LEFT ATRIAL TO AORTIC ROOT INDICES USING TWO-DIMENSIONAL AND M-MODE ECHOCARDIOGRAPHY IN CAVALIER KING CHARLES SPANIELS WITH AND WITHOUT LEFT ATRIAL ENLARGEMENT |
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| Authors: | Kerstin Hansson DVM Jens Häggström DVM PhD Clarence Kvart DVM PhD Peter Lord BVSc FRCVS |
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| Institution: | Department of Clinical Radiology, Swedish University of Agricultural Sciences, Box 7029, SE-750 07 Uppsala, Sweden. Kerstin.Hansson@klra.slu.se |
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| Abstract: | Two-dimensional (2-D) echocardiographic measurement of the left atrium (LA) has the potential to be more accurate than the standard M-mode method, because the LA body can be measured. We evaluated a 2-D method for measuring LA and aorta (AO) in a right parasternal short-axis view and compared it to the M-mode method. An index for LA size (LA/AO) was calculated in 166 cavalier King Charles spaniels, 56 normal and 110 dogs with mitral regurgitation (MR) of varying degrees secondary to chronic valvular disease. In normal dogs, the AO-2-D and LA/AO-2-D did not correlate to body weight (BW) or BW2; whereas, all M-mode values and the LA-2-D were significantly (p < .05) related to both BW parameters. In normal dogs, there was no difference between M-mode and 2-D indices. For all dogs (normal and dogs with MR) there was an 11% bias between the M-mode and 2-D index with the LA/AO-2-D being higher than the LA/AO-M. The association between the mean and the difference of the indices demonstrated a quadratic relationship. Dogs with a mean LA/AO of 2.0-2.5 showed the largest difference between the two indices. Small values for the 2-D coefficients of variation for respiration and stage of diastole were found; 3.4 and 3.1%, respectively. The 2-D index is more sensitive to LA enlargement than the M-mode index. |
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| Keywords: | dog cavalier King Charles Spaniel echocardiography M-mode two-dimensional 2-D left atrium mitral regurgitation |
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