Here is a cardiac case where I am finding it hard to put things all together;
– 3 yr old male intact Cane Corso cross 34.1kg diagnosed with heart murmur that is suppose to be “new” grade 3/6 PMI left side Alive Cor ECG shows no abnormal complexes
– chest rads shows enlarged, globoid heart but LAE not appreciated; no pulmonary edema – mild bronchointertsial pattern
– on echo I am getting a midly enlarged LVIDd; looks like mild LAE in some views but not others so I think the LA is normal
– mild AS at 2.7 m/s with mild AI (likley insignificant)
Here is a cardiac case where I am finding it hard to put things all together;
– 3 yr old male intact Cane Corso cross 34.1kg diagnosed with heart murmur that is suppose to be “new” grade 3/6 PMI left side Alive Cor ECG shows no abnormal complexes
– chest rads shows enlarged, globoid heart but LAE not appreciated; no pulmonary edema – mild bronchointertsial pattern
– on echo I am getting a midly enlarged LVIDd; looks like mild LAE in some views but not others so I think the LA is normal
– mild AS at 2.7 m/s with mild AI (likley insignificant)
– mild MR present with a central jet; ME/MA wnl; EPSS upper end of normal and FS normal
– TR jet consistently just slightly over 3 m/s so technically considered mild PAH but likely insignificant
So why the MR? Why the increased LV diameter? Could this be emerging DCM
Comments
Early DCM very possible but
Early DCM very possible but also considered myocarditis. Would recommend CBC, cardiac troponin and Pro-BNP assay.
Thanks Remo – lots of things
Thanks Remo – lots of things just weren’t adding up with this one so I sent for telemed. I did recommend those tests to the owner as well in case of myocardiitis.
I see this quite a bot in New
I see this quite a bot in New Jersey where we have lots of rickettsials… I like doxy clinda trial for 3 weeks and re-echo… remember other causes of mild submnormal fs% like hyopothyroidism, systemic disease, athletic dogs..in addition to myocardotis as remo says. I think myocarditis is way underdiagnosed especially in North America and I consider any non valve breed with valve disease, arrythmia +/- depressed fs% a potential. I would put emerging DCM lower on the list here and do a full thyroid workup if not already ordered.