Cardio Literature Flashcards
What are the main uses of cTnI?
HSA in dogs with pericardial effusion
DCM
Myocarditis
What are the main uses of BNP?
Differentitate cardio vs resp
HCM
Onset of CHF (and respond to tx)
What is the only biomarker NOT affected by renal disease?
NCX-1 = Sodium Calcium exchanger
What is the prognosis with rupture of LA?
POOR
All died within 1 month
What is the prognosis with chordae rupture?
Most recover!
MST 369 days :)
Can TnI be used to dx incipient DCM?
YES >0.22
Even with no echo or holter changes
What can be combined with NT-ptoBNT to increased accuracy of diagnosing occult DCM?
Holter Monitoring
Dec survival if >50 VPC or >900 NT proBNP
What did the PROTECT study show in DCM dogs?
Delayed onset of CHF and sudden death in dobies with preclinical DCM (MST 718 vs 441) with pimobendan
What type of DCM do cockers get?
Taurine def
What type of DCM do boxers get?
Carnitine def
What can be used on a radiographic to differentiate dyspnea from cardiac vs noncardiac in cats?
• Vertebral Heart Scale system may be useful to differentiate cardiac from noncardiac cause of resp distress in cats
○ VHS >8: Screening with heart disease (VHS >9.3 very specific for heart dz, if 8-9.3 unknown could be heart or resp
What increased the likelihood of identifying bacteria in dogs with endocarditits?
• Performing single sample 16S RNA identified 39% with bacteria compared to 33% with blood culture
○ No study animal had different bacteria identified (but only 2 dogs had both tests +)
○ Combining PCR and blood culture = identified 61% - Suggesting that this increases the likelihood of identification of bacteria in blood
What could be a biomarker of cardiac fibrosis in dogs with chronic cardiac disease?
cTnI
Did strenuous activity affect cTnI? From sled dogs
No!
○ Strenuous exercise (sled dogs) did NOT result in CTnI concentrations above RR (but did increase slightly)
§ After two days CRP did not increased above RR
Suggesting that moderate exercise should not affect the cTnI or CRP in normal dogs
Which biomarker is increased with anemia and IMHA?
cTnI
Which biomarker can be used to identify incipient DCM dogs?
cTnI
cTnI >.22 ng/ml suggestive of underlying cardiomyopathy (even in clinically normal dogs)
Which biomarker can be performed on pleural fluid in cats to determine cardiac vs non-cardiac cause of the fluid?
○ NTproBNP can be measured on pleural fluid in cats to distinguish cardiac cause (higher level) from non-cardiac cause of pleural effusion
Pleural fluid and plasma NTproBNP correlated in cats (higher in cardiac cases)