cardiovascular Flashcards

1
Q

Effects of pimobendan in cats with hypertrophic cardiomyopathy and recent congestive heart failure: Results of a prospective, double-blind, randomized, nonpivotal, exploratory field study 2021 JVIM Schober et al

A

In this study of cats with HCM and recent CHF, no benefit of pimobendan on 180-day outcome was identified.

nonobstructive cats, the success rate was 32% in pimobendan-treated cats versus 18.2% in the placebo group

Obstructive
success rate was 28.6% and 60% in the pimobendan and placebo groups, respectively

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2
Q

Efficacy of oral torasemide in dogs with degenerative mitral valve disease and new onset congestive heart failure: The CARPODIEM study
2020 JVIM beshce et al

A

Torasemide was noninferior to furosemide as first line PO treatment for new onset CHF caused by DMVD

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3
Q

Retrospective study of dilated cardiomyopathy in dogs JVIM 2021 Freid et al
investigating possible diet-associated dilated cardiomyopathy (DCM) in dogs and cats.

A

Dogs with DCM eating nontraditional diets can experience improvement in cardiac function after diet change but additional research is needed to examine possible associations between diet and DCM

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4
Q

The gut microbiome in dogs with congestive heart failure: a pilot study 2020 Sci Rep

A

dogs with congestive heart failure have dysbiosis, and we show additional trends in our data suggesting that dogs may have a similar pattern to that described in people.

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5
Q

The Mitral INsufficiency Echocardiographic score: A severity classification of myxomatous mitral valve disease in dogs
JVIM multicentre 2021 Vezzosi et al - MINE score

A

The proposed Mitral INsufficiency Echocardiographic (MINE) score was based on 4 echocardiographic variables: left atrium-to-aorta ratio, left ventricular end-diastolic diameter normalized for body weight, fractional shortening, and E-wave transmitral peak velocity.
severity scores were assigned as follows: mild (score: 4-5), moderate (score: 6-7), severe (score: 8-12), late stage (score: 13-14).
MINE score >8 was predictive of cardiac death

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6
Q

DELay of Appearance of sYmptoms of Canine Degenerative Mitral Valve Disease Treated with Spironolactone and Benazepril: the DELAY Study
Jvetcardiol 2020 Borgarelli

A

failed in demonstrating that combined administration of spironolactone and benazepril delays onset of HF in dogs with preclinical MMVD. However, such treatment induces beneficial effects on cardiac remodeling and these results could be of clinical relevance.

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7
Q

Cardiac cachexia in cats with congestive heart failure: Prevalence and clinical, laboratory, and survival findings 2020 JVIM Santiago et al

A

he association between cachexia and reduced survival time emphasizes the importance of identifying and addressing this common problem in cats with CHF.

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8
Q

Focused ultrasound of the caudal vena cava in dogs with cavitary effusions or congestive heart failure: A prospective, observational study PLoS One 2021 Chou et al

A

Variables demonstrating the highest diagnostic accuracy for discriminating R-CHF versus NC were CVC-CI (collapsibility index) <33% in 2D and presence of hepatic venous distension
L-CHF dogs had higher CVC:Ao and lower CVC-CI compared to NC dogs, but increased CVC-CI compared to the R-CHF group.

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9
Q

The predictive value of clinical, radiographic, echocardiographic variables and cardiac biomarkers for assessing risk of the onset of heart failure or cardiac death in dogs with preclinical myxomatous mitral valve disease enrolled in the DELAY study JVCardio 2021 BOrgarelli

A

echocardiographic variables and NT-proBNP can be used to identify dogs with preclinical MMVD at higher risk to develop HF or cardiac death
Left atrial to aortic root ratio >2.1, normalized left ventricular end-diastolic diameter > 1.9 , early transmitral peak velocity (E peak) > 1 m/sec, and NT-proBNP > 1500 ρmol/L were associated with increased risk of HF or cardiac death.

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10
Q

Left atrial decompression as a palliative minimally invasive treatment for congestive heart failure caused by myxomatous mitral valve disease in dogs: 17 cases (2018-2019) JVIM 2021 Allen et al

A

For dogs with advanced MMVD and left-sided CHF, LAdecompression resulted in an immediate and substantial reduction in LA pressure

Minimally invasive creation of an atrial septal defect for the purpose of LAD was successful in all dogs

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11
Q

Tolerance of torasemide in cats with congestive heart failure: a retrospective study on 21 cases (2016-2019)
BMC vet res 2020 Poissonnier et al

A

case series demonstrates that torasemide can be used in cats with spontaneous CHF

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12
Q

Changes of inflammatory and oxidative stress biomarkers in dogs with different stages of heart failure BMC vet Res 2020 Rubio et al

A

Advanced HF show increases in positive acute-phase proteins and selected inflammatory cytokines such as KC-like, and decreases in antioxidant biomarkers, indicating that inflammation and oxidative stress act as collaborative partners in the pathogenesis of HF.

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13
Q

Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
Frontiers 2021 Araki et al

A

Intestinal mucosal injury risk was significantly higher in Chihuahuas with heart failure due to MMVD

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14
Q

Prediction and measurement of diuretic responsiveness after oral administration of furosemide to healthy dogs and dogs with congestive heart failure JVIM 2020 Loughran

A

Urinary Na excretion and uVol are complementary but distinct aspects of diuretic responsiveness in dogs

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15
Q

Ultrasonographic evaluation of the caudal vena cava in dogs with right-sided heart disease Jvet Cardio 2021 Fujioka

A

In addition to the echocardiographic assessment of right-sided cardiac function, the CVC variables in this study, especially ShortestDiameter(min)/Ao diameter and SD/LD(min), would be useful diagnostic indices for identifying R-CHF in dogs with RHD.

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16
Q

Comparison of curvilinear-array (microconvex) and phased-array transducers for ultrasonography of the lungs in dogs Am J Vet RE 2022 Ward

A

Interobserver agreement for total B-line scores and number of strong-positive sites was excellent.
Results indicated both curvilinear-array (microconvex) and phased-array transducers can be used by experienced sonographers to obtain diagnostic ultrasonographic images of the lungs in dogs with acute or resolving left-sided congestive heart failure

17
Q

Prospective evaluation of pericardial catheter placement versus needle pericardiocentesis in the management of canine pericardial effusion JVECC Cook 2021

A

Pericardial catheters appear to offer a safe alternative to needle pericardiocentesis. Minimal sedation is required for placement, and they can be placed quickly. Their indwelling nature and use was not associated with a higher rate of arrhythmia compared to that of needle pericardiocentesis alone, and may be beneficial in the event that clinically significant PE recurs.

18
Q

Thirteen dogs and a cat with ultrasonographically detected gallbladder wall edema associated with cardiac disease JVIM 2021 Lisciandro

A

Ultrasonographically detected GBWE was associated with Pericardial effusion in this small cohort of cases.

19
Q

Clinical presentation, cardiovascular findings, etiology, and outcome of myocarditis in dogs: 64 cases with presumptive antemortem diagnosis (26 confirmed postmortem) and 137 cases with postmortem diagnosis only (2004-2017) Jvet Cardio 2020

A

Clinical presentation, cardiovascular findings, etiology, and outcome of myocarditis in dogs: 64 cases with presumptive antemortem diagnosis (26 confirmed postmortem) and 137 cases with postmortem diagnosis only (2004-2017)

suggested criteria for diagnosis: Common examination findings in dogs with a presumed antemortem diagnosis included fever (21%) and heart murmur (19%). Median cardiac troponin I was 12.2 ng/mL (range: 0.2-808.0 ng/mL), and troponin exceeded 1.0 ng/mL in 26 of 29 (90%) dogs.

Presence of pericardial effusion or azotemia was a significant predictor of non-survival

20
Q

Dual therapy with clopidogrel and rivaroxaban in cats with thromboembolic disease 2022JFMS

A

Dual antithrombotic therapy with clopidogrel and rivaroxaban resulted in a low reported incidence of adverse events. Cats placed on dual therapy for an ATE event experienced a low rate of recurrence and effective thromboprophylaxis was achieved in cats with intracardiac thrombi or spontaneous echo contrast

21
Q

Temporal changes in clinical and radiographic variables in dogs with preclinical myxomatous mitral valve disease: The EPIC study 2020

A

Dogs with MMVD and cardiomegaly experience increases in HR, RR, RRR (resting RR), and VHS, and decreases in BW and RT as they develop CHF. The variables with the highest absolute change and rate of change were RR and RRR. These findings reinforce the value of RR and RRR as indicators of impending or incipient CHF

22
Q

Heart murmurs in apparently healthy cats caused by iatrogenic dynamic right ventricular outflow tract obstruction JVIM 2020 Ferasin

A

Right ventricular outflow tract obstruction and associated heart murmur can be iatrogenically induced in apparently healthy cats by increasing pressure on the right chest wall with an ultrasound probe.

23
Q

Prevalence of iatrogenic heart murmurs in a population of apparently healthy cats 2022 JSAP Howell

A

Right side of the chest wall by applying gentle pressure with a stethoscope to ascertain whether a murmur became audible, graded using a modified descriptive scale (soft/moderate).
The average prevalence of iatrogenic murmurs was 28.2%