Cardiology

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Chronic valve disease (CVD), also called mitral valve disease or endocardiosis, is the most common form of acquired cardiac disease diagnosed in small- and medium-sized dogs. The mitral valve alone is affected in 60 percent of cases of chronic valve disease, whereas only the tricuspid valve is affected in 10 percent of cases. Thirty percent will have both the tricuspid and mitral valves affected. Endocardiosis is an age-related thickening of the mitral valve due to fibroblast proliferation and an increase in collagen and elastic fibers. The thickening of the mitral valve allows a regurgitant volume of blood to be forced from the high-pressure left ventricle into the low-pressure left atrium during systole. Over time, regurgitation can lead to progressive atrial and ventricular enlargement due to volume overload. Severe mitral regurgitation can lead to left-sided congestive heart failure and pulmonary edema formation. Long-term severe mitral regurgitation can lead to generalized heart failure. Right heart..

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Over thousands of years, greyhounds have been bred and selected for speed. This selective breeding may explain a number of the idiosyncrasies we see in the breed today. Retired racing greyhounds are becoming more common pets and more common patients in veterinary hospitals. It is estimated that about 18,000 greyhounds are placed into homes as pets annually. This article will familiarize practitioners with some idiosyncrasies in greyhounds that can affect their medical care.

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We now have an arsenal of test kits and prophylactics to choose from, and it can be confusing to know which to purchase. We tend to mold ourselves to the product instead of molding the product to the individual patient. This article should help you tailor the heartworm diagnostic, therapeutic, and prophylactic options to each of your canine and feline patients.

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How often have you said, "Look it up in Ettinger's?" Dr. Stephen J. Ettinger co-edited the renowned Textbook of Veterinary Internal Medicine, now in its sixth edition. An internist and cardiologist, he practices at California Animal Hospital in Los Angeles.