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Commonly affected breeds include: Bulldogs, Retrievers, Pugs, Shih Tzus, Cocker Spaniels Other risk factors include: Dogs with atopic dermatitis or chronic skin allergies Young adult dogs aged 15 years Research Insight: Genetic predisposition increases IgE-mediated immune responses , making some breeds more vulnerable to seasonal and environmental allergies

Also, tell your doctor if you have recently had a heart attack, have a heart defect, irregular heartbeat, blood vessel problems, high blood pressure, cardiomyopathy (heart muscle thickening), circulation problems, or any other heart problems