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Pulmonary hypertension

Sonopath Forum

Sonopath Forum

Pulmonary hypertension

Hello,
This is my first forum post so apologies if it is incorrect. I am so grateful that service is available to learn more, thank you!
 
  • 11 year old FN terrier presented with multiple episodes of syncopy and a soft right sided murmur and tachycardia

    • Hello,
    This is my first forum post so apologies if it is incorrect. I am so grateful that service is available to learn more, thank you!
     
    • 11 year old FN terrier presented with multiple episodes of syncopy and a soft right sided murmur and tachycardia
    • Echo: severe pulmonary hypertension with tricuspid and pulmonic insufficiency and right sided enlargement with hepatic venous distension. There was no left sided enlargement, tricuspid and pulmonic valves appeared normal to me with normal pulmonic velocity. I could not see any thrombus or mass. I live in Ireland so we do not have heart worm.
    • Would lung disease be your primary differential in this case? She is coming back next week for thoracic radiographs.
    • Any advise or input on technique, reporting, measurements, aetiology, case management etc greatly appreciated.

Comments

Peter
April 21, 2017 at 9:58 pm -

Hi!
Thanjs for posting!
There

Hi!

Thanjs for posting!

There are quite a lot differential diagnoses, including:

hypoxia (lung or airway disease)

angiostrongylus vasorum

thrombembolism (PLN or hyperadrenocorticism as well as autoimmune disease)

neoplasia

congenital heart disease (over-circulation)

etc.

workup includes:

CBC, chemistry, r/o HAC, urine analysis, abdominal sonogram, check for lung worms, heart worms, chest radiographs +/- CT of the lungs, contrast study of the heart, abdominal sonogram.

Sildenafil and Pilobendan are always indicated besides treatment of the underlying disease.

prognosis is bad in most cases

best regards!

Peter

Peter
April 21, 2017 at 9:58 pm -

Hi!
Thanjs for posting!
There

Hi!

Thanjs for posting!

There are quite a lot differential diagnoses, including:

hypoxia (lung or airway disease)

angiostrongylus vasorum

thrombembolism (PLN or hyperadrenocorticism as well as autoimmune disease)

neoplasia

congenital heart disease (over-circulation)

etc.

workup includes:

CBC, chemistry, r/o HAC, urine analysis, abdominal sonogram, check for lung worms, heart worms, chest radiographs +/- CT of the lungs, contrast study of the heart, abdominal sonogram.

Sildenafil and Pilobendan are always indicated besides treatment of the underlying disease.

prognosis is bad in most cases

best regards!

Peter

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