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* Murmurs are quiet or absent
 
* Murmurs are quiet or absent
 
* Gallop rhythm may be present
 
* Gallop rhythm may be present
* Dyspnoea, tachypnoea with restrictive pattern (rapid, shallow breaths), muffled heart and ventral lung sounds (pleural effusion)
  −
* Dyspnoea, crackles (pulmonary oedema)
  −
* Ascites, hepatomegaly, jugular venous distension and jugular pulses, hepatojugular reflux (right-sided congestive heart failure)
   
* Arterial thromboembolism (ATE) is common
 
* Arterial thromboembolism (ATE) is common
 +
====Left-sided Congestive Heart Failure====
 +
*Dyspnoea, tachypnoea, crackles (pulmonary oedema)
 +
*Dyspnoea, restrictive pattern (rapid,shallow breathing), muffled heart and ventral lung sounds (pleural effusion)
 +
====Right-sided Congestive Heart Failure====
 +
* Jugular venous distension and jugular pulses
 +
* Hepatojugular reflux
 +
* Hepatomegaly
 +
* Ascites
 +
====Arterial Thromboembolism====
 +
The enlarged left atrium, stasis of blood within the left atrium, and reduced atrial function predispose to thrombus formation, and emboli may result. Typically these cases present with paresis or paralysis of one or both rear limbs due to occlusion at the aorta-iliac trifurcation. In some cases, emboli can involve other areas and can cause complex neurological manifestations, forelimb paralysis or acute renal ischemia.
 +
 
==Diagnosis==
 
==Diagnosis==
 
===Radiographs===
 
===Radiographs===
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