Feline DCM anyone:)
Feline DCM anyone:)
This video was sent from a telemed client of mine as a follow up to my original exam 3 weeks prior…classic dcm. Doppler settings are off a bit. I was able to find the original still images on this as well and have now uploaded. Will upload the original 5 chamber long axis video that shows more overload and hypocontractility before treatment and pleural effusion. The stills here evidence subnormal lvot and rvot outflow velocities as well. I put him on acei, lasix, and pimobendan, aspirin and taurine and was stable with the contractility shown in the second video. he had some solid TR of 2.2 m/sec as well.
Peter are there any hard criteria on epss in dcm cats? I know in k9 epss>0.8 cm is consistent with one of the dcm parameters but what about cats?
Original 5 chamber:
[videoembed id=6898] [videoembed id=6899]
Comments
Hi!
No, the references given
Hi!
No, the references given are quite inconsistent. I think most cardiologists will agree that FS<35% is abnormal and a FS<30% is a clear indicator of systolic dysfunction (given that the patient is not deydrated and that no domitor was used for sedation). Cote et others say that FS has to be less than 20% for DCM, and LVD > 16mm, LVS > 11 mm. A normal EPSS is less than 1 mm (Moise, 1986). An EPSS of > 2mm is certainly abnormal, but there are no clear cutoffs.
Hi!
No, the references given
Hi!
No, the references given are quite inconsistent. I think most cardiologists will agree that FS<35% is abnormal and a FS<30% is a clear indicator of systolic dysfunction (given that the patient is not deydrated and that no domitor was used for sedation). Cote et others say that FS has to be less than 20% for DCM, and LVD > 16mm, LVS > 11 mm. A normal EPSS is less than 1 mm (Moise, 1986). An EPSS of > 2mm is certainly abnormal, but there are no clear cutoffs.