Pharmacodynamic assessment of diuretic efficacy and braking in a furosemide continuous infusion model     

D. Adin  C. Atkins  M.G. Papich 《Journal of Veterinary Cardiology》2018,20(2):92-101

Introduction

Diuretic failure is a potential life-ending event but is unpredictable and poorly understood. The objectives of this study were to evaluate pharmacodynamic markers of furosemide-induced diuresis and to investigate mechanisms of diuretic braking in dogs receiving constant rate infusion (CRI) of furosemide.

Animals

Six healthy male dogs.

Methods

Raw data and stored samples from one arm of a previously published study were further analyzed to mechanistically investigate causes of diuretic braking in these dogs. Urine volume was recorded hourly during a 5-h furosemide CRI. Urine and blood samples were collected hourly to measure serum and urine electrolytes, urine aldosterone, and plasma and urine furosemide. Serum electrolyte fractional excretion was calculated. Urine sodium concentration was indexed to urine potassium (uNa:uK) and urine furosemide (uNa:uFur) concentrations, plasma furosemide concentration was indexed to urine furosemide concentration (pFur:uFur), and urine aldosterone was indexed to urine creatinine (UAldo:C). Temporal change and the relationship to urine volume were evaluated for these measured and calculated variables.

Results

Urine volume was significantly correlated with urine electrolyte amounts and with uNa:uK. The ratio of pFur:uFur decreased during the infusion, whereas furosemide excretion was unchanged.

Conclusions

There was a strong relationship between urine volume and absolute urine electrolyte excretion. Urine volume was strongly correlated to uNa:uK, giving it potential as a spot indicator of urine production during diuresis. The decrease in uNa:uK over time during the infusion is consistent with mineralocorticoid modification of urinary electrolyte excretion, supporting renin–angiotensin–aldosterone activation as a cause of diuretic braking in this model.  相似文献   

Utility of plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) to distinguish between congestive heart failure and non-cardiac causes of acute dyspnea in cats     

Philip R. Fox  Mark A. Oyama  Caryn Reynolds  John E. Rush  Terri C. DeFrancesco  Bruce W. Keene  Clark E. Atkins  Kristin A. MacDonald  Karsten E. Schober  John D. Bonagura  Rebecca L. Stepien  Heidi B. Kellihan  Thaibinh P. Nguyenba  Linda B. Lehmkuhl  Bonnie K. Lefbom  N. Sydney Moise  Daniel F. Hogan 《Journal of Veterinary Cardiology》2009

BackgroundCirculating plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) concentration facilitates emergency diagnosis of congestive heart failure (CHF) in people. Its utility to discriminate between dyspneic cats with CHF vs. primary respiratory disease requires further assessment. Our objectives were to determine if NT-proBNP (1) differentiates dyspneic cats with CHF vs. primary respiratory disease; (2) increases with renal insufficiency; (3) correlates with left atrial dimension, radiographic cardiomegaly, and estimated left ventricular filling pressure (E/E_a).MethodsNT-proBNP was measured in 167 dyspneic cats (66 primary respiratory disease, 101 CHF) to evaluate (1) relationship with clinical parameters; (2) ability to distinguish CHF from primary respiratory disease; (3) optimal cut-off values using receiver operating characteristic (ROC) curve analysis.ResultsNT-proBNP (1) was higher (median and inter-quartile [25th–75th] percentile) in CHF (754 pmol/L; 437, 1035 pmol/L) vs. primary respiratory disease (76.5 pmol/L; 24, 180 pmol/L) cohorts (P < 0.001); (2) positively correlated in CHF cats with increased inter-ventricular septal end-diastolic thickness (ρ = 0.266; P = 0.007) and LV free wall thickness (ρ = 0.218; P = 0.027), but not with radiographic heart size, left atrial size, left ventricular dimensions, E/E_a ratio, BUN, creatinine, or thyroxine; (3) distinguished dyspneic CHF cats from primary respiratory disease at 265 pmol/L cut-off value with 90.2% sensitivity, 87.9% specificity, 92% positive predictive value, and 85.3% negative predictive value (area under ROC curve, 0.94).ConclusionsNT-proBNP accurately discriminated CHF from respiratory disease causes of dyspnea.  相似文献   

Corrigendum to “Acute death in heartworm-infected cats: Unraveling the puzzle” [Vet. Parasitol. (2008) 196–203]     

Annette Litster  Clarke Atkins  Rick Atwell 《Veterinary parasitology》2009,163(4):2067

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Morpho‐physical Recording of Bovine Conceptus (Bos indicus) and Placenta from Days 20 to 70 of Pregnancy     

AC Assis Neto  FTV Pereira  TC Santos  CE Ambrosio  R Leiser  MA Miglino 《Reproduction in domestic animals》2010,45(5):760-772

The study is based on 141 pregnant Bos indicus cows, from days 20 to 70 post‐insemination. First, special attention was given to the macroscopically observable phenomena of attachment of the conceptus to the uterus, i.e. the implantation, from about days 20 to 30 post‐insemination up to day 70, and placentome development by growth, vascularization and increase in the number of cotyledons opposite to the endometrial caruncles. Secondly, as for the conceptuses, semiquantitative, statistical analyses were performed of the lengths of chorio‐allantois, amnion and yolk sac; and the different parts of the centre and two extremes of the yolk sacs were also analysed. Thirdly, the embryos/foetuses corresponding to their membranes were measured by their greatest length and by weight, and described by the appearance of external developmental phenomena during the investigated period like neurulation, somites, branchial arcs, brain vesicles, limb buds, C‐form, pigmented eye and facial grooves. In conclusion, all the data collected in this study from days 20 to 70 of bovine pregnancy were compared extensively with corresponding data of the literature. This resulted in an ‘embryo/foetal age‐scale’, which has extended the data in the literature by covering the first 8 to 70 days of pregnancy. This age‐scale of early bovine intrauterine development provides model for studies, even when using slaughtered cows without distinct knowledge of insemination or fertilization time, through macroscopic techniques. This distinctly facilitates research into the cow, which is now being widely used as ‘an experimental animal’ for testing new techniques of reproduction like in vitro fertilization, embryo transfer and cloning.  相似文献   

Role of electrolyte concentrations and renin-angiotensin-aldosterone activation in the staging of canine heart disease     

Darcy Adin  Kari Kurtz  Clarke Atkins  Mark G. Papich  Shelly Vaden 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2020,34(1):53-64

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Optical studies of individual InAs quantum dots in GaAs: few-particle effects     

L Landin  MS Miller  M Pistol  CE Pryor  L Samuelson 《Science (New York, N.Y.)》1998,280(5361):262-264

Optical emission from individual strained indium arsenide (InAs) islands buried in gallium arsenide (GaAs) was studied. At low excitation power density, the spectra from these quantum dots consist of a single line. At higher excitation power density, additional emission lines appeared at both higher and lower energies, separated from the main line by about 1 millielectron volt. At even higher excitation power density, this set of lines was replaced by a broad emission peaking below the original line. The splittings were an order of magnitude smaller than the lowest single-electron or single-hole excited state energies, indicating that the fine structure results from few-particle interactions in the dot. Calculations of few-particle effects give splittings of the observed magnitude.  相似文献   

Systolic Time Intervals and Their Derivatives for Evaluation of Cardiac Function     

Clarke E. Atkins DVM  Patti S. Snyder DVM  MS 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》1992,6(2):55-63

Systolic time intervals provide a noninvasive indication of global left ventricular performance, are relatively sensitive, and are easily obtained from an M-mode echocardiogram. This paper defines systolic time intervals (preejection period, left ventricular ejection time, and total electromechanical systole) and their derivatives (preejection period/left ventricular ejection time and velocity of circumferential fiber shortening). Their utility and weaknesses, as well as the effects of heart rate, loading conditions, cardiac contractility, and drug therapies on systolic time intervals are discussed. Normal values for systolic time intervals for the dog and cat are provided.  相似文献   

Intrapericardial Cysts in the Dog     

David Sisson DVM    William P. Thomas DVM    John Reed MS  DVM    Clarke E. Atkins DVM  Howard B. Gelberg DVM  PhD 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》1993,7(6):364-369

Intrapericardial cysts were identified as the cause of impaired cardiac filling in six young dogs. Pneumo-pericardiography and two-dimensional echocardiography showed the cysts in 2 of 2 dogs and in 4 of 4 dogs, respectively. One dog, which was also infected with heartworms, died before surgical excision of the cyst could be performed. In the remaining dogs, surgical excision of the cysts and subtotal pericar-diectomy was successfully accomplished. Histologic examination of the excised tissue from one dog suggested that it was a pericardial coelomic cyst. The gross and histologic characteristics of the cysts removed from the other five dogs resembled those of acquired cystic hematomas. The etiopathogenesis of these cysts was uncertain, but all cysts were connected to a fatty pedicle of tissue. In one dog, a stalk of tissue was observed to enter the pericardium through a small peritoneopericardial diaphragmatic hernia. In four dogs, the stalk of tissue was adhered to the apex of the parietal pericardium. These observations suggested that intrapericardial cysts, in some dogs, develop in association with, and possibly as a result of, congenital herniation and entrapment of omentum or a portion of the falciform ligament into the pericardial sac. (Journal of Veterinary Internal Medicine 1993; 7:364–369. Copyright © 1993 by the American College of Veterinary Internal Medicine.)  相似文献   

The renin‐angiotensin‐aldosterone system and its suppression     

Marisa K. Ames  Clarke E. Atkins  Bertram Pitt 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2019,33(2):363-382

Chronic activation of the renin‐angiotensin‐aldosterone system (RAAS) promotes and perpetuates the syndromes of congestive heart failure, systemic hypertension, and chronic kidney disease. Excessive circulating and tissue angiotensin II (AngII) and aldosterone levels lead to a pro‐fibrotic, ‐inflammatory, and ‐hypertrophic milieu that causes remodeling and dysfunction in cardiovascular and renal tissues. Understanding of the role of the RAAS in this abnormal pathologic remodeling has grown over the past few decades and numerous medical therapies aimed at suppressing the RAAS have been developed. Despite this, morbidity from these diseases remains high. Continued investigation into the complexities of the RAAS should help clinicians modulate (suppress or enhance) components of this system and improve quality of life and survival. This review focuses on updates in our understanding of the RAAS and the pathophysiology of AngII and aldosterone excess, reviewing what is known about its suppression in cardiovascular and renal diseases, especially in the cat and dog.  相似文献   

Faunal use of bluegum ( Eucalyptus globulus ) plantations in southwestern Australia     

R. Hobbs  P.C. Catling  J.C. Wombey  M. Clayton  L. Atkins  A. Reid 《Agroforestry Systems》2003,58(3):195-212

We examined the faunal use of Eucalyptus globulus plantations in southern Western Australia, and compared use of remnant vegetation, agricultural land and plantations in different positions relative to large tracts of remnant vegetation. In general, faunal use of plantations is less than in comparison with adjacent remnant vegetation, but more than in open pasture. For all faunal groups there were almost twice as many species recorded in the native vegetation than in any site in the plantations or on agricultural land and they were in greater abundance. Faunal use of plantation edges and interiors did not show consistent patterns. Generally, edges next to remnants were most frequently used, but individual species showed a wide range of patterns of use across the various habitat types studied. More species of bird identified as being “at risk” were found in plantation edges than in interiors. Adjacency to remnant vegetation increased plantation use by some species, but the overall differences between isolated plantations and those adjacent to remnant vegetation were relatively small. We conclude that plantations provide some value in terms of habitat for some species, including some of conservation concern, but that this value is limited by the lack of habitat complexity in the intensively-managed plantations. This revised version was published online in June 2006 with corrections to the Cover Date.  相似文献