Hi!
I’m scheduled to echo on an obese (40lb) King Charles Spaniel next week… new heart murmur, looking for MVD.
Just curious… if L sided heart enlargement rotates the heart in a certain direction, how does being extremely overweight change the heart position? Dorsally perhaps?
And do CKCS do LA enlargement differently? I vaguely recall hearing that…
Thank you!
Karen
Hi!
I’m scheduled to echo on an obese (40lb) King Charles Spaniel next week… new heart murmur, looking for MVD.
Just curious… if L sided heart enlargement rotates the heart in a certain direction, how does being extremely overweight change the heart position? Dorsally perhaps?
And do CKCS do LA enlargement differently? I vaguely recall hearing that…
Thank you!
Karen
Comments
fat deposition shouldnt
fat deposition shouldnt rotate the heart you just have to lower the frequency so a 40# obese dog think of it as a 60# dog. 4-5 mHz or similar frequency on phased array is where i would start to adequately penetrate the chest. Go by LA max in king charles and heart base la/ao next but june boon LA/AO underestimates the la size in king charles. Measure it to be complete but don’t make any decisions on june boon la/ao in this breed.
Thank you Eric! All good
Thank you Eric! All good things to know.
When I have to do an echo on
When I have to do an echo on a fat little dog with excessive panting, Dr. Modler once recommended that I increase dynamic compression and reduce dynamic range. This seems to help.
Yes, inevitably there is
Yes, inevitably there is excessive panting! :))
Thank you Electrocute! I’ll check how to change that if needed. Nice to have options.