Chronic MVD with PHT
Chronic stage C MVD.TID Pimo and Lasix(high dose), ACEi and Spirono. Doing well. Recheck: Idexx GHP= CBC-NSF ,SDMA 15,BUN 14.1mmol/L, Creat 79umol/L. US: Cornell Indx LVd=1.46(prev2.1), LV septal flattening with diastolic dip,LAAO=2.47,Evel1.45m/s, TVregPG-68mmHg,HV distension-mod ascites.LV and LA underloading via diuretics and PHT (mild PHT past).PHT more pre vs post cap based on small LVsize? Consider…