Hypertrohpic Obstructive Cardiomyopathy ( HOCM)

Sonopath Forum

Hypertrohpic Obstructive Cardiomyopathy ( HOCM)

Hi guys, 

Just wanted some advise on treatment for a 3y.o cat with HOCM and syncope episodes.

Cat presents with

Severe concentric hypertrophy of the LV,

Systolic Anterior motion of the MV

Mitral regurgitation

Severe enlargement of the LA.

I know we use atenolol to help with HOCM. however, my understanding is not to use beta blockers if cat has CHF. O has financial constraints hence thoracic rads were not done.

Questions:

1. Can you tell if cat is in Left sided CHF based on just Echo images?

Hi guys, 

Just wanted some advise on treatment for a 3y.o cat with HOCM and syncope episodes.

Cat presents with

Severe concentric hypertrophy of the LV,

Systolic Anterior motion of the MV

Mitral regurgitation

Severe enlargement of the LA.

I know we use atenolol to help with HOCM. however, my understanding is not to use beta blockers if cat has CHF. O has financial constraints hence thoracic rads were not done.

Questions:

1. Can you tell if cat is in Left sided CHF based on just Echo images?

2. How do i know when it is safe to start on atenolol if O doesn’t want to take repeat X-rays 

3. How do i know if a cat that is on atenolol develops CHF?

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