- 9 year old mn DSH presented to DVM 3 days prior to echo for profound lethargy
- Chemistry profile showed a BUN=130. The machine initially did not read the creatinine, but when re-run, it was wnl. Urine specifc gravity was >1.050.
- Radiographs showed cardiomegaly and pulmonary edema.
- 9 year old mn DSH presented to DVM 3 days prior to echo for profound lethargy
- Chemistry profile showed a BUN=130. The machine initially did not read the creatinine, but when re-run, it was wnl. Urine specifc gravity was >1.050.
- Radiographs showed cardiomegaly and pulmonary edema.
- At the time of the echo, the cat was moribund. A brief echocardiogram showed a fractional shortening of 12%, volume overload of both the left and right heart, pericardial effusion, tachycardia (220 bpm), and an echogenic mass (clot?) in the pericardial sac that was negative for color on power Doppler (see pic).
- No other diagnostics were done and the cat was euthanized.
- My primary differential is end stage cardiomyopathy. Would you call the density in the pericardial sac a clot or could this be a tumor?
- Would you call this DCM or just end stage cardiomyopathy?
- Could anything else cause such significant myocardial failure (metabolic disease, dehydration)? The electrolytes done on initial presentation were wnl except for mild hyponatremia. The cat was in relatively good body condition with a BCS of 6/9.
Comments
End stage DCM looks like to
End stage DCM looks like to me but it doesnt look like pericardial effusion but pleural effusion and I dont see pc effusion on your mmode. The echogenic structure is fat density. With that BUN and moribund state tough to say what came first… systemic disease and myocardial toxicity and dcm-like scenario or DCM and secondary azotemia. Anything goign on in the abdomen? I think a long standing BUN > 130 is enough to depress any cat heart…
End stage DCM looks like to
End stage DCM looks like to me but it doesnt look like pericardial effusion but pleural effusion and I dont see pc effusion on your mmode. The echogenic structure is fat density. With that BUN and moribund state tough to say what came first… systemic disease and myocardial toxicity and dcm-like scenario or DCM and secondary azotemia. Anything goign on in the abdomen? I think a long standing BUN > 130 is enough to depress any cat heart…