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In an August 2023 article, researchers found that among 156 dogs of various breeds (only one cavalier King Charles spaniel), a TIHS value greater than 3.3 would suggest cardiac enlargement in MVD-affected dogs

J Ethnopharmacol (2016) 189:194201

OttoCMNishimuraRABonowROCarabelloBAErwinJPIIIGentileFet al2020 ACC/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American college of cardiology/American heart association joint committee on clinical practice guidelines