[en] OBJECTIVE: To evaluate response of various cardiovascular variables after administration of incremental doses of dobutamine in healthy conscious dogs, using standardized dobutamine stress echocardiography (DSE). ANIMALS: 8 healthy dogs. PROCEDURE: A DSE was performed twice on each dog within 24 hours. Dobutamine was infused at a rate of 12.5 to 42.5 microg/kg/min, using incremental increases of 10 microg/kg/min. Doppler sphygmomanometry, electrocardiography, and echocardiography were performed. Left ventricular size, global ventricular performance, and left ventricular systolic myocardial function were measured by means of echocardiography. RESULTS: At the highest dosage, dobutamine induced an increase of 20+/-3% and 109+/-12% in systolic blood pressure and cardiac index, respectively. The latter was associated with a significant increase in heart rate and stroke index. Fractional shortening of the left ventricle, fractional thickening of the left ventricular free wall and interventricular septum, ejection fraction, and mean velocity of fiber shortening had a progressive and significant increase during dobutamine infusion. Preejection period and left ventricular ejection time had a progressive and significative decrease during the stress test. CONCLUSIONS: The technique used was feasable, safe, and repeatable in healthy conscious dogs. Control values were determined. CLINICAL RELEVANCE: Data for these healthy dogs might be useful for comparison with results obtained from dogs with known or suspected cardiovascular disease.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Mc Entee, Kathleen ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Sémiologie et clinique médicale des petits animaux
Amory, Hélène ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Médecine interne des équidés
Clercx, Cécile ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Pathologie médicale des petits animaux
Soyeur, Daniel ; Université de Liège - ULiège > Département des sciences cliniques > Cardiologie
Geudvert, Claudine ; Centre Hospitalier Universitaire de Liège - CHU > Médecine de l'appareil locomoteur
Vanhaeverbeek, O.
Jacqmot, Olivier ; Université de Liège - ULiège > Département de morphologie et pathologie > Anatomie
Henroteaux, Marc ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Département clinique des animaux de compagnie et des équidés
Language :
English
Title :
Physiologic Response to Dobutamine Infusion During Cardiac Stress Testing of Dogs
Calvert, C.A., Update: Canine dilated cardiomyopathy (1992) Current Veterinary Therapy XI: Small Animal Practice, pp. 773-779. , Kirk RW, Bonagura JD, eds. Philadelphia: WB Saunders Co
Tutle, R.R., Mills, J., Dobutamine: Development of a new cathecolamine to selectively increase cardiac contractility (1975) Circ Res, 36, pp. 185-196
Rush, J.E., Emergency therapy and monitoring of heart failure (1992) Current Veterinary Therapy XI: Small Animal Practice, pp. 713-721. , Kirk RW, Bonagura JD, eds. Philadelphia: WB Saunders Co
Weissman, N.J., Nidorf, S.M., Guerrero, J.L., Optimal stage duration in dobutamine stress echocardiography (1995) J Am Coll Cardiol, 25 (3), pp. 605-609
Freeman, M.L., Palac, R., Mason, J., A comparison of dobutamine infusion and supine bicycle exercise for radionuclide cardiac stress testing (1984) Clin Nucl Med, 9, pp. 251-255
Hoffmann, R., Lethen, H., Kleinhans, E., Comparative evaluation of bicycle and dobutamine stress echocardiography with perfusion scintigraphy and bicycle electrocardiogram for identification of coronary artery disease (1993) Am J Cardiol, 72 (7), pp. 555-559
Mannering, D., Cripps, T., Mehta, N., The dobutamine stress test as an alternative to exercise stress testing after acute myocardial infarction (1988) Br Heart J, 59, pp. 521-526
Schechter, E., Wilson, M.F., Kong, Y.S., Physiologic responses to epinephrine infusion: The basis for a new stress test for coronary artery disease (1983) Am Heart J, 105, pp. 554-560
Valtonen, M.H., Eriksson, L.M., The effect of cuff width on accuracy of indirect measurement of blood pressure in dogs (1970) Res Vet Sci, 2, pp. 358-362
Kittleson, M.D., Olivier, N.B., Measurement of systemic arterial blood pressure (1983) Vet Clin North Am Small Anim Pract, 13, pp. 321-336
Sahn, D.J., DeMaria, A., Kisslo, J., Recommendations regarding quantitation in M-mode echocardiography: Results of a survey of echocardiographic measurements (1978) Circulation, 6, pp. 1072-1083
Thomas, W.P., Gaber, C.E., Jacobs, G.J., Recommendations for standards in transthoracic two-dimensional echocardiography in the dog and cat (1993) J Vet Intern Med, 7, pp. 247-252
Wicker, B.J., (1971) Statistical Principles of Experimental Design, , New York: McGraw-Hill Book Co
(1989) SAS User's Guide: Version 6 Edition. 4th Ed., 2. , Cary, NC: SAS Institute Inc
Eichelberger, J.P., Schwarz, K.Q., Black, E.R., Predictive value of dobutamine echocardiography just before noncardiac vascular surgery (1993) Am J Cardiol, 72, pp. 602-607
Sawada, S.G., Segar, D.S., Ryan, T., Echographic detection of coronary artery disease during dobutamine infusion (1991) Circulation, 83, pp. 1605-1614
Cohen, J.L., Greene, T.O., Ottenweller, J., Dobutamine digital echocardiography for detecting coronary artery disease (1991) Am J Cardiol, 67, pp. 1311-1318
Klewer, S.E., Goldberg, S.J., Donnerstein, R.L., Dobutamine stress echocardiography: A sensitive indicator of diminished myocardial function in asymptomatic doxorubicin-treated long-term survivors of childhood cancer (1992) J Am Coll Cardiol, 19, pp. 394-401
McEntee, K., Clercx, C., Pypendop, B., Cardiac performance in conscious healthy dogs during dobutamine infusion (1996) Res Vet Sci, 61, pp. 234-239
Berthe, C., Pierard, L.A., Hiernaux, M., Predicting the extent and location of coronary artery disease in acute myocardial infarction by echocardiography during dobutamine infusion (1986) Am J Cardiol, 58, pp. 1167-1172
Martin, T.W., Seaworth, J.F., Johns, J.P., Comparison of adenosine, dipyridamole, and dobutamine in stress echocardiography (1992) Ann Intern Med, 116, pp. 190-196
Fung, A.Y., Gallagher, K.P., Buda, A.J., The physiologic basis of dobutamine as compared with dipyridamole stress interventions in the assesment of critical coronary stenosis (1987) Circulation, 76, pp. 943-951
Vatner, S.F., McRitchie, R.J., Braunwald, E., Effects of dobutamine on left ventricular performance, coronary dynamics, and distribution of cardiac output in conscious dogs (1974) J Clin Invest, 53, pp. 1265-1273
Atkins, C.E., Curtis, M.B., McGuirk, S.M., The use of M-Mode echocardiography in determining cardiac output in dogs with normal, low, and high output states: Comparison to thermodilution method (1992) Vet Radiol Ultrasound, 33, pp. 297-304
Cissik, C.G., Ehler, W.J., Hankins, G.D., Determination of cardiac output and other reference physiology parameters in lightly anesthetized dogs (1987) Comp Biochem Physiol, 88 A, pp. 89-93
Farver, T.B., Haskins, S.C., Patz, J.D., Cardiopulmonary effects of acepromazine and of the subsequent administration of ketamine in the dog (1986) Am J Vet Res, 47, pp. 631-635
Haskins, S.C., Patz, J.D., Farver, T.B., Xylazine and xylazine-ketamine in dogs (1986) Am J Vet Res, 47, pp. 636-641
Mc Entee, K., Amory, H., Pypendop, B., Effects of dobutamine on isovolumic and ejection phases indices of cardiac contractility in conscious healthy dogs (1998) Res Vet Sci, 64, pp. 45-50
Van Den Brom, W.E., Stokhof, A.A., Radionuclide angiocardiography in the normal dog: First-pass studies (1989) Res Vet Sci, 47, pp. 327-332
Lord, P.F., Carmichael, J.A., Tashjian, R.J., Left ventricular volume measurements by single-plane cineangiocardiography: Hemodynamic study of normal canine left ventricle (1970) Am J Vet Res, 31, pp. 2031-2043
O'Grady, M.R., Bonagura, J.D., Powers, J.D., Quantitative cross-sectional echocardiography in the normal dog (1986) Vet Radiol, 27, pp. 34-49
De Madron, E., Mise au point sur les valeurs échocardiographiques TM normales chez le chien (1995) Prat Méd Chir Anim Comp, 30, pp. 647-657
Bayón, A., Fernández Del Palacio, M.J., Montes, A.M., M-mode echocardiography study in growing Spanish mastiffs (1994) J Small Anim Pract, 35, pp. 473-479
Morrison, S.A., Moise, N.S., Scarlett, J., Effect of breed and body weight on echocardiographic values in four breeds of dogs of differing somatotype (1992) J Vet Intern Med, 6, pp. 220-224
Page, A., Edmunds, G., Atwell, R.B., Echocardiographic values in the Greyhound (1993) Aust Vet J, 70, pp. 361-364
Jacobs, G., Mahjoob, K., Multiple regression analysis, using body size and cardiac cycle length, in predicting echocardiographic variables in dogs (1988) Am J Vet Res, 49, pp. 1290-1294
Jacobs, G., Mahjoob, K., Influence of alterations in heart rate on echocardiographic measurements in the dog (1988) Am J Vet Res, 49, pp. 548-552
Atkins, C.E., Snyder, P.S., Systolic time intervals and their derivatives for evaluation of cardiac function (1992) J Vet Intern Med, 6, pp. 55-63
Pipers, F.S., Andrysco, R.M., Hamlin, R.L., A totally noninvasive method for obtaining systolic time intervals in the dog (1978) Am J Vet Res, 39, pp. 1822-1826
Peterson, K.L., Skloven, D., Ludbrook, P., Comparison of isovolumic and ejection phase indices of myocardial performance in man (1974) Circulation, 49, pp. 1088-1101
Ross Jr., J., Peterson, K.L., On the assessment of cardiac inotropic state (1973) Circulation, 47, pp. 435-438
Covell, J.W., Mahler, F., O'Rourke, R., Velocity of left ventricular (LV) fiber shortening during acute loading and altered contractility in the conscious dog (1973) Circulation Suppl, 7-8, pp. IV-66
Lombard, C.W., Normal values of the canine M-mode echocardiogram (1984) Am J Vet Res, 45, pp. 2015-2018
Bonagura, J.D., O'Grady, M.R., Herring, D.S., Echocardiography: Principles of interpretation (1985) Vet Clin North Am Small Anim Pract, 15, pp. 1177-1194
Panciera, D.L., An echocardiographic and electrocardiographic study of cardiovascular function in hypothyroid dogs (1994) J Am Vet Med Assoc, 205, pp. 996-1000
Panciera, D.L., Keene, B.W., Mier, H.C., Administration of levothyroxine to euthyroid dogs does not affect echocardiographic and electrocardiographic measurements (1992) Res Vet Sci, 53, pp. 130-132
Sisson, D.D., Daniel, G.B., Twardock, A.R., Comparison of left ventricular ejection fractions determined in healthy anesthetized dogs by echocardiography and gated equilibrium radionuclide ventriculography (1989) Am J Vet Res, 50, pp. 1840-1847
Mackintosh, I.C., Dormehl, I.C., Van Gelder, A.L., Blood volume, heart rate, and left ventricular ejection fraction changes in dogs before and after exercise during endurance training (1983) Am J Vet Res, 44, pp. 1960-1962