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Rishniw and Brown warn that such breeds as the CKCS "likely require breed-specific reference intervals for LVIDDN to correctly identify left ventricular enlargement." They also point out: "For example, if a dog has a LVIDDN that consistently oscillates around 1.3 (within 0.1 units), an increase to 1.6 could indicate left ventricular enlargement for that dog, despite being within the population-based reference interval." Since none of the citations relied upon by the EPIC Study authors in fact support the three minimum parameters they have selected, we must wonder whether the authors even bothered to read the articles they have cited (and all of which Dr

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