A 9-month-old intact male Mastiff mixed breed with history of being underweight presented at a referral facility for echocardiogram due to heart murmur.
A 9-month-old intact male Mastiff mixed breed with history of being underweight presented at a referral facility for echocardiogram due to heart murmur.
Atenolol therapy was recommended in this patient depending upon EKG results. Guarded to poor long-term prognosis. Blood pressure measurements were indicated if not already performed. Follow up with the patient’s RDVM was unfortunately not available at the time of this study posting, we hope he is doing ok.
The echocardiogram in this patient demonstrated normal left atrial size based on 3 separate methods of LA evaluation. Mitral insufficiency noted at 6.3 m/sec. Concentric left ventricular hypertrophy noted in this patient with hypercontractility. The myocardium presented normal echogenicity without subjective evidence of significant fibrotic or ischemic disease. Aortic velocity was excessive at 6.0 m/sec with secondary aortic insufficiency at 5.0 m/sec. The right atrium and auricle revealed normal size, structure and content. No evidence of masses was noted. Tricuspid insufficiency noted at 2.8 m/sec. The right ventricle was of normal size (1/3 diameter of LV), chordae structure, myocardial echogenicity and thickness. Pulmonary outflow tract assessment revealed normal valve structure, laminar flow, and diameter (approx.1:1 pa/ao ratio). No visible pericardial or free pleura fluid was noted. The cranial mediastinum and pericardial and extra-cardiac regions were free of masses in the visible window. Periodic arrhythmia noted.
