How to Comfort a Dog with Congestive Heart Failure: 20 Ways Vets Wish More Owners Knew 😔❤️

💬 “How can I make my dog feel better… today?”

That single question opens the door to one of the most emotionally complex and medically intricate journeys a pet owner can face. But here’s what many don’t realize:

💡 Comfort care isn’t just a “nice to have” — it’s an essential survival strategy.

Proper comfort methods can reduce emergency episodes, slow down symptom escalation, and bring back tail wags when they’re most needed.


📌 Key Takeaways (Straight to the Point)

🧠 Critical Question✔️ Short Answer
What’s the #1 comfort mistake owners make?Ignoring subtle signs of respiratory stress.
Should I still walk my dog?Yes — but only slow, short walks in cool air, on their terms.
Is my dog in pain?CHF often causes discomfort, not sharp pain — but breathlessness can be distressing.
Is coughing normal?Occasional, soft coughing? Yes. Persistent coughing? See the vet.
Can dogs die suddenly from CHF?Sadly, yes — especially during unmonitored stress or heat.

🏡 Section 1: How Can I Make My Home a Healing Space?

🏠 Home Comfort StrategyWhat to DoWhy It Matters
Quiet ZoneSet up a noise-free, soft-lit space with no traffic.Dogs with CHF are sensitive to stress — loud sounds spike heart rate.
Donut BedsUse orthopedic or head-elevating beds.Elevation helps drain lung fluid and reduces pressure on the chest.
Cool Air, AlwaysKeep temps between 68–72°F. Use fans or A/C.Heat worsens breathing; cool air supports oxygen flow.
Air PurifiersUse HEPA filters near rest zones.Removes allergens that trigger coughing fits.
Dim Lights at NightInstall warm low-light lamps.Reduces overstimulation and encourages restfulness.

🍽️ Section 2: What Should My Dog Eat (or NOT Eat)?

🥗 Nutrition & Hydration TipSpecific AdviceHow It Helps CHF
Low-Sodium Diet ONLYUse prescription cardiac food. Avoid deli meats, broth cubes, processed treats.Sodium leads to fluid retention → worsens CHF.
Hydration, Carefully BalancedOffer fresh, cool water throughout the day.Dehydration + diuretics = kidney strain. Too much water = fluid overload.
Omega-3s & TaurineSupplement with fish oil, or use taurine-fortified kibble.Supports heart cell function and reduces inflammation.
Mini-MealsFeed 4–5 small meals instead of 2 large ones.Prevents diaphragm pressure that can worsen breathing.
Entice with Broth (Low Sodium)Add low-sodium tuna or chicken broth to food.Keeps appetite up when CHF causes nausea or fatigue.

🧘 Section 3: Is It Okay to Exercise My Dog?

🐾 Gentle Activity GuidanceWhat to TryWhat to Avoid
Slow Strolls5–10 minute walks in the shade or indoors, max 2x/day.NEVER run, jog, or play fetch.
Mental PuzzlesUse food-dispensing toys or snuffle mats.Avoid overstimulating games.
“Find It” GamesHide treats nearby while dog is resting or sitting.Only if dog isn’t panting or tired.
Massage TimeGentle ear rubs, shoulder massages, chest strokes.Skip deep tissue or aggressive petting.
Calm Canine MusicUse classical or soft dog-calming music playlists (YouTube has many!).Avoid TV, doorbell sounds, or busy street exposure.

💊 Section 4: How Do I Handle Coughing, Restlessness, or Bad Days?

🧯 Symptom Relief ToolsWhat to DoWhy It Works
Steam Room SessionsSit in a steamy bathroom (no direct hot water) for 10 minutes.Helps loosen lung fluid and ease breathing.
Oxygen Therapy (with Vet Approval)Use pet oxygen concentrators or tanks at home.Offers immediate relief during crises.
Monitor RRR (Respiratory Rate)Count breaths while sleeping; normal = under 30 bpm.Above 40 = EMERGENCY vet visit.
Calming Sprays & WrapsUse pheromone diffusers or Thundershirts during anxiety.Lowers heart rate by reducing stress.
Emergency Plan Posted on FridgeList your vet’s number, symptoms to watch for, and oxygen kit location.Saves time when seconds matter.

👨‍⚕️ Section 5: What’s My Role in Their Medical Team?

🧑‍⚕️ Owner’s Medical DutiesWhat to RememberWhy It’s Vital
Never Miss MedsCreate alarms or checklists for morning/evening meds (Pimobendan, Lasix, etc.).Skipping doses can cause sudden symptom crashes.
Vet Appointments = Non-NegotiableCHF dogs may need monthly checks + imaging.Adjusting meds promptly keeps your dog comfortable.
Stay CalmSpeak softly, move slowly, offer praise.Dogs read your energy; panic transfers.
Journal “Good vs. Bad Days”Note coughing, appetite, play, and behavior patterns.Tracks progress, helps with end-of-life decisions.
Prepare for Palliative TalksAsk your vet about comfort-focused care as CHF advances.Planning avoids last-minute suffering.

🔍 Section 6: What Are the Advanced Hacks No One Talks About?

🧠 Expert-Level Comfort TipHow to Implement ItWhy It Works
Track Patterns with a CHF JournalUse a simple notebook or phone app to log daily symptoms, breathing rate, appetite, energy, bathroom habits, and moods.Trends reveal early signs of decline before crises occur — invaluable for your vet’s adjustments.
Teach a “Settle” CueGently train your dog to lie down and relax on command with soft praise and hand signals.A “settle” command becomes vital during vet visits or stressful moments, preventing panic and overexertion.
Keep a “Safe Touch” RoutineRegularly touch paws, gums, belly, and chest to normalize contact and monitor for fluid build-up or color changes.Early detection of ascites or cyanosis — critical signs of CHF progression — depends on familiarity.
DIY Cooling Pads in SummerFill Ziploc bags with water + rubbing alcohol, freeze them, and place inside soft covers under their bed.Reduces body heat during rest, making breathing easier in warm climates.
Carry Emergency Cough Tabs (Vet-Guided)Ask your vet about dog-safe hydrocodone or torbutrol for severe cough attacks at night or during stress.Stops coughing fits that could cause oxygen loss or panic — but must be used under vet supervision only.
Use Elevated Food BowlsRaise water and food bowls to shoulder level to minimize neck strain during feeding.Reduces the chest compression that can occur when eating with the head lowered, easing post-meal breathing.

🧭 Section 7: What to Do When CHF Progresses?

As CHF enters advanced stages, your role shifts from treatment-based care to comfort-based palliative care. Here’s what quality of life optimization looks like in practice:

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🌙 End-Stage Comfort ActionWhy It Matters🕊️
Limit Activity FurtherNo stairs. No jumping. Use ramps or carry your dog if needed.Prevents sudden drops in oxygen or collapse.
Warm Compresses for Swollen LimbsApply warm cloths to fluid-retaining legs (if advised by vet).Enhances circulation and soothes inflammation.
Talk About “When” Not Just “What”Have clear discussions with your vet: What signs mean it’s time? What does euthanasia look like?Planning avoids trauma and helps you say goodbye on your terms.
Let Them Lead the RoutineDon’t enforce feeding or walking schedules. Let them tell you when they’re hungry or want to move.Respects their needs in a deeply humane way.
Use Weighted Blankets or WrapsLight pressure can calm dogs in distress, like Thundershirts or soft vests.Activates pressure points to reduce anxiety naturally.
Record a “Memory Box” TogetherSave fur clippings, a paw print, favorite toy, and photos.Helps the family honor your dog and process anticipatory grief.

🕊️ Section 8: How Do I Know When It’s Time?

Many pet parents wrestle silently with this: “Am I holding on for them — or for me?”

Recognizing when a dog with CHF is no longer comfortable is one of the most painful, yet most compassionate decisions an owner can face. Here’s how to objectively and lovingly assess when to transition from management to letting go.

💔 Red Flag Signs of Declining ComfortWhat It Likely MeansVeterinary Insight
Frequent respiratory distress at restLungs may be filling faster than diuretics can clear.Vet may recommend oxygen support or discuss palliative options.
Gums turning blue or purple (cyanosis)Severe oxygen deprivation.This is a medical emergency; treatment options may be limited.
Refusing food/water for over 24–36 hoursSignals end-stage fatigue or organ shutdown.IV support may help briefly, but quality of life is now central.
Cannot lie down comfortably or sleep wellPressure from lung fluid makes rest painful.Consider 24-hour oxygen therapy or palliative sedation.
Persistent anxiety or confusionOxygen loss may be affecting the brain.Restlessness or pacing often means they’re in silent distress.
Collapse or fainting episodesCirculatory failure.Immediate vet care is needed. If recurrent, discuss humane options.

📏 Quality of Life Scale: “Good Days vs. Bad Days” Tracker

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Track daily to keep decisions grounded in reality, not just emotion:

🗓️ DayAte Normally 🍽️No Distress Breathing 💨Engaged with You 🐶Slept Peacefully 💤“Good Day”? ✅
Mon✔️✔️✔️✔️
Tue
Wed✔️✔️

📌 If “bad days” outnumber good days for 5–7 days straight, it’s time for an honest conversation with your veterinarian.


🤝 Section 9: How Can I Say Goodbye with Dignity?

When comfort can no longer be sustained, humane euthanasia becomes the greatest gift of love you can offer. Here’s how to prepare emotionally and logistically.

💖 End-of-Life Planning TipsWhy It Matters
Schedule a quality-of-life consultAllows for calm discussion without pressure.
Choose at-home euthanasia if possibleFamiliar smells and surroundings ease fear.
Play music or read to them during the processYour voice is their safe space — use it one last time.
Invite only who they love and knowAvoid chaotic energy — make it sacred.
Hold their paw or lay with themConnection during transition soothes anxiety for both of you.
Preserve keepsakes (paw print, fur clipping)Helps in your healing.
Allow yourself to grieve fullyThere’s no “right time” to feel okay.

FAQs


💬 Reader Comment: “My dog seems restless at night. Is that normal with CHF?”

Yes — but it’s also a clinical clue. Restlessness, especially during nighttime, often indicates oxygen deprivation or fluid accumulation in the lungs (pulmonary edema). This can prevent restful sleep and cause the dog to shift positions frequently, sit upright to breathe better, or pace.

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💤 Nighttime Restlessness Triggers💡 What You Can Do Tonight
Shallow breathing while lying flatElevate the front of their bed or use a wedge
Fluid buildup in lungsCheck RRR (respiratory rate) – if >40 bpm, call your vet
Anxiety from labored breathingDiffuse calming pheromones or play white noise
Overheating during sleepUse a fan or lower the thermostat

Expert Insight: Dogs naturally try to “hide” respiratory discomfort during the day by napping upright or being still. Night reveals what the body struggles to compensate for. Monitor closely.


💬 Reader Comment: “Should I stop all exercise now that my dog has CHF?”

No — but you must redefine what ‘exercise’ means. Movement is still essential, but cardiac-safe activity is about blood circulation and mental engagement, not physical conditioning.

🐾 CHF-Safe ActivitiesAvoid These
5–10 min slow leash walks in shadeFetch, running, tug-of-war
Sniff-based strolls (enrichment walks)Visits to dog parks
Scent games with treats indoorsHiking or stair climbing
Gentle joint stretches (if tolerated)Long walks, even at a slow pace

Pro Tip 💬: Let your dog set the pace. If they stop, you stop. CHF dogs self-regulate — trust their instincts.


💬 Reader Comment: “My dog doesn’t want to eat. How can I get them to eat low-sodium food?”

Loss of appetite is a known symptom, especially with advanced CHF or diuretic therapy. That said, low-sodium diets are life-sustaining, so finding palatable, heart-healthy options is critical.

🍽️ Appetite Stimulation Hacks🍗 Approved Flavor Boosters (Low-Sodium)
Warm food slightly to enhance aromaUnsalted bone broth (homemade or vet-approved)
Offer food by hand while petting gentlyBoiled egg whites (in moderation)
Use interactive feeders for small portionsPlain pumpkin or sweet potato purée (tiny amount)
Feed in a calm, non-distracting spaceLow-sodium tuna juice (sparingly)

Expert Insight: Appetite isn’t just physiological — it’s emotional. Creating a stress-free, comforting feeding space can make a significant difference.


💬 Reader Comment: “What’s the best position for a dog with CHF to sleep?”

Dogs with CHF often sleep in an upright or semi-upright position to ease breathing. They may avoid lying flat — especially on their side — as it increases pressure on fluid-filled lungs.

🛏️ Sleeping Position Tips🌙 Why It Helps
Use a donut or bolster bedKeeps neck elevated naturally
Place rolled towels under chestAids fluid drainage from lungs
Use a pet ramp to avoid jumpingReduces cardiac strain from sudden exertion
Avoid high, soft couchesRisk of falling or improper neck angle

Pro Tip 💬: Observe where your dog chooses to sleep naturally — then modify that space to be more orthopedic or temperature-regulated. Their preference often reveals their comfort threshold.


💬 Reader Comment: “Can I still give my dog treats?”

Yes — but treat selection becomes therapeutic, not recreational. High-sodium or processed treats can undo even the best CHF medication protocols.

🍬 CHF-Friendly Treat AlternativesAvoid These
Dehydrated single-ingredient meatsJerky with added salt or preservatives
Unsalted rice cakes broken into piecesCheese, hot dogs, bacon bits
Cucumber or banana slices (tiny)Store-bought treats unless labeled low-sodium
Homemade oat & pumpkin dog cookiesHuman table scraps

Vet-Smart Tip: Keep treats under 10% of the daily calorie intake. Use pill pockets made from cooked chicken or mashed sweet potato for meds instead of processed versions.


💬 Reader Comment: “How do I know when it’s time to say goodbye?”

This is the hardest — and most courageous — question any pet owner can ask. There’s no one-size-fits-all answer, but tracking patterns can offer clarity.

📊 Quality-of-Life IndicatorsTrack Weekly
Appetite levelFull, reduced, or absent
Energy/mobilityEager to walk? Needs help? Won’t move?
Respiratory effortNormal, labored, or gasping
Interest in toys/familyEnthusiastic, indifferent, or withdrawn
“Bad” days vs “good” daysUse a calendar or dot chart system

Critical Marker 🚨: When bad days consistently outnumber the good, and your dog can no longer experience joy without suffering — it may be time to discuss peaceful options with your vet.


💬 Reader Comment: “Is there something I should be doing daily that I’m not?”

Yes — check their resting respiratory rate (RRR) every night. This simple, 60-second habit can literally save your dog’s life.

⏱️ How to Measure RRR🧠 What It Tells You
Watch chest rise/fall while sleepingIndicates how well lungs are handling fluid
Count for 15 secondsMultiply that number by 4
Do it when they’re fully asleepAvoid post-walk or stress-influenced rates
Log it nightly for pattern trackingHelps your vet adjust meds early

Normal = under 30 breaths/min
30–40 = mild concern
Over 40 = call your vet ASAP


💬 Reader Question: “Why does my dog’s cough sound worse at night? Should I be worried?”

Yes — this isn’t just coincidence. Nighttime coughs in CHF dogs often signal pulmonary edema, where fluid pools in the lungs due to gravity when your dog is lying down. It reduces oxygen exchange, triggering discomfort and that unmistakable hacking sound.

🕰️ Time of Day😷 Type of Cough🧠 What It Might Mean🚨 Action
Night (lying down)Deep, wet-sounding, repetitiveFluid in lungs or airway compressionElevate bed, check RRR, vet follow-up
MorningLight, clearing-like coughMucus accumulation during sleepMonitor, not urgent if brief
After activitySudden burst of hacking or gaggingOverexertion or oxygen debtShorten walk, consult vet

Red flag: If coughing lasts more than 1 hour, worsens over days, or is paired with panting at rest, seek veterinary evaluation promptly. It could mean diuretic therapy needs adjustment.


💬 Reader Question: “How do I know if my dog’s diuretic dose is too high or too low?”

Great question — both overdosing and underdosing can be dangerous. Diuretics like furosemide pull excess fluid from the lungs and abdomen, but they also risk dehydration and electrolyte imbalance if not carefully monitored.

💊 Signs Dose May Be TOO LOW💧 Signs Dose May Be TOO HIGH
Cough persists or worsensLethargy beyond normal
Breathing rate stays above 35–40 bpmLoss of appetite or dry gums
Abdominal swelling reappearsVery frequent urination
Gums look slightly pale or bluishWeakness, stumbling, or muscle tremors

Vet Tip: Bring a log of water intake, urination frequency, and weight to every appointment. These numbers help your vet adjust dosage precisely and avoid renal strain.


💬 Reader Question: “Can I leave my dog alone for long hours with CHF?”

It depends on the stage of the disease and how stable your dog is. Dogs in advanced CHF stages require frequent monitoring, scheduled medication, and environmental controls that can’t always be guaranteed during extended absences.

⏱️ Length of Absence🐶 What’s Needed🧠 Risk Level
< 2 hoursCalm space, cool temp, access to water, recent meds given✅ Low (if stable)
2–6 hoursRemote camera recommended, timed feeding optional⚠️ Moderate
> 6 hoursNot recommended without caregiver check-ins❌ High (unless palliative/hospice care is arranged)

Pro Insight: Use a pet-safe video monitor to track respiratory effort in real time. Dogs in CHF can decline quickly — especially if a medication dose is missed or environmental stress arises unexpectedly.


💬 Reader Question: “My dog pants but isn’t hot or active. Is this a CHF symptom?”

Absolutely — panting without heat, stress, or exercise is a classic indicator of increased cardiac workload or fluid in the lungs. It often precedes more visible signs of distress.

😰 Panting Cause (CHF-Linked)🚩 What to Observe🩺 What to Do
Fluid buildup impairing oxygen exchangePanting at rest, elevated RRR, wide nostrilsCheck breathing rate, vet ASAP
Anxiety from hypoxiaPacing, panting, won’t settleCalm environment, try anti-anxiety aids
Overexertion during normal activitiesSudden panting after a walk or stairsShorten activity, adjust intensity

Crucial Note: CHF panting is not always loud — it can be shallow and fast. Observe the belly and chest moving together abnormally. This means the lungs are compensating — not just the airways.


💬 Reader Question: “Should I keep my dog on the same CHF meds forever?”

Not necessarily. CHF medications often need titration (dose changes) or supplementation as the disease progresses or symptoms evolve.

📋 Common CHF Meds💊 Why They May Change🧪 Monitoring Required
Furosemide (diuretic)May cause dehydration over time or lose efficacyElectrolytes, hydration status
Pimobendan (heart muscle support)Doses may increase as disease worsensHeart ultrasound, blood pressure
Enalapril/Benazepril (ACEi)Can impact kidneys, especially long-termCreatinine, BUN, urine protein
SpironolactoneMay be added for potassium-sparing or ascites controlPotassium levels, appetite, fatigue

Expert Tip: Ask for a medication review every 90 days, even if symptoms seem stable. CHF is dynamic — dosing should evolve with your dog’s condition.


💬 Reader Question: “What’s the most overlooked CHF symptom that people miss?”

Silent respiratory distress. Many owners miss increased respiratory effort without audible sound. CHF dogs may not bark or whine — but they’ll show subtle behavioral changes that signal discomfort.

🫁 Quiet Warning Signs💡 What They Really Mean
Refusing to lie down flatTrouble breathing when lungs are horizontal
Prefers sitting with neck extendedClassic oxygen-seeking posture
Slight flaring of nostrilsIncreased air hunger (often missed)
Constant repositioning during sleepInability to get comfortable due to pulmonary edema

Caregiver Note: Take photos or videos of these behaviors. Vets can better diagnose stage severity when they see how your dog behaves at home vs. in clinic.


💬 Reader Question: “My dog yawns a lot. Is that just fatigue or a sign of something serious?”

Frequent yawning isn’t just sleepiness — in dogs with CHF, it can reflect subclinical respiratory effort or even oxygen deprivation. Yawning is often an early coping mechanism for discomfort in the lungs or anxiety from subtle hypoxia.

🐶 Yawning Context🩺 Clinical Interpretation⚠️ When to Be Concerned
Yawning during rest or sleepPotential mild oxygen deficit or struggle to relaxObserve breathing rate while resting
Yawning during activityCardiac fatigue or early overexertionReduce intensity, increase recovery time
Excessive yawning + pacingStress response to difficulty breathingCheck RRR and signs of restlessness
Yawning + blue gumsEmergency hypoxia warningSeek veterinary help immediately

Expert Insight: If your dog’s yawns are frequent, accompanied by head extension, or end in a shallow inhale, they may be trying to self-regulate oxygen flow — not just stretching their jaw.


💬 Reader Question: “How can I tell if my dog is anxious or in pain from CHF?”

CHF-related discomfort isn’t always vocalized. Many dogs show “silent stress” through posture, pacing, or facial tension. Differentiating emotional distress from physiological pain helps tailor the right intervention.

😟 Behavioral Clues📍 What They Suggest🧘 Comfort Strategy
Staring blankly, not engagingDisorientation or breath fatigueCreate a quiet, dim space
Trembling, especially in limbsCardiac fatigue or low blood pressureKeep body warm, limit stimulation
Head down but eyes openShallow breathing or anxiety from discomfortSoft petting, calming tone
Hiding in cornersAvoidance due to internal distressUse scent cues (owner’s clothing) nearby

Pro Tip 💬: Anxiety in CHF dogs often worsens at dusk. Create a twilight routine — gentle music, aromatherapy (lavender), and dimmed lighting to lower stimulation and stabilize mood.


💬 Reader Question: “Can CHF make my dog lose bladder control?”

Yes. Dogs with CHF often take loop diuretics, which accelerate urination to remove fluid from the body. In later stages, this can lead to urinary urgency or incontinence if the kidneys are stressed or if the dog cannot move quickly due to fatigue.

💦 Possible Causes of Urinary Accidents🧪 Mechanism🧼 What to Do at Home
Furosemide or torsemide usageIncreased urine output, short window before urinationProvide indoor potty pads / frequent outings
Muscle weakness from heart fatigueDelayed response time to signalsAvoid slippery floors, support mobility
Renal strain from medication interactionUrinary frequency or leakage at restMonitor creatinine levels during vet visits

Caregiver Tip: Don’t punish — CHF dogs aren’t misbehaving. Consider doggy diapers or washable indoor mats near sleeping areas during flare-ups.


💬 Reader Question: “Why does my dog refuse to lie down at night and just stand or sit upright?”

This is a classic posture of respiratory discomfort. When lungs are compromised by fluid, lying flat compresses lung capacity, making breathing more labored. Your dog instinctively chooses a gravity-friendly position to stay oxygenated.

🧍 Body Position💨 Physiological Purpose🛏️ Home Adaptation Suggestion
Sphinx (front legs out, head up)Maximizes lung expansion, minimizes pressureUse a wedge or orthopedic angled cushion
Sitting upright with head extendedReduces airway collapse and promotes airflowPlace soft bolster for chest or neck support
Refusing to lie on sideAvoids compressing heart/lungsNever force to lie flat — adjust the bedding

Pro Tip 💬: If your dog sleeps best propped against furniture or walls, replicate that setup with a body pillow on the bed or create a “support cave” using a rolled blanket.


💬 Reader Question: “My dog’s breath smells metallic — is this normal?”

A metallic or ammonia-like breath can signal metabolic strain — especially if CHF is impacting kidney function or causing low oxygenation. This is often linked to buildup of waste products in the blood, or uremic breath.

👃 Breath Smell🔬 Possible Cause🧭 Recommended Action
Metallic, blood-like scentMild internal bleeding or oral irritationCheck gums, monitor coughing
Ammonia or urine-like odorKidney function deteriorationRequest full bloodwork + BUN/Creatinine panel
Sour/mustyStomach acid from panting or irregular digestionFeed earlier in evening, reduce meal size

Vet-Smart Insight: Always monitor oral color and hydration alongside unusual breath. If paired with lethargy or vomiting, it’s urgent.


💬 Reader Question: “Are heating pads safe for CHF dogs who seem cold?”

Warmth can be soothing, but direct heat sources can overwork a CHF dog’s heart if not used with caution. They’re already struggling with circulation, and vasodilation from heat can spike cardiac demand.

🔥 Heat Use ScenarioSafe?🧠 Safer Alternatives
Electric heating pad (direct)❌ Risk of overheatingUse microwavable flaxseed pack with towel wrap
Warm blanket from dryer✅ Briefly beneficialPlace under dog’s bed, not on top
Infrared heat lamp❌ Avoid unless prescribedOpt for warm water bottle wrapped in fleece

Safety Tip 💬: Always check their ears and paw pads for temperature — if they feel too hot or too cold, you’re either overheating or under-warming.

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