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 Midwest includes the states that were part of the Northwest Ordinance in the 19th century. Midwestern states that are part of both the East North Central Division and the Great Lakes region include Illinois, Indiana, Michigan, Ohio and Wisconsin. The West North Central Division includes Iowa, Kansas, Minnesota, Missouri, North Dakota, Nebraska and South Dakota.