DCM + MMVD + PHT (!) – How would you treat it?

DCM + MMVD + PHT (!) – How would you treat it?

Hi, 13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis. Echo shows: Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory…

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