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HCM? limited echo

Hello, 

 

 

This is a fractious cat that has a grade 3-4 / 6 heart murmur.BP was 140 systolic .  No clinical signs of heart disease. Unfortunatelly due to high stress ( open mouth breathing during restraining) was not able to do a full echo ( no doppler, no velocities).

Would you agree that this is HCM?  Both L ventricle walls measures above 9/10 mm. LA doesn’t seem markedly enlarged. LA/AO on 2 d = 1.35 and on M mode 1.40 

I’m considering plavix and benazepril with recheck Echo in few weeks. 

Hello, 

 

 

This is a fractious cat that has a grade 3-4 / 6 heart murmur.BP was 140 systolic .  No clinical signs of heart disease. Unfortunatelly due to high stress ( open mouth breathing during restraining) was not able to do a full echo ( no doppler, no velocities).

Would you agree that this is HCM?  Both L ventricle walls measures above 9/10 mm. LA doesn’t seem markedly enlarged. LA/AO on 2 d = 1.35 and on M mode 1.40 

I’m considering plavix and benazepril with recheck Echo in few weeks. 

 

Thank you. 

Calin Catarig DVM

5 responses to “HCM? limited echo”

  1. Hi!
     
    There is evidence of

    Hi!

     

    There is evidence of concentric hypertrophy along with systolic anterior motion of the anterior mitral valve leaflet. Particularly the septum appears thickened. So, this is a sonographic phenotype of HCM, although primary mitral valve dysplasia with secondary hypertrophy cannot be ruled out.

    I would not use an ACEI here – there’s no reason to do so. Given the appearantly normal heart rate and the norma LA size, I would likely do nothing – just re-check in a few months. Somtimes these guys remain unchanged for years. 

     

    Peter

  2. Hi!
     
    There is evidence of

    Hi!

     

    There is evidence of concentric hypertrophy along with systolic anterior motion of the anterior mitral valve leaflet. Particularly the septum appears thickened. So, this is a sonographic phenotype of HCM, although primary mitral valve dysplasia with secondary hypertrophy cannot be ruled out.

    I would not use an ACEI here – there’s no reason to do so. Given the appearantly normal heart rate and the norma LA size, I would likely do nothing – just re-check in a few months. Somtimes these guys remain unchanged for years. 

     

    Peter

  4. I agree… lots of causes of

    I agree… lots of causes of LV hypertrophy that never cause any chf. If la size is fine and HR contained and minimal or no sam, I check bp and t4 and let him be a cat and check in 6 months.

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