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However, as the MVD progresses, the dog's ability to produce active BNP declines, lessening its ability to counter the effects of RAAS activation. Japanese researchers find left atrium strain can predict heart failure in MVD-affected dogs , a team of veterinary researchers at Hokkaido University in Japan (K. The EPIC Study report needs to be retracted and re-written, so that no clinicians are misled by its lack of critical analysis of its own statistics.

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