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What did I Do??
What did I do? Happy New Year!! This is a 10 year old Brittany female that presented for a 3/6 murmur. Owner says she is fine clinically but coughs on occasion. She was fairly cooperative but stressed and panting. General scanning revealed a slightly enlarged left ventricle(Cornell Index for LV diastole and systole were 1.98…
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Pulmonary Hypertension
I have a 12 year old Cavalier Cross with severe mitral insufficiency and pulmonary hypertension (Tricuspid Regurgitation 4.25 m/sec). He is not in CHF at this time He meets all the criteria of the EPIC study. I was planning on starting him on Pimobendan and Sildenafil. Here are my 2 questions: 1. Can I start…
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DCM + MMVD + PHT (!) – How would you treat it?
Hi, 13yo MI Dalmatian with previously diagnosed hypothyroidism presented with ascitis. Echo shows: Dilated heart (suspected DCM, or at least DCM phenotype heart) + myxomatous mitral valve disease with moderate regurgitation + severe tricuspid regurgitation suggestive of severe pulmonary hypertensionv + multiple multifocal VPCs. Very low FS% (18%, with very hypokinetic LVPW). No know respiratory…
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Treatment for Pulmonary Hypertension
Sweet Pea is a 15 year old Cocker spaniel. She has a history of chronic intermittent UTI and is being treated for hyperadrenocorticism with 10 mg Vetoryl q12h. Sweet Pea also has a grade 4/6 HSM PMI over the mitral valve and 3/6 HSM PMI over the Tricuspid. I recently did an echo on Sweet…
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Cardiac vs non-cardiac disease
I would like to refer to a post that I made on June 29, 2016 https://sonopath.com/forum/non-cardiogenic-pulmonary-edema-0 I continued to treat Gnosi with a relatively low dose of furosemide. He stayed stable but his RRR never really dipped much below the high 30’s and most of the time was in the 40’s. I repeated X-rays and…
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Pulmonary Hypertension
Here is a question for all the would be cardiologists out there. I am seeing many small breed dogs with myxomatous mitral insufficiency. Many of these dogs also have tricuspid insufficiency with no indication of pulmonic stenosis. In June Boon’s book it states that left heat failure or disease can lead to Pulmonary hypertension. It…