1. Diagnosis and Management of Heart Failure in Dogs - A Clinical Study.
- Author
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Kumar, K. Satish, Srikala, D., Ayodhya, S., and Kumar, V. V. V. Amruth
- Subjects
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HEART failure treatment , *DIAGNOSIS of dog diseases , *DISEASE management , *CONTROL groups , *AZOTEMIA - Abstract
Heart failure is a state where the cardiac function is sufficiently compromised resulting in clinical signs inspite of the compensatory mechanism. Based on various diagnostic procedures, a total of 342 dogs of various breed, sex and age were diagnosed for cardiac failure of various etiology. Hematologically, no significant difference was noticed but, biochemically, there was a significant increase (P<0.01) in mean values of CKMB (56.95 ± 2.94u/L), LDH (141.40 ± 5.14 u/L) but with a significantly low (P<0.05) levels of TP (5.36 ± 0.15 g/dL) and Alb (2.85 ± 0.9 g/ dL). Similarly, a non-significant hypernatremia (141.08 ± 0.57 mEq/dL) and significant hypokalemia (3.86 ± 0.14 mEq/dL) was also noticed in comparison with apparently healthy dogs. Abnormal P, QRS and T wave along with ventricular premature complexes were the significant ECG findings and cardiomegaly, auricular bulge with elevated trachea and pulmonary venous congestion were the significant radiographic abnormalities recorded. On 2-D echocardiography, dilated cardiomyopathy was the primary cardiac disorder recorded in 69% cases, followed by valvular disease (mitral valve insufficiency in 38%, tricuspid valve insufficiency in 14%), pericardial effusion in 22% and relatively rare hypertrophic cardiomyopathy in 4 dogs. Following therapy with ACE inhibitors, diuretics, beta blockers, positive ionotropes and neutraceutical for 6 months, significant signs viz., dyspnoea at rest, cough and exercise intolerance disappeared after 20-25 days in 90% dogs, followed by improvement in appetite, weight and systemic circulation in 30-35 days. Whereas, no significant difference was noticed with ECG and radiographic findings. However, a significant improvement in left ventricle dimensions, EF and Fs was noticed by the end of treatment. Despite of every effort, 26 dogs of severe heart failure (DCM-13; MVI-8 and pericardial effusion-5) developed azotemia and collapsed during 10-40 days of therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2016