Hi everyone,
Just wondering what everyone does when it comes to cleaning teeth in dogs with mitral valve disease?
I’ve recently performed an echo on a 11 year old dog with grade 4/6 heart murmur. Dog is currently asymptomatic however, left atrial had mild enlargement, there is prolaspe of the anterior mitral valve and mitral valve regurgitation is severe ( >50% of the left atrium). The left ventricle is otherwise contracting well. I’ve started the dog on pimobendan and frusemide.
How long do we wait before proceeding with dental?
Hi everyone,
Just wondering what everyone does when it comes to cleaning teeth in dogs with mitral valve disease?
I’ve recently performed an echo on a 11 year old dog with grade 4/6 heart murmur. Dog is currently asymptomatic however, left atrial had mild enlargement, there is prolaspe of the anterior mitral valve and mitral valve regurgitation is severe ( >50% of the left atrium). The left ventricle is otherwise contracting well. I’ve started the dog on pimobendan and frusemide.
How long do we wait before proceeding with dental?
Do we do another echo prior to anesthetic?
Comments
Lasix and pimo are fast
Lasix and pimo are fast acting so i usually wait a week and see the response of the heart to the meds wiht fllow up quick echo looking at chamber volume contractility and basal heart rates. Torb premed, propofol induction isoflorane maintenance is the go to combo I have always had success with for anesthesia. Ease them in and back out without excessive tachycardia. I had one maltese rupture a chordae on ket val induction my first year out of college. Never had one afterwards with this TPI protocol but you never forget your first time of induction ruptured chordae.
I am attaching a .pdf from a
I am attaching a .pdf from a cardiology seminar I attended that includes premeds and induction for a variety of cardiac diseases and the rationale behind their use. Hope this is helpful. I believe this was from Dr Stauthammer- cardiologist from the University of Minnesota cardiology services.