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." (Note that LA/Ao and LVIDDN parameters can only be measured by echocardiogram.) all dogs entering the study met or exceeded 3 different heart size criteria "Chronic oral administration of pimobendan to secondary to MMVD, in the absence of concurrent cardiovascular medication, results in the prolongation of the preclinical period, and is safe and well tolerated." (Emphasis addded.) dogs with echocardiographic and radiographic evidence of cardiomegaly So, the message being conveyed by this presumably unanimous "Consensus Statement" of ten cardiologists at the June 2017 ACVIM forum is three-fold: First, that despite what the EPIC Study report says about needing echocardiographic measurements to determine enlargement, it is okay to just use x-rays, as long as the VHS value drawn from those x-rays is "e.g