8 year old CKCS with grade 4/6 systolic murmur, slowing down, normal respiration
The left ventricle appears dilated but the left atrium is normal size. Do you agree with left ventricular diastolic dilation?
I always thought that the left atrium dilated first in these cases but does the volume overload lead to LV dilation early on?
Would you classify this dog as a B1 or B2 case
8 year old CKCS with grade 4/6 systolic murmur, slowing down, normal respiration
The left ventricle appears dilated but the left atrium is normal size. Do you agree with left ventricular diastolic dilation?
I always thought that the left atrium dilated first in these cases but does the volume overload lead to LV dilation early on?
Would you classify this dog as a B1 or B2 case
veteurope1
One response to “MMVD in CKCS”
King Charles do their own
King Charles do their own thing with volume overload. La max is the only reliable measurement I look at on these guys though i also do heart base and june boon to be complete. Im Eyeballing the la at about 3-3.2 cm la max and there is mild deviation of the atrial septum so may be where and how you measure it. Im not sure i would tx here but would recheck in 3 months or earlier if increased resp rate cough or increased murmur grade. Check a bp too may have a reasson to start an ace inhibitor if systolic bp > 160. This is maybe a very early early B2 I think but its a grey area and the classification doesn t deal with these scenarios well.
One response to “MMVD in CKCS”
King Charles do their own
King Charles do their own thing with volume overload. La max is the only reliable measurement I look at on these guys though i also do heart base and june boon to be complete. Im Eyeballing the la at about 3-3.2 cm la max and there is mild deviation of the atrial septum so may be where and how you measure it. Im not sure i would tx here but would recheck in 3 months or earlier if increased resp rate cough or increased murmur grade. Check a bp too may have a reasson to start an ace inhibitor if systolic bp > 160. This is maybe a very early early B2 I think but its a grey area and the classification doesn t deal with these scenarios well.