I recently did an echo on Bella.
Bella is a 12 year old Maltese that weighs just over 8 pounds
Grade 4/6 mitral regurgitation and 2/6 Tricuspid regurgitaion
Chest X-rays: cardiomegally with dilated L atrium. No indication of pulmoary edema. Collapse/compression of the L main stem bronchus. Historical cough
Echo findings:
I recently did an echo on Bella.
Bella is a 12 year old Maltese that weighs just over 8 pounds
Grade 4/6 mitral regurgitation and 2/6 Tricuspid regurgitaion
Chest X-rays: cardiomegally with dilated L atrium. No indication of pulmoary edema. Collapse/compression of the L main stem bronchus. Historical cough
Echo findings:
2D: Subjectively the wall thickness of the IVS and VFW appar to be normal. The L vetnricluar chamber is dilated as would be expected with mitral valve disease. The L atrium is dilated. The R side of the heart looks to be WNL.
CFI: only done on the MI. Reveals a large mitral regurgitant jet.
M mode: all values in mm
IVSd: 6.2 (5.7-7.6)
LV chamber d: 30.7 (17-19.2)
LVWd: 6.2 (4.6-6.1)
IVSs: 12.8 (8.6-10.7)
LV chamber s: 11.7 (9.2-11.2)
LVWs: 11.7 (7.7-9.6)
FS: 62
Aorta: 13.1
L Atrium 16.6
LA/AO: 1.3 (0.8-1.1)
EPSS: 4.1
IVSd/LVIDd 0.2 (.22-.34)
LVIDd/ LVPWd 5.0 (>3 < 5)
2D measurements:
Aorta 11.4
L Atrium 23.8
LA/AO: 2.1 < 1.6
Doppler: (m/sec)
Aorta: I could not get this reading
Pulmonary: 1.1
Tricuspid regurgitation: 2.7
Mitral Regurgitation: 5.6
Echocardiographic summary:
1. Normal wall thickness. This is of some concern. The normal response to chamber dilation would be concentric hypertrophy
2. Dilated L ventricular chamber in both diastole and systole consistent with a volume overload.
3. Dilated LA in both M mode and 2D consistent with mitral regurgitation and volume overload
4. Tricuspid regurgitation consistent with mild pulmonary hypertension
5. Good compensatory FS
At this time I believe that Bella is not in CHF and is compensating OK.
The big ?- when do we start a diuretic and Pimobendan.
I will submit this ? to Sonopath