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Restrictive Cardiomyopathy

– 7 year old FS DSH presented to rDVM with a cough; no murmur

– chest x-rays showed enlarged cardiac silhouette and suspected pulmonary edema

– started on 10 mg furosemide and cough subsided

– echo consistent with a restrictive cardiomyopathy and severe pericardial effusion

I have not seen this severe of PE in feline heart failure patients – should it be tapped or should more aggressive medication be sufficient? The cat is surprisingly do quite well for how bad this looks

– 7 year old FS DSH presented to rDVM with a cough; no murmur

– chest x-rays showed enlarged cardiac silhouette and suspected pulmonary edema

– started on 10 mg furosemide and cough subsided

– echo consistent with a restrictive cardiomyopathy and severe pericardial effusion

I have not seen this severe of PE in feline heart failure patients – should it be tapped or should more aggressive medication be sufficient? The cat is surprisingly do quite well for how bad this looks

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8 responses to “Restrictive Cardiomyopathy”

  1. Hi!
    I would tap ths fluid and

    Hi!

    I would tap ths fluid and submit it for cytology (r/o lymphom)

    Funny that a PE like this does not cause right sided heart failure (ascites). I would tap and then initiate Furosemide, ACE, Spironolactone and (at least I would) Pimobendan. The free wall does not move a lot… Agree on RCM phenotype

    Peter

     

  2. Hi!
    I would tap ths fluid and

    Hi!

    I would tap ths fluid and submit it for cytology (r/o lymphom)

    Funny that a PE like this does not cause right sided heart failure (ascites). I would tap and then initiate Furosemide, ACE, Spironolactone and (at least I would) Pimobendan. The free wall does not move a lot… Agree on RCM phenotype

    Peter

     

  5. ?- what is that “mass” in the

    ?- what is that “mass” in the pericardial sac just to the right of the L ventricle?

  6. ?- what is that “mass” in the

    ?- what is that “mass” in the pericardial sac just to the right of the L ventricle?

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