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At the very least, they should pay attention to the advice given in the article they cite in their report's footnote 15, which expressly states: "The use of breed-specific VHS values is needed for the VHS method to have a high specificity for normal heart size." We would prefer using a patient-specific VHS value, rather than just breed-specific, but either one is better than a reckless, species-wide "median" VHS value

Reduced nighttime waking: Users often report fewer awakenings during the night, leading to a more continuous and restful sleep cycle

doi: 10.3390/biom11081114 11 AshfaqS.AbramsonJ