Caudal vena cava point-of-care ultrasound in dogs with degenerative mitral valve disease without clinically important right heart disease.

Giraud, Léna; Fernandes Rodrigues, Nina; Lekane, Marine; Farnir, Frédéric; Kennedy, Christopher; Gommeren, Kris; Merveille, Anne-Christine

doi:10.1016/j.jvc.2022.01.001

Article (Scientific journals)

Caudal vena cava point-of-care ultrasound in dogs with degenerative mitral valve disease without clinically important right heart disease.

Giraud, Léna; Fernandes Rodrigues, Nina; Lekane, Marine et al.

2022 • In Journal of Veterinary Cardiology, 41, p. 18-29

Peer Reviewed verified by ORBi

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https://hdl.handle.net/2268/289665

DOI
10.1016/j.jvc.2022.01.001

PubMed
35168168

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Keywords :

Compensation; caval size; volume status; Physiology; Veterinary (all); General Veterinary

Abstract :

[en] OBJECTIVES: Caudal vena cava (CVC) diameter and collapsibility index (CVCD and CVCCI) have been used to assess intravascular volume status (IVS). Maladaptations with progressive degenerative mitral valve disease (DMVD) lead to hypervolemia. We hypothesised that stages of DMVD will affect ultrasonographic CVC variables in dogs without clinically important right heart disease. ANIMALS, MATERIALS AND METHODS: This retrospective study included 79 dogs with DMVD presented to the cardiology department between January 2017 and 2019. Subxiphoid views were used to obtain CVC cineloops. By visual inspection, CVC was subjectively scored as flat, normal or fat. Maximal and minimal CVCD were measured and indexed to aortic diameter (CVCD-max/Ao and CVCD-min/Ao); CVCCI was calculated as (CVCD-max-CVCD-min)/CVCD-max. Fisher's exact and Kruskal-Wallis tests were used to compare CVC variables. RESULTS: Subjective assessment was associated with American College of Veterinary Internal Medicine (ACVIM) stages (P < 0.001). The proportion of fat CVC was greater in stages C and D. In stage D, CVCD-max/Ao was larger compared with stages B1, B2 and C (P = 0.002, P = 0.002 and P = 0.035, respectively). In stages C and D, CVCD-min/Ao was larger compared with B1 (P = 0.016 and P = 0.001) and B2 (P = 0.002 and P < 0.001. In stages C and D, CVCCI was less than stage B1 (P = 0.016 and P = 0.044) and B2 (P = 0.001 and P = 0.010). CONCLUSIONS: In dogs with DMVD without clinically important right heart disease, CVC variables differ across ACVIM stage. Subjective and objective CVC variables may be used to predict hypervolemia.

Disciplines :

Veterinary medicine & animal health

Author, co-author :

Giraud, Léna ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Médecine interne des animaux de compagnie

Fernandes Rodrigues, Nina ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Médecine interne des animaux de compagnie

Lekane, Marine ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Cardiologie des animaux de compagnie

Farnir, Frédéric ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH)

Kennedy, Christopher ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) > FARAH: Médecine vétérinaire comparée ; Department of Emergency and Critical Care, Canada West Veterinary Specialists, 1988 Kootenay Street, Vancouver, B.C. V5M 4Y3, Canada

Gommeren, Kris ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Urgences / Soins intensifs des animaux de compagnie

Merveille, Anne-Christine ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Cardiologie des animaux de compagnie

Language :

English

Title :

Caudal vena cava point-of-care ultrasound in dogs with degenerative mitral valve disease without clinically important right heart disease.

Publication date :

16 January 2022

Journal title :

Journal of Veterinary Cardiology

ISSN :

1760-2734

eISSN :

1875-0834

Publisher :

Elsevier B.V., Netherlands

Volume :

Pages :

18-29

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.elsevier.com/content/article/PII:S1760273422000017?httpAccept=text/xml

Available on ORBi :

since 15 April 2022

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