HCM with dynamic outflow tract obstruction
This is a 7-year-old male neutered DSH cat presented for bought’ of open mouth breathing following exercise. A 2/6 systolic murmur and an abnormal SNAP pro BNP was noted. Blood work was normal, BCS is 7/9. Ultrasound revealed mild to moderate hypertrophy of the left ventricle with a prominent septal base along with SAM. Dynamic…
Feline HCM
History -Clinically normal two-and-a-half-year-old male neutered DMH cat with a 3/6 murmur. – NT pro-BNP was 1500 pmols/L. – Feline was stressed and also sedated with midazolam and butorphanol. Echo Findings -Stage B1 HCM (phenotype) -Generalized LV hypertrophy, systolic LV chamber obliteration – Mitral SAM with eccentric jet of mitral regurgitation. -Papillary muscles where enlarged…
Cardiogenic cough versus lower airway disease
Included are clips and some stills of a 6 1/2 year old, 31.4Kg, male neutered Labrador Retriever presented for a worsening cough over two weeks duration. Radiographs revealed a more generalized interstitial lung pattern with small dispersed areas revealing alveolar patterns. Heart appeared normal in size to slightly enlarged. Blood work was uneventful. Ultrasound was…
Pericardial Effusion and a Ghost
This is a 13-year-old male neutered Pug presented for exercise intolerance, and progressive bouts of syncopal episodes during exertion. General scanning revealed a heart with a moderate degree of pericardial effusion. Diastolic collapse of the right atrium was observed. The left atrium appeared slightly smaller than the right atrium in the apical views. There was…