1 For adult dogs or puppies older than 16 weeks, the intranasal vaccine can be given once, and the injectable vaccine should be given twice, two to four weeks apart.
Signs and symptoms of hypertrophic cardiomyopathy may include one or more of the following: 1  Shortness of breath, especially during exercise. 2  Chest pain, especially during exercise. 3  Fainting, especially during or just after exercise or exertion.  Sensation of rapid, fluttering or pounding heartbeats (palpitations)
Symptoms can often be similar to those of other cardiopulmonary conditions like pneumonia, heart failure or chronic obstructive pulmonary disease (COPD), so it often goes undiagnosed or is detected late in the advancement of the disease. The most common symptoms of CTEPH include: 1  Fatigue.