Specifically, the heart muscle in dogs with DCM becomes. weak and incapable of pumping blood forward as strongly as it should. In addition, the. electrical conduction system in the heart is often affected, sometimes resulting in life-. threatening or fatal arrhythmias (abnormalities in cardiac rhythm).
The nine states the U.S. Census Bureau designates as the Northeast region are Connecticut, Maine, Massachusetts, New Hampshire, New York, New Jersey, Pennsylvania, Rhode Island and Vermont.
The region closely matches the area of the Northwest Territory, excepting a portion of Minnesota. The East North Central division is a large part of the Great Lakes region, although the latter also includes Minnesota, New York, Pennsylvania, and the Canadian province of Ontario. The region is part of the Great Lakes Megalopolis with an estimated 54 million people.