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.
In the West North Central Region, there are seven states. Minnesota, Iowa, and Missouri border three of the East North Central states. The remaining states are North Dakota, South Dakota, Nebraska, and Kansas. Only one state, Minnesota, borders a Great Lake. It is also the largest state in the Midwest. These seven states are called the Great Plains States.