Effect of Pimobendan in Dogs with Preclinical Myxomatous Mitral Valve Disease and Cardiomegaly: The EPIC Study—A Randomized Clinical Trial          下载免费PDF全文

A. Boswood  J. Häggström  S.G. Gordon  G. Wess  R.L. Stepien  M.A. Oyama  B.W. Keene  J. Bonagura  K.A. MacDonald  M. Patteson  S. Smith  P.R. Fox  K. Sanderson  R. Woolley  V. Szatmári  P. Menaut  W.M. Church  M. L. O'Sullivan  J.‐P. Jaudon  J.‐G. Kresken  J. Rush  K.A. Barrett  S.L. Rosenthal  A.B. Saunders  I. Ljungvall  M. Deinert  E. Bomassi  A.H. Estrada  M.J. Fernandez Del Palacio  N.S. Moise  J.A. Abbott  Y. Fujii  A. Spier  M.W. Luethy  R.A. Santilli  M. Uechi  A. Tidholm  P. Watson 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2016,30(6):1765-1779

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Echocardiographic Assessment of Left Atrial Size and Function in Warmblood Horses: Reference Intervals,Allometric Scaling,and Agreement of Different Echocardiographic Variables          下载免费PDF全文

I.M. Huesler  K.J. Mitchell  C.C. Schwarzwald 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2016,30(4):1241-1252

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Plasma atrial natriuretic peptide concentration in warmblood horses with heart valve regurgitations     

Heidrun Gehlen PD  Dr Med Vet  Dipl ECEIM  Till Sundermann Dr Med Vet  Karl Rohn Dr Med Vet  Peter Stadler Prof  Dr Med Vet 《Journal of Veterinary Cardiology》2007,9(2):99-101

ObjectivesThis study measured plasma atrial natriuretic peptide (ANP) concentration in horses with heart valve regurgitations (HVR) with and without atrial and ventricular dilatation.BackgroundIn humans and small animals, plasma ANP concentration is increased in heart disease and correlates with the severity of clinical signs and heart enlargement.Animals, materials and methodsTen healthy horses (control) and 36 horses with HVR were evaluated by auscultation, electrocardiography, echocardiography, and determination of plasma ANP.ResultsControl horses demonstrated mean plasma ANP concentration of 21 ± 5.4 pg/mL. Of the 36 horses with HVR, 17 horses possessed normal echocardiographic heart size (group 1), 10 horses had a left atrial dilatation (group 2) and 9 horses had both left atrial and ventricular dilatation (group 3). Mean plasma ANP concentration of groups 1, 2 and 3 was 20.1 ± 5.6 pg/mL, 22.9 ± 11.0 pg/mL and 27.6 ± 17.4 pg/mL, respectively. The plasma ANP concentrations of HVR and control horses were not significantly different. The highest ANP concentrations were observed in horses with atrial and ventricular dilatation. No correlation between left atrial or ventricular size, weight, or sex and the plasma ANP concentration was found.ConclusionsNo significant differences in plasma ANP concentration was observed between groups. Further study, especially in horses with clinical signs of heart failure is needed.  相似文献   

Squamous gastric ulceration complicated by gastric stenosis in a foal     

P. Witt  L. de Kroon  N. Ankringa  M. Delany  L. W. L. van Bruggen  R. van den Boom  M. M. Sloet van Oldruitenborgh-Oosterbaan  E. W. Siegers 《Equine Veterinary Education》2022,34(9):e369-e374

A 2-month-old Warmblood colt presented with recurrent colic and regurgitation. Gastroscopy, performed on several occasions, and barium-contrast radiography revealed severe squamous gastric ulceration and stenosis at the level of the margo plicatus. Treatment with omeprazole reduced the extent and severity of the gastric ulcers but did not affect the stenosis. The foal was euthanised because of a poor prognosis, and post-mortem examination confirmed the clinical diagnosis. Severe squamous gastric ulceration, granulation tissue formation and cicatrisation of deep gastric lesions were considered to have caused the stenosis. Gastroduodenal outflow obstruction is a recognised disorder in foals, but stenosis at the level of the margo plicatus has not been reported in foals or adult horses. To the authors' knowledge, this is the first case of severe squamous gastric ulceration, complicated by stenosis at the level of the margo plicatus, in a foal. Although rare, gastric stenosis should be considered in foals suffering recurrent colic and regurgitation.  相似文献   

国产三尖瓣成形环治疗功能性三尖瓣反流的近中期疗效观察     

黄敏乾  梁柱  薛世岳  陈春源  宋仁举  林嵘纯  程可洛 《湛江医学院学报》2014,(3):298-300

目的观察国产三尖瓣成形环在治疗功能性三尖瓣反流近中期的效果。方法 61例功能性三尖瓣反流患者分为De Vega成形术组（23例）和人工成形环组（38例）,比较两组术前及术后7 d、3个月、6个月、1 a三尖瓣反流面积、肺动脉收缩压、左心室射血分数、右心室内径、右心房内径和心功能。结果所有患者均治愈出院。两组术后各随访时点三尖瓣反流面积、肺动脉收缩压、左心室射血分数、右心室内径、右心房内径和心功能变化较术前明显改善,差异有统计学意义（P〈0.01）,中期上述指标人工成形环组要优于De Vega成形术组（P〈0.01或0.05）。结论三尖瓣成形术是治疗功能性三尖瓣反流的有效方法,人工成形环对术后功能性三尖瓣反流中期改善程度优于De Vega成形术。  相似文献   

Echocardiographic estimation of mean left atrial pressure in a canine model of acute mitral valve insufficiency     

Oyama MA  Sisson DD  Bulmer BJ  Constable PD 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2004,18(5):667-672

High mean left atrial pressure (MLAP) due to canine degenerative mitral valve disease is associated with clinically relevant morbidity and mortality. The ability to noninvasively measure MLAP would assist in the diagnosis and treatment of disease. Doppler echocardiography allows measurement of early transmitral blood flow (E) and the velocity of the mitral valve annulus (Ea). The ratio of early mitral inflow velocity to early mitral annular velocity (E: Ea) correlates well with MLAP in human subjects. We sought to determine the ability of E: Ea to predict MLAP in dogs with experimentally induced mitral regurgitation. Nine anesthetized purpose-bred dogs underwent placement of a Swan-Ganz catheter into the left atrium and recording of MLAP. Simultaneous transthoracic echocardiographic and hemodynamic studies were performed after acute chordae tendineae rupture and during IV infusion with nitroprusside (2.5-5.0 microg x kg(-1) x min(-1)) or hydralazine (1-1.5 mg/kg). Mitral regurgitant fraction, measured by single-plane angiography and thermodilution, ranged from 17% to 81%. MLAP increased from 5.4 +/- 2.5 mm Hg to 17.4 +/- 9.4 mm Hg after creation of mitral valve regurgitation (MR; P = .018). Forty sets of echocardiographic measurements were obtained from 7 dogs, and E, as well as E: Ea, were linearly related to MLAP. The R2 value for the linear regression equation containing E: Ea as the dependent variable (0.83) was greater than that for E (0.73). The 95% confidence intervals were calculated for predicting MLAP = 20 mm Hg from E:Ea, and E:Ea >9.1 or <6.0 indicated a 95% probability that MLAP was >20 mm Hg or <20 mm Hg, respectively. Echocardiography can be used to predict MLAP in isoflurane-anesthetized dogs with experimentally induced acute mitral valve insufficiency.  相似文献   

Esophageal foreign bodies in dogs: 34 cases (2004–2009)     

Holly C. Thompson DVM  Yonaira Cortes DVM  DACVECC  Kristi Gannon DVM  DACVECC  Dennis Bailey DVM  DACVIM  Sean Freer DVM  DACVR 《Journal of Veterinary Emergency and Critical Care》2012,22(2):253-261

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Short‐Term Hemodynamic and Neuroendocrine Effects of Pimobendan and Benazapril in Dogs with Myxomatous Mitral Valve Disease and Congestive Heart Failure     

J. Häggström  P.F. Lord  K. Höglund  I. Ljungvall  O. Jöns  C. Kvart  K. Hansson 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2013,27(6):1452-1462

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Two-dimensional,long-axis echocardiographic ratios for assessment of left atrial and ventricular size in dogs     

L.E. Strohm  L.C. Visser  E.H. Chapel  W.T. Drost  J.D. Bonagura 《Journal of Veterinary Cardiology》2018,20(5):330-342

Introduction

Left ventricular (LV) and left atrial (LA) enlargement affect management and outcome of dogs with cardiac disease. Short-axis, two-dimensional echocardiographic (2DE) images, indexed to the aorta (Ao), are frequently used to identify cardiomegaly. Long-axis images offer complementary views of the left heart.

Animals

Eighty healthy dogs and 25 dogs with MMVD.

Methods

Healthy dogs were prospectively recruited to determine reference intervals (Clinical Laboratory Standards Institute methodology) for long-axis ratios. Measurement variability and repeatability were quantified by intraclass correlation coefficient and coefficient of variation. Mean long-axis ratios from dogs with MMVD were compared with healthy dogs (unpaired t-test). In addition, the proportion of MMVD dogs exceeding the 97.5 percentile by LV/Ao and a conventional, allometric method were compared (McNemar’s test).

Results

Two-dimensional echocardiographic long-axis reference intervals were as follows: left ventricular to aortic dimension (LV/Ao) 1.8–2.5; left atrial to aortic dimension (LA/Ao) 1.8–2.4, and left atrial to left ventricular dimension (LA/LV) 0.9–1.1. Intraobserver and interobserver measurement agreement was good-to-excellent (intraclass correlation coefficients ≥0.84), and day-to-day variability was low (coefficient of variations <4%). Left ventricular to aortic dimension, LA/Ao, and LA/LV were significantly greater in canine MMVD compared with healthy dogs (p<0.001). The percentages of MMVD dogs demonstrating LV dilatation by LV/Ao and conventional method were 68% and 36%, respectively (p=0.043, 95% confidence interval for difference 7.9%, 56.1%).

Conclusions

Simple 2DE long-axis ratios of LV/Ao, LA/Ao, and LA/LV are repeatable and demonstrate clinical utility for identifying LV and LA enlargement in dogs with MMVD.  相似文献   

Echocardiographic Assessment of Left Ventricular Function in Healthy Horses and in Horses with Heart Disease Using Pulsed‐Wave Tissue Doppler Imaging          下载免费PDF全文

T.R. Koenig  K.J. Mitchell  C.C. Schwarzwald 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2017,31(2):556-567

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