Assertion: cardiomyopathy's sign | /r/CapableOf | occur secondary
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Source sentences:
text: The ability of the heart to serve as a pump is diminished, and clinical signs of DCM occur secondary to either decreased delivery of oxygenated blood to the body (lethargy, weakness, weight loss, collapse), or to congestion of blood in the lungs (coughing, increased respiratory rate and/or effort, abdominal distention) or both.