Hi,
13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis.
Echo shows:
Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory issues, normal pulmonary artery.
MR Vmax=5,26 m/s, 110mmHg
TR Vmax= 5,06 m/s, 103mmHg
Normal BAP (systolic = 136mmHg)
Hi,
13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis.
Echo shows:
Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory issues, normal pulmonary artery.
MR Vmax=5,26 m/s, 110mmHg
TR Vmax= 5,06 m/s, 103mmHg
Normal BAP (systolic = 136mmHg)
How would you treat it?
I started pimobendam + furosemide + benazepril + spironolactone + sildenafil + sotalol
Any suggestions?
Thank you!
Comments
Sounds like you have it
Sounds like you have it covered… I personally try to keep it to max 3-4 meds (the 4th being antiarrythmic) (triple tx + AA) at first then adjust after 5-7 days (checking bp bun creat usg rads) gradually to a 4-6th (sildenafil + spiro) med but thats the cardio upbringing I had to theoretically let the body adjust to a few before taking on more. I would check thyroid and taurine levels as well to see if either are contributing to dropping the fs%.