Hypertrophic Cardiomyopathy and Other Feline Myocardial Diseases Flashcards
what are the main pathologic features of hypertrophic cardiomyopathy?
concentric or asymmetric left ventricular hypertrophy
left atrial enlargement
right heart enlargement
what is compromised in hypertrophic cardiomyopathy?
diastolic filling
what does reduced left ventricular compliance lead to?
left atrial enlargement
how common is canine hypertrophic cardiomyopathy?
very uncommon
what is the most common cardiovascular disease in cats?
feline hypertrophic cardiomyopathy
what can feline hypertrophic cardiomyopathy cause?
CHF
arterial thromboembolism
syncope
sudden death
unexpected anesthesia death
what are some differential diagnoses for feline hypertrophic cardiomyopathy?
hypertrophic cardiomyopathy
systemic hypertension
congenital aortic stenosis
hyperthyroidism
other feline myocardial disease
what are some differential diagnoses for cardiac murmurs in cats?
cardiomyopathy
dynamic right ventricular outflow tract obstruction
systemic hypertension
hyperthyroidism
anemia
congenital heart disease
what can be heart of ausculation in feline hypertrophic cardiomyopathy?
cardiac murmur: sternal borders
cardiac gallop (S4): try bell of stethoscope
arrhythmia
what is hypertension?
get 3 measurements, 3 sessions
consistently above 160-170 mmHg
what is hypotension?
<90mmHg systolic
what heart laboratory tests can be done in feline hypertrophic cardiomyopathy?
NT-proBNP
cardiac troponin I
what level of NT-proBNP makes heart failure likely?
> 265 pmol/L
what drugs are used in hypertrophic cardiomyopathy?
beta blockers
calcium channel blockers
myosin inhibitors: possible future drugs
how many cats with cardiomyopathy get arterial thromboembolism?
10-40%