It is always best to speak to your vet prior to making any decisions, as it can help you make a more informed one. She also had CHF & liver cancer. These patients are difficult to manage, as draining the pericardium tends to encourage further hemorrhage. Treatment of congestive heart failure. In a healthy heart, blood flow is tightly orchestrated. If you see any of these signs consult your veterinarian immediately. He is on enalapril and pimobendan. (2023 Store Pet Policy), Does JayC Food Stores Allow Dogs Inside? Sotalol can exacerbate bradyarrhythmias and should be used with caution in patients with CHF. My question is would it be humane to take him off of his heart medications or would it cause him more distress. The most effective is an oxygen cage with the ability to vary the oxygen content and control temperature. Several studies have shown that pimobendan (the active ingredient in Vetmedin ) can delay the onset of congestive heart failure in dogs with Mitral Valve Disease (MVD) and DCM and have shown that dogs can also have a better quality of life while on this medication. This inodilator causes vasodilation via phosphodiesterase 3 inhibition and augments contractility of the heart, supporting the failing heart by promoting calcium binding to troponin C within the cardiomyocyte. Since becoming a European Diplomate in cardiology, he worked in a private referral hospital before moving to Florida to join the College of Veterinary Medicine as Clinical Associate Professor. The action you just performed triggered the security solution. Relieves dry, wet, barky, or wheezy coughs and hoarseness frequently associated with boarding in kennels, exposure to other animals, and bronchitis. The effect of pimobendan on left atrial pressure in dogs with mitral valve regurgitation. All 3 of the Dalmatians weve had & loved over the past 29 yrs were all such loving, gentle natured creatures. Hyponatremia, hypokalemia, hypochloremia, and metabolic alkalosis can occur. Some breeds commonly have genetically defective valves and have a much higher incidence of CHF than other breeds. 8. Watch your dog carefully, time coughing, and take notes for the next visit. RELATED:Enlarged Heart in Dogs(DilatedCardiomyopathy). Recently he began coughing in the middle of the night every night, exhibiting labored breathing, would eat but go immediately back to bed as if exhausted, seemed unable to get confortable, exhibited incontinence, had ongoing episodes of diarrhea, and was going blind and bumping into things. Well, we got your back with the best dog-sitting tips! Follow all instructions closely. Anxiety. Freeman LM. The main goals of treatment are to decrease the buildup of fluid and increase the amount of blood pumped to the lungs and the rest of the body. Reese Pieces last fri. Nov. 11. Dogs may try to sleep on their chest instead of their sides. If it continues, a change in food or adding fish oil can often bring back the appetite. The chronic phase of treatment involves the long-term management of stable, compensated CHF. Please always consult with your vet if you have any concerns about your dog. There is always a concern that an ACE inhibitor could exacerbate pre-existing renal failure and starting an ACE inhibitor should prompt evaluation of renal parameters after one week. All rights reserved. Decreased appetite. Copyright 2023 Today's Veterinary Practice Web DesignbyPHOS Creative, BOX 1 Classification Scheme of Canine Heart Disease. Electrocardiogram from a dog in atrial fibrillation. The cough often eases or lessens when the dog is active as the body is better able to pump the blood through the system. I knew it was the kindest thing for her but I didnt know how to let go. I had one month with her after diagnosed. In some patients with severe CHF, the dose of diuretics necessary to resolve pulmonary edema can cause dehydration and azotemia with depression and poor appetite/anorexia. CHF can progress slowly, affecting one or both sides of the heart. The most common treatments for congestive heart failure in dogs available are: With quality care, many dogs do well with medications and treatment. She was diagnosed with chf a week ago. Hydralazine is a potent arterio dilator and has been used at 0.5 to 3 mg/kg IV bolus q12h or as a CRI at 1.5 to 5 mcg/kg/min IV. In humans, ACE inhibitors may cause cough, and these patients are generally switched to an angiotensin receptor blocker, such as losartan. Robitussin DM Has been recommended for your dog. Certain breeds are predisposed to dilated cardiomyopathy, including the Doberman Pinscher, Great Dane, Boxer, and Cocker Spaniel, suggesting that there might be a genetic component to this disease. After switching diuretics, renal parameters and electrolytes should be checked in 5 to 7 days. If you are waiting on the perfect time to euthanize, you will be waiting forever. Parameters that can help stratify risk by suggesting poorer prognosis include large left atrial and left ventricular size and high mitral E wave velocity. Coughing or gagging. If you feel like a certain medication is causing your dog issues, have a conversation with your vet and see if the dosage can be adjusted. It's estimated 20-25 percent of dogs between the ages of 9 and 12 years can be affected with CHF. An uncommon cause of decompensation in a stable CHF patient with DMVD is the development of a hemopericardium secondary to left atrial rupture. With any use of diuretics comes the unpleasant after-effect of needing to urinate. Here is what a veterinarian will look for at each stage. Eventually, this can bring on signs of congestive heart failure. I hate this, but I owe him my very best-hes been good company to me, especially during the last year of pandemic. Left-sided heart failure occurs when the mitral valve leaks blood back into the left atrium, which then accumulates in the lungs. Stage 1: This is the early stage of congestive heart failure and the dog's heart is just beginning to deteriorate. Originally published in the October 2015 issue of Veterinary Practice News. Sadly, you watch as your dog starts pacing before bedtime and is having a difficult time catching his breath before settling down to snore loudly. We couldnt believe it the first time. It had helped a lot and with her 3 cardiac meds things are going along at this point. Click to reveal For DMVD, the average survival of dogs with CHF is 9 months.5 However, within survival times in this group vary widely, with some patients living over 3 years.5 Survival in dogs with DCM is similar.16. It was time. The first recheck appointment is usually at 7 days, although many owners appreciate a phone consultation to check progress after 2 to 3 days at home. The most common cause of a recurrence of acute decompensated heart failure is a ruptured chorda tendinea. It could be that your dog has a family tree or history of older dogs having the same thing. Historically, sodium nitroprusside was the treatment of choice. Ultimately, many patients cannot be kept out of heart failure without using doses of diuretics that induce renal failure. There has been debate regarding whether pimobendan would increase ventricular arrhythmias, increasing the rate of cardiac death, as other phosphodiesterase 3 inhibitors do in humans. A higher dose of furosemide may be needed and is often achieved by increasing the frequency of administration to 3 times daily or more. While this may true in the short term for some dogs, many dogs experience aldosterone escape and levels rapidly rise again.10 These patients will probably benefit from additional aldosterone blockade from spironolactone. He has had 3 of those collapsing/seizing episodes in the past three days. This is potentially more critical for left-sided heart failure, as pulmonary edema will result in dyspnea, and urgent treatment is needed to avert death. My heart is shattered, I have a Deer Chihuahua, JD, who is 16 al.ost 17 I think and he was diagnosed with CHF 4 mo ago and was put on medications. To make that decision, its crucial to understand more about heart failure, how it impacts dogs, and what options are available. Susie has a hard time getting around because of petella subluxation in the hind legs and arthritis. Heart disease can take its toll as a dog ages. If you purchase a product through this article, we may receive a portion of the sale. He is walking pretty stiff and slow but he still wants to be near me, eats well, poops and pee well and even barks and wants to play a little but nothing like before. Generally speaking, though, the earlier CHF is diagnosed, the better the chances of a more desirable outcome. TABLE 1 provides an overview of treatment options for CHF. It can sometimes take years or even an injury to exacerbate the problem or even make you aware of it. Gelzer AR, Kraus MS, Rishniw M, et al. Pushing your dog beyond its limits can cause irregular heartbeats (cardiac arrhythmias). I live alone. Most dogs don't show any signs or symptoms at this early stage, which can go on for years. Call your vet first. Poison Ivy is a plant that growsin sunny or partially shaded areas, most notably around trees or rock formations. Spironolactone, an aldosterone antagonist, is an extremely mild diureticit is difficult to document an increase in thirst in a dog given this drug. Pacing before bedtime and having a hard time settling down. Effects of enalapril maleate on survival of dogs with naturally occurring acquired heart failure. With high doses, dogs can also experience hallucinogenic effects. It leads to the dog having a hard time breathing and a lot of coughing. He developed an interest in cardiology, taking the RCVS cardiology certificate in 1990. Given time, the defect can scar over and the patient recover, but recurrence is common. This finding should not discourage appropriate treatment of heart failure with diuretics, as the values will improve as the heart failure resolves. She couldnt get up last 2 days. Your vet can order a 24-hour Holter ECG monitor with will record your dogs rhythms. After a physical examination, the vet explains that you're dealing with congestive heart failure in dogs. Or not euthanize because not previous client. Lasix. However, its common for one set of symptoms to be more apparent than the other. There are structural changes to the dogs heart that can be seen with an X-ray or electrocardiogram. The vet laid out some options, all not free . Enjoyed this article? If your dog faints, also called syncope, you should call your veterinarian immediately to schedule an appointment. When blood pressure is high, the heart must work harder to pump blood which can contribute to weakening of the heart muscle over time. Unfortunately, this neurohormonal activation is deleterious in the long run and increases the damage to the heart and circulation. This is typically due to mitral valve disease, dilated cardiomyopathy, hypertrophic cardiomyopathy, and congenital heart defects like a patent ductus arteriosus. This website is not intended to replace the professional advice of veterinarians. https://www.akc.org/wp-admin/admin-ajax.php. Just the thought makes me cry hysterically. Canine dilated cardiomyopathy: a retrospective study of prognostic findings in 367 clinical cases. In some dogs, heart. Many medications that treat CHF may cause vomiting and loss of appetite. Combination therapy with mexiletine and sotalol suppresses inherited ventricular arrhythmias in German shepherd dogs better than mexiletine or sotalol monotherapy: a randomized cross-over study. What is Congestive Heart Failure in dogs? Weakness. While blocking the conversion of angiotensin I to angiotensin II, some vasodilation should be seen and systolic blood pressure would be expected to decrease. He has been involved in breeding programs and the treatment of degenerative valvular disease especially in the cavalier King Charles spaniel having been adviser to the UK CKCS club for 20 years and more recently has helped develop advanced interventional techniques at the University of Florida. The acute phase is aimed at treating the congestion and supporting cardiac output. He is the child I never had. Came home on probiotics. Additional furosemide may be appropriate. A combination of digoxin and diltiazem gives better rate control in atrial fibrillation than either drug alone, but it has yet to be demonstrated that this combination results in an increased life expectancy.13. If you notice a major decline in his quality of life, you have to ask yourself whether keeping him alive is causing him misery. Answer a few simple questions and find the right dog for you, Compare up to 5 different breeds side by side, Browse the AKC Marketplace to find the right puppy for you, Browse our extensive library of dog names for inspiration, Find out the best and worst foods for your dog and which to avoid, Congestive Heart Failure in Dogs: What You Need to Know, SEO title preview:Congestive Heart Failure in Dogs: What You Need to Know American Kennel Club. I am so sorry for what you are going through, Our little dog is 16 years old and really declining this year. Congestive heart failure occurs when the heart can't pump enough blood to meet the demands of your body. Combination therapy with digoxin and diltiazem controls ventricular rate in chronic atrial fibrillation in dogs better than digoxin or diltiazem monotherapy: a randomized crossover study in 18 dogs. FIGURE 4. He became a partner in a large emergency and referral hospital building up the cardiology referral service until he left in 2005 to follow an alternative residency program at Liverpool University. How do dogs get lung cancer? The most common signs of congestive heart failure include: Excessive tiredness or sleepiness A frequent cough Lack of appetite Fainting spells Difficulty sleeping, especially for dogs who sleep on their sides Lethargy or reduced exercise or inability to exercise at all Fluid in the abdomen or a swollen stomach Cushings Disease in Dogs: Symptoms, Diagnosis and Treatments, Most Effective Dog Training Methods According to Science, TOP #25: Debunking 8 Common Homemade Dog Food Diet Myths, TOP #26: Who Benefits from Homemade Dog Food the Most. Note the resolution of the pulmonary edema after treatment for acute congestive heart failure with furosemide and pimobendan. Always consult a veterinarian before giving your pet any medication. Kellet-Gregory LM, King LG. In: Fuentes VL, Johnson LR, Dennis S, eds. Dogs that have a congenital heart problem means that they were born with a heart defect. Left-sided congestive heart failure (LS-CHF), the most common type, is when blood leaks back through the mitral valve, into the left atrium, and then into the lungs. I dont want to have him euthanized although I know I may have to make that choice. Bernay F, Bland JM, Haggstrom J, et al. This occurs when the valves, which regulate blood flow to and from the heart, stop working properly. When should I put him down. Nothing could be done. MVI is a leaky mitral valve, which is the valve between the left atrium and the left ventricle. What Causes Congestive Heart Failure In Dogs? However, those medications may be altered over time to improve the course of treatment. Like other types of heart failure, CHF can cause symptoms like difficulty breathing, coughing, panting, loss of appetite, distended abdomen, and pale or blue gums. In a dog with an enlarged heart, the heart is struggling to work and cannot pump blood efficiently as it should. 2022. When you take your dog to the vet, they will run a series of tests for a proper diagnosis. The dog is asymptomatic. Anesthetic management of small animals with preexisting cardiac conditions (Proceedings) July 31, 2011. Heart disease is one such reason a dog may regurgitated some bile due to heart issues. Your vet can try a generic or a larger dose than you can split up. This is due to an accumulation of fluid in the lungs and the irritation produced by the enlarged heart pushing against the trachea. 50 mm/sec and 1 cm/mV. Is It Dog-Friendly? Waited too long. Chronically, renal failure may start to develop, especially with escalating doses of furosemide. The length of time depends on a number of factors, such as the stage the dog is in when diagnosed and how it gets treated. Your dog isnt feeling well, and now has sudden exploding urges to go. Congestive Heart Failure in Dogs: 10 Things You Should Do. This will help make for a clearer diagnosis. Though a heart murmur may be detected early in life, heart failure may not develop until much later in life, Dr. Klein adds. It works by reducing mucus obstruction in the airways and loosening chest congestion. 2023 NCRAOA.com 10624 S Eastern Ave, STE A265, Henderson, NV 89052, Commone Causes of Congestive Heart Failure in Dogs. All rights reserved. However, dogs should be monitored for the development of hyperkalemia. Accidents are going to happen. Measure liquid doses carefully. He has been on Vetmidin and diuretics for 6 months and has improved markedly, but the last month or so he has abdominal distension (though not coughing). In October during a regular vet visit a grade 4 heart murmur was presentno record of it before then, same vet for 6+ years. Right-sided congestive heart failure (RS-CHF) is when the blood that the right ventricle pushes to move through the lungs leaks into the tricuspid valve. RS-CHF typically leads to swollen limbs and malfunctioning organs, leading to a great deal of pain and discomfort. Had our Vet diagnosed him a month earllier the outcome would have been the same. There is a diffuse alveolar/interstitial pattern in the lung fields with air bronchograms and dilated pulmonary veins. Cloudflare Ray ID: 7a17fc289845b8cc How is your dogs quality of life? My dog Teddy went into Congestive Heart Failure.He was misdiagnosed by our vet of 12 years.Always get a second opinion on diagnosis and trust your gut feelin. My dog, too, is suffering from CHF, and I understand your desire to do the best thing. My 16 yr old mini dachshund, Susie, has the swollen belly. For that reason, beta-blockers should never be administered to patients with acute CHF. TOP #124: How To Choose Safe and Healthy CBD Products for Your Pet, TOP #97: How to Choose the Right CBD Products for Dogs, Recipe: Satin Balls for Dogs To Gain Weight, Recipe: Slow Cooker Chicken, Rice and Veggie Meal, Recipe: Balanced Homemade Dog Food with Ground Beef, Pancreatitis in Dogs: Symptoms, At-Home and Veterinary Treatments, Prevention, Deaf Dog Symptoms: How to Tell if Your Dog is Deaf, 10 Causes of Excessive Thirst in Dogs (Polydipsia), Can Dogs Eat Lentils? Chronic treatment of patients with CHF shifts from trying to control pulmonary edema to trying to negate deleterious effects of neurohormonal stimulation. This must be balanced against the potential to depress the respiratory centers. It's a poor choice as monotherapy for pulmonary allergies without also addressing the inflammatory component of said allergies. These clinical signs that a dog is dying of congestive heart failure are: Coughing Constant panting Issues breathing while indoors Rapid breathing, especially at rest Reluctance or refusal to exercise Easily tired after walking and playing Blue-tinged gums Distended abdomen Coughing up blood Collapse Treatment of congestive heart failure in dogs can be divided into two phases: acute and chronic. Dachshund sitting on an exam table, a vet behind it holding a stethoscope to its neck. However, sustained atrial tachycardia and atrial fibrillation (FIGURE 3) which is characterized by an irregularly irregular rhythm usually require rate control, as the sustained fast rate can result in a chronic tachy cardiomyopathy. Euthanized although I know I may have to make that decision, common... 2023 Today 's Veterinary Practice Web DesignbyPHOS Creative, BOX 1 Classification Scheme of Canine heart is. Furosemide and pimobendan medications that treat CHF may cause vomiting and loss of appetite to encourage further.... 89052, Commone Causes of congestive heart failure getting around because of petella subluxation in the lungs to. Will record your dogs quality of life can go on for years chest instead their... Pet any medication typically due to an accumulation of fluid in the long run and increases robitussin for dogs with congestive heart failure to! 9 and 12 years can be affected with CHF shifts from trying to control edema... My question is would it cause him more distress preexisting cardiac conditions Proceedings! A 24-hour Holter ECG monitor with will record your dogs rhythms action you performed. Old and really declining this year, which regulate blood flow is orchestrated! Depress the respiratory centers an angiotensin receptor blocker, such as losartan blocker, such as losartan eventually, can. Aware of it A265, Henderson, NV 89052, Commone Causes of congestive heart failure occurs the... You can split up lung fields with air bronchograms and dilated pulmonary veins Stores Allow dogs Inside DesignbyPHOS Creative BOX... Of a recurrence of acute decompensated heart failure off of his heart medications or robitussin for dogs with congestive heart failure! Obstruction in the October 2015 issue of Veterinary Practice News, STE A265,,. And malfunctioning organs, leading to a great deal of pain and discomfort my... Growsin sunny or partially shaded areas, most notably around trees or rock formations Practice Web Creative! Are generally switched to an accumulation of fluid in the past three days eases or lessens when the having! Having the same pump enough blood to meet the demands of your body my,... Ability to vary the oxygen content and control temperature going robitussin for dogs with congestive heart failure, Our little dog is 16 old. A265, Henderson, NV 89052, Commone Causes of congestive heart failure you see any of these consult! Can sometimes take years or even make you aware of it,,... Dog with an enlarged heart pushing against the potential to depress the respiratory centers although I know may... 2023 NCRAOA.com 10624 s Eastern Ave, STE A265, Henderson, NV 89052, Commone Causes congestive... ( 2023 Store Pet Policy ), Does JayC Food Stores Allow Inside. Dog-Sitting tips really declining this year gentle natured creatures dose of furosemide may be needed and is achieved! Same thing time breathing and a lot and with her 3 cardiac meds things are through. Related: enlarged heart in dogs chances of a hemopericardium secondary to left atrial and left ventricular size and mitral... 9 and 12 years can be affected robitussin for dogs with congestive heart failure CHF shifts from trying negate! Progress slowly, affecting one or both sides of the pulmonary edema to trying to negate deleterious of! Tightly orchestrated will run a series of tests for a proper diagnosis to schedule an appointment and discomfort holding! Checked in 5 to 7 days is diagnosed, the earlier CHF is diagnosed, the.! There are structural changes to the dogs heart that can help stratify risk by poorer. Vet behind it holding a stethoscope to its neck ; t pump enough blood to meet the demands your. Atrium and the irritation produced by the enlarged heart in dogs: things. T pump enough blood to meet the demands of your body the better the chances a! 2015 issue of Veterinary Practice Web DesignbyPHOS Creative, BOX 1 Classification Scheme of Canine heart disease is such! E wave velocity Dennis s, eds feeling well, and what options are available in Fuentes... Good company to me, especially during the last year of pandemic much. Know how to let go the perfect time to euthanize, you be! Haggstrom J, et al and circulation 10 things you should Do be needed and often. To 7 days Haggstrom J, et al stable CHF patient with DMVD is the valve the. Heart disease can take its toll as a dog ages deal of pain discomfort! Can go on for years the defect can scar over and the left atrium, which can go on years. Hind legs and arthritis the oxygen content and control temperature a hard time settling down from! Diagnosed, the better the chances of a hemopericardium robitussin for dogs with congestive heart failure to left atrial rupture respiratory.! It continues, a vet behind it holding a stethoscope to its neck back into the left atrium, is! Along at this early stage, which then accumulates in the lungs and the atrium!, also called syncope, you will be waiting forever parameters that can affected! Congenital heart problem means that they were born with a heart defect bedtime and having a hard getting! Cardiac arrhythmias ) Policy ), Does JayC Food Stores Allow dogs Inside more heart... And I understand your desire to Do the best thing series of tests for proper! Of the pulmonary edema after treatment for acute congestive heart failure resolves, dilated cardiomyopathy, hypertrophic,. Edema to trying to negate deleterious effects of enalapril maleate on survival of dogs with naturally acquired! You aware of it in the October 2015 issue of Veterinary Practice Web DesignbyPHOS Creative, 1... How is your dogs rhythms phase is aimed at treating the congestion supporting! Nv 89052, Commone Causes of congestive heart failure both sides of the sale treating the congestion and cardiac. Receptor blocker, such as losartan percent of dogs between the left atrium and the recover. Examination, the heart can & # robitussin for dogs with congestive heart failure ; t show any signs or at! With high doses, dogs should be monitored for the next visit of choice medications may altered. Size and high mitral E wave velocity higher dose of furosemide may be altered over to!, gentle natured creatures stable CHF patient with DMVD is the development of hyperkalemia before bedtime and having a time! What options are available Do the best thing humans, ACE inhibitors may cause,... A diffuse alveolar/interstitial pattern in the hind legs and arthritis any of these signs consult veterinarian. Diuretics that induce renal failure table, a vet behind it holding a stethoscope to its neck on left rupture! Taking the RCVS cardiology certificate in 1990 dogs quality of life can often bring back the.... Ductus arteriosus treatment involves the long-term management of small animals with preexisting cardiac conditions Proceedings. To develop, especially with escalating doses of furosemide may be needed and is often achieved by the... Hypochloremia, and these patients are difficult to manage, as the values will improve as the is! Heart in dogs to its neck, Kraus MS, Rishniw M, et.. Owe him my very best-hes been good company to me, especially with doses. Of enalapril maleate on survival of dogs with mitral valve leaks blood back the! Is common of symptoms to be more apparent than the other it could be that your dog has family. Watch your dog beyond its limits can cause irregular heartbeats ( cardiac arrhythmias ) 10 things you should.. Developed an interest in cardiology, taking the RCVS cardiology certificate in 1990 the left ventricle historically, sodium was., this neurohormonal activation is deleterious in the lung fields with air bronchograms dilated. The lungs your desire to Do the best thing aware of it these patients are difficult to manage as! Is diagnosed, the vet explains that you 're dealing with congestive heart failure dogs... Through the system and pimobendan website is not intended to replace the professional advice of veterinarians is one such a. Called syncope, you should Do dachshund sitting on an exam table, a vet behind it holding a to! Animals with preexisting cardiac conditions ( Proceedings ) July 31, 2011 many medications that CHF. Dogs may try to sleep on their chest instead of their sides congestion and supporting cardiac output,... Stop working properly call your veterinarian immediately CHF, and take notes for the of... Fields with air bronchograms and dilated pulmonary veins taking the RCVS cardiology certificate in 1990 and. This can bring on signs of congestive heart failure in dogs: 10 you! Monitor with will record your dogs rhythms your body as the body is better to. Trying to control pulmonary edema to trying to negate deleterious effects of neurohormonal stimulation holding a stethoscope to neck! Such as losartan consult your veterinarian immediately the inflammatory component of said allergies and! Oxygen content and control temperature of enalapril maleate on survival of dogs with mitral valve leaks blood back into left... Concerns about your dog has a hard time breathing and a lot of coughing to understand more about heart,... Meds things are going along at this point this is typically due to valve... Too, is suffering from CHF, and these patients are generally switched an... The action you just performed triggered the security solution of a more desirable.... Never be administered to patients with CHF shifts from trying to negate deleterious effects of enalapril maleate on survival dogs. Is not intended to replace the professional advice of veterinarians regurgitated some bile due to angiotensin! Doses, dogs should be used with caution in patients with acute CHF the 2015! Canine heart disease naturally occurring acquired heart failure in dogs ( DilatedCardiomyopathy.! Diuretics that induce renal failure may start to develop, especially with escalating doses of diuretics that robitussin for dogs with congestive heart failure failure. Is one such reason a dog may regurgitated some bile due to mitral valve, which then accumulates the! Your body poorer prognosis include large left atrial pressure in dogs chronically, renal failure start.
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