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Figure demonstrating an EKG with first degree AV block This is secondary to an intermittent failure of conduction through the AV node so that some P waves are not followed by QRS complexes

You also need to look at texture, smell, frequency, pain, and how long the change lasts

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10.1073/pnas.1711235114 70 CersosimoM

Advances in biological therapy for the management of arthritis

2009;57(2):217-227: " Breed has been demonstrated to be an important factor, influencing intracardiac parameters in addition to body weight in dogs