Vascular disease Flashcards
Which breed of dog has a higher blood pressure than most?
Sight hounds
What is classed as systemic hypertension?
Systolic >160-180
Diastolic >95-100
Give examples of diseases that can cause secondary systemic hypertension
Hyperthyroidism CKD Cushing's Acromegaly Obesity Phaeochromcytoma Chronic anaemia in cats
What are ocular consequences or manifestations of systemic hypertension?
Retinal haemorrhage and detachment
Hyphaema
Blindness
What are CNS consequences or manifestations of systemic hypertension?
Seizures
Dull, depressed demeanour
Bad tempered
What are renal consequences or manifestations of systemic hypertension?
Renal failure
Proteinuria
What is a cardiac consequence or manifestations of systemic hypertension?
Concentric hypertrophy of left ventricle
Pressure overload
Name 2 drugs used to lower blood pressure
Amlodipine
+/- telmisartan or benazeril
What is the priority treatment for a cat presenting with a FATE?
Analgesia - painful! Methadone or buprenorphine
follow with aspirin, clopidogrel, heparin
A cat with a FATE should be treated with analgesia and anti-coagulent drugs. What ‘clot busting’ drugs can be used and when?
tPA
Only if <6-12 hours of event
How can a FATE be prevented?
Aspirin, clopidogrel, heparin
Treat cardiac disease
What breed is predisposed to aortic thromobembolism in dogs?
CKCS
How does FATE differ to canine thromboembolism in terms of cause?
Feline - cardiac disease related
Canine - endocrine related. - Cushing’s, hypothyroidism
Pulmonary hypertension can be caused by lung or heartworm, thromboembolisms, L-CHF or severe respiratory conditions. How is pulmonary hypertension treated?
Treat underlying disease
Pimobendan
Sildenafil (viagra)
PTE prevention
Pulmonary thromboembolism is strongly associated with…
Pulmonary hypertension
Hard to tell which caused which