HCM – how high anesthetic risk

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HCM – how high anesthetic risk

Hello, 

this is a 5 years old “hands off” cat . Very aggressive even with Gabapentin on board 

Always had a greade 3/6 heart murmur, no arrhytmias.Clinically doing great but has dental disease and needs some extractions 

 

BW results, including BNP is pending- should have results tomorrow 

We did only a focal limited echo as he lost patience 

Would you agree that he has HCM with normal or mild increase in size LA only ? 

 

 

 

Hello, 

this is a 5 years old “hands off” cat . Very aggressive even with Gabapentin on board 

Always had a greade 3/6 heart murmur, no arrhytmias.Clinically doing great but has dental disease and needs some extractions 

 

BW results, including BNP is pending- should have results tomorrow 

We did only a focal limited echo as he lost patience 

Would you agree that he has HCM with normal or mild increase in size LA only ? 

 

 

 

can I consider him compensated with moderate anesthetic risk based on this images/ clips . 

If BP on NIBP ( only one we could get ) was 190-210 systolic – I shold get the BP under control before sx ?

 

Thank you !

 

Comments

vetecho

 
BNP was high at 707 ( 7

 

BNP was high at 707 ( 7 times the normal)

Does this change anything? If the function appears normal, LA/ Ao still in normal do you recommend any meds? Beside Amlodipine for BP?

EL

LV is a little thick but

LV is a little thick but volumes are fine so i think anesthesia risk is minimal. Torb, propofol, iso would be my choice.

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