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History -Clinically normal two-and-a-half-year-old male neutered DMH cat with a 3/6 murmur. – NT pro-BNP was 1500 pmols/L. – Feline was stressed and also sedated with midazolam and butorphanol. Echo Findings -Stage B1 HCM (phenotype) -Generalized LV hypertrophy, systolic LV chamber obliteration – Mitral SAM with eccentric jet of mitral regurgitation. -Papillary muscles where enlarged…