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The ACVIM's definitions of Stages B1 and B2 are unscientific nonsense The 2019 ACVIM Consensus Statement's definitions of Stages B1 and B2 are pure, unscientific nonsense, for these reasons: Thus far, no species-wide studies of the parameters for determining if a dog's heart is enlarged have been published which justify applying a single measurement as being the dividing line between a normal-sized left atrium or left ventricle and an enlarged left atrium or left ventricle, and dozens of breed-specific articles contradict it

[2] Risk factors [edit] Older dogs are more likely to present with Cushing's syndromes