acid known as taurine could be the cause of why certain cats develop DCM and as such, commercial pet food manufacturers started adding more of the amino acid in their cat food with an end … Dilated Cardiomyopathy in Dogs and Cats. Between October 1986 and September 1988, 37 cats with moderate to severe idiopathic myocardial failure (dilated cardiomyopathy) were evaluated prospectively. No mitral valve regurgitation. What is it? A rapid, galloping heart rate is a sign of heart disease. There are 17 references cited in this article, which can be found at the bottom of the page. variation of one of them. The definitive cause of canine DCM is the subject of debate, although a number of factors including nutritional, infectious, and genetic predisposition have been implicated. Hopefully with each test she won't have Lymphoma. Thanks to all authors for creating a page that has been read 9,610 times. At home, cat owners may be able to detect the symptoms of dilated cardiomyopathy in their cat if it displays the following clinical signs: Dilated cardiomyopathy in cats is usually caused by idiopathic, or unknown, reasons. IMHA: Four Letters You Never Want your Dog or Cat to Meet. Thicker walls in the heart means that the chambers that hold blood become smaller, due to the walls taking up more space. It is mainly used to prevent blood clots in cats at high risk of them. Vetmedin x2 daily Dilated cardiomyopathy is one of the leading causes of congestive heart failure in dogs. Echocardiogram, also known as a heart ultrasound. This deficiency causes the heart to lose elasticity, which is known as dilated cardiomyopathy. Dilated cardiomyopathy (DCM) is a myocardial disease characterized by ventricular chamber dilation associated with systolic myocardial dysfunction in the absence of other cardiac lesions. Can J Vet Res 58 (1), 6-12 PubMed. Dilated cardiomyopathy is a condition where heart enlarges and cannot pump blood effectively. Thromboembolic … Dilated cardiomyopathy is one of the most common heart diseases in dogs, according to the Pet Health Network. Decreased contractility means tha… With DCM, heart muscles degenerate and wear thin. If you witness these symptoms you should take your cat in for a vet check. Dilated cardiomyopathy may occur when cats do not have enough taurine (essential amino acid) in their diet. It has a number of causes. Cats that have problems that are caught early, diagnosed, and put on appropriate treatment often go on to lead happy lives for months or years after diagnosis. Common info. His health seems to go and down. Distemper in Dogs. Any advice is appreciated on what to do moving forward. Poor cardiac output signs may predominate in some cats, so that they present with hypotension, hypothermia and bradycardia (essentially, cardiogenic shock) without marked fluid retention. The muscular wall loses tone, meaning that it has less powerful contractions and is less efficient at pushing blood around the body. The definitive cause of canine DCM is the subject of debate, although a number of factors including nutritional, infectious, and genetic predisposition have been implicated. Cardiomyopathy is a disease of the heart muscle, it occurs in both dogs and cats and there are a number of different types. After the treatment, ask your vet how often they want to see your cat, since more frequent visits may be required to monitor its heart and medications. Cardiomyopathy is a disease of the heart muscle, it occurs in both dogs and cats and there are a number of different types. The cause of wall and inter ventricular septal motion in both the taurine deficiency in cats is primarily nutritional it cases. I don’t know what his prognosis is, I was just told that it’s a progressive condition. IMHA: Four Letters You Never Want your Dog or Cat to Meet. The right side of the heart takes in blood from the body that no longer has oxygen in it, as it has been used up by the body. This means there is less resistance each time the heart pumps, making it easier for blood to flow around the entire body. Always follow the instructions provided by your veterinarian. When I asked the specialist if I should have any immediate worry however, she said yes, that his heart condition is quite severe. They said he has dilated cardiomyopathy in his right ventricle and his murmur is due to his tricuspid valve. Cats will be deficient in taurine, if they are eating dog food, as amino acid is … Hyperthyroidism would normally increase appetite, not decrease it. Whether you decide to treat him depends on a few things - how easy he is to medicate, what the chances are that the medications will help, your commitment to him, his quality of life, and cost, unfortunately. There are management options available for when Duma becomes symptomatic but at least you will be ready and know what to look out for. There are a number of specific types of cardiomyopathy that occur in dogs and cats and therefore there are a number of causes as … Alternatively, your vet may recommend an ACE inhibitor. He probably sleeps half of what a regular cat does, and has never showed any signs of being lethargic or short of breath. Diskospondylitis (Intervertebral Disk Infection) in Dogs and Cats ... Hypertrophic Cardiomyopathy in Cats. It just didn't seem normal and was the ultimate reason for me taking to the emergency vets who practice out of our vet hospital. This article outlines the different types and their causes. A feline with dilated cardiomyopathy could still have a deficiency in taurine if she is fed a vegetarian diet or has an underlying absorption-related health condition. She suggested to return for an electrocardiogram, which is our next step. Discoid Lupus Erythematosus (DLE) in Dogs. I was correct in my guess ( I was an anaesthetic nurse for 25 years and a scrub nurse for 5) so I had a little knowledge of what was happening. Dilated cardiomyopathy (DCM) is a disease of the heart that has two main components. Life expectancy in cats with cardiomyopathy and congestive heart failure is shortened to 18 months or less, with six months on average. Client-owned dogs (n = 71). This means if you are a cat owner it's important to understand the signs of this problem and get your cat veterinary treatment as soon as possible. He is very active, always jumping around, and chasing after my other cat. I wouldn’t start treatment on a cat that wasn’t showing any symptoms; many heart medications are contraindicated in asymptomatic animals. Items are sold by the retailer, not Wag!. Low plasma taurine concentration and diet history including foods that can cause taurine deficiency were documented in most of the cats… He is currently on Vetmedin, Enalapril, Clopidogrel and Diltizem. Dilated cardiomyopathy in cats - A case report Priyanka M. Uppe, K. Jeyaraja and D. Sumathi Department of Clinics Madras Veterinary College, Vepery, Chennai -600007, Tamilnadu Corresponding author: K Jeyaraja, email:jaivet72@rediffmail.com Received: 18-08-2012, Accepted: 11-09-2012, Published online: 30-01-2013 Abstract Two cats were brought to … Trustworthy Source This results in enlargement (dilation) of the left ventricle. To better understand the connection between the different types of cardiomyopathy and the prognosis, let’s take a closer look at … Potential Outcomes The worsening of symptoms is probably due to May’s increase in age; during your next visit to your Veterinarian, an ultrasound and blood tests may be useful to check on the progression of the condition. To retrospectively review DCM cases for signalment, diet information, echocardiographic changes, and survival. Dilated cardiomyopathy (DCM) in cats is a heart disease of the ventricular muscle, which prevents the organ from moving blood out of the bottom of the heart at full capacity. National Heart, Lung, and Blood Institute, Research and education center within the National Institutes of Health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/0\/0b\/Treat-Cardiomyopathy-in-Cats-Step-1.jpg\/v4-460px-Treat-Cardiomyopathy-in-Cats-Step-1.jpg","bigUrl":"\/images\/thumb\/0\/0b\/Treat-Cardiomyopathy-in-Cats-Step-1.jpg\/aid7758864-v4-728px-Treat-Cardiomyopathy-in-Cats-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

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