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Results were compared across groups. RESULTS The mean CSI was greatest in case dogs with right-sided cardiac disease, compared with other groups. In dogs of the present study, a combination of high short-, long-, and overall-MHSs was more suggestive of left-sided cardiac disease, whereas a high short-MHS without high long- and overall-MHSs was more suggestive of right-sided cardiac disease. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that MHSs could be useful, objective values to help assess dogs for potential heart disease, and we recommend that M