Cardiovascular Diseases in Large Animals Flashcards

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1
Q

Ventral Septal Defect (VSD)

A

Most common congenital cardiac defect in large animal
Opening in the ventricular septum (high membrane)

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2
Q

What is VSD caused by?

A

Failure of fusion between endocardial cushion and muscular part of the septum or between truncal septum and concal septum

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3
Q

Pathophysiology of VSD

A

L to R shunt between LV and RV causes volume overload of RV → pulmonary hypertension and dilation of RV and LA → LV fails from chr. volume overload → congenital heart failure , excessive turbulence, endocarditis, and aortic regurg

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4
Q

Cs of VSD

A

Pansystolic murmurs
Palpable cardiac thrill
Poor growth, leth., dyspnea

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5
Q

Diagnosis of VSD

A

Clin path: polycythemia
Rads: cardiomegaly, lung vascularization

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6
Q

Patent Ductus Arteriosus (PDA)

A

Connects the pulmonary artery and aorta
Single defect or a complex anomaly

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7
Q

Pathophysiology of PDA

A

L. to R. shunt from aorta to pulmonary artery →↑ the volume load on the RV → RV fails or dilates and hypertrophies → pulm. hypertension and congestion

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8
Q

CS of PDA

A

Leth, dyspnea, exercise intolerance and CHF
Continuous murmur (high pitch and of alt intensity)

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9
Q

TX of PDA

A

Sx in neonates
Small PDA asymptomatic, large= poor prog

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9
Q

DX of PDA

A

Angiocardiography

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10
Q

Tetralogy of Fallot

A
  1. Over-riding aorta
  2. VSD
  3. Pulmonic stenosis with obstruction of pulm. arterial flow
  4. RV hypertrophy due to obstruction of pulm. arterial flow
    Pentaology= 5. atriall septal defect
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11
Q

What is tetralogy of fallot caused by?

A

Abnormal development of the conal septum in the embryonic heart
More common calves than foals

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12
Q

Pathophysiology of tetralogy of fallot

A

Obstruction → severely reduced pulm. circulation → severe cyanosis

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13
Q

CS of tetralogy of fallot

A

Cyanosis of mm, nose and skin
Exercise intolerance, slow or stunted growth
Loud pansystolic murmur (crescendo-decrescendo or plateau shaped), palpable thrill

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14
Q

Dx of tetralogy of fallot

A

Echo
Clin Path: ↑ PCV and RBC count from polycythemia
Poor prog

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15
Q

Atrial fibrillation

A

Cardiac dysrhythmia by lack of coordinated atrial electrical activity

16
Q

Causes of atrial fibrillation

A

Abnormal impulse condition due to uni-directional conduction block and random re-entrant activation of atria
Atrial enlargement due to myocarditis
Electrolyte or acid-base imbalance, anesthetic drugs or AV valve regurg

17
Q

Where is atrial fibrillation commonly seen?

A

Dairy cattle more than beef
GI dz/ abdominal pain, footrot or pneumonia in cattle
Horses due to high resting vagal tone (standardbred, thoroughbred, draft horses)

18
Q

Pathophysiology of atrial fibrillation

A

Atrial contraction not coordinated → ventricular filling more passive → reduce blood flow to other organs → ↓ milk production, GI motility and colic

19
Q

Pathophysiology of chr. atrial fibrillation

A

Progressive cardiac dz (fibrosis due to reduced myocardial blood flow)

20
Q

CS of atrial fibrillation

A

Asymptomatic @ rest
Anorexia, ↓ milk production in cattle
Exercise intolerance, poor performance and colic in horses

21
Q

DX atrial fibrillation

A

CS
Clin path: met alk. due to GI dz, ↓ Ca, K and Cl
Electrocardiography: Irreg R-R interval, absent P waves replaced by fine undulation of baseline (f waves)

22
Q

Tx for atrial fibrillation

A

Quinidine in cattle and horses (beg ionotrope) → make sure animal is hydrated with norm acid-base levels `

23
Q

Ventricular tachycardia

A

Cardiac dysrhythmia characterized by a rapid rhythm originating in the ventricle below the bundle of His

24
Q

What causes ventricular tachycardia

A

Disorder in impulse formation or conduction due to myocarditis, fibrosis, bacterial endocarditis, ischemia, and hypoxia, etc

25
Q

________________ may be the leading cause of sudden death in horses and reported in all large animals

A

Ventricular tachycardia

26
Q

CS of ventricular tachycardia

A

Asymptomatic @ rest
Exercise intolerance, severe CHF, pulm. edema, resp. distress, coughing, ventral edema
Rapid HR with irreg or reg rhythm
Jug pulses

27
Q

What is ventricular tachycardia secondary to in cattle?

A

Sepsis and toxemia with signs of anorexia and ↓ milk production

28
Q

Dx of ventricular tachycardia

A

ECG: series of 4 or more ventricular premature depolarizations (ventricular complex)
QRS larger and longer than normal

29
Q

TX of ventricular tachycardia

A

Correcting primary dz or electrolyte imbalance
Severe CHF or rate of ven trachy high: Lidocaine and Mg. sulfate in bovine

30
Q

What is the most common atrial septic defect

A

Ostium secundum defect (patent foramen ovale):
O secundum- opening in high septum primum of embryonic heart where foramen will be
O. primum- opening low in the septum primum where AV valve will be

31
Q

Where is patent forman ovale common?

A

Calves (associated with PDA)

32
Q

What is patent foramen ovale caused by?

A

Failure of the septum primum to adhere to the crista dividens and close the foramen after birth

33
Q

CS of patent foramen ovale

A

Often asymptomatic
Holosystic crescendo-decrescendo murmur @ left heart base
Enlarged RA, dilation of LA and RV

34
Q

Dx of patent foramen ovale

A

Echo will visualize enlarged RA, LA, RV and defect