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A review of interesting case studies (Proceedings)
The objectives of this presentation will be to discuss treatment of heart disease in clinical cases.
The objectives of this presentation will be to discuss treatment of heart disease in clinical cases.
Maisha- 6 Year Old Female Spayed Doberman Pincher, 60 Lbs
HX: Presented for 1 week history of coughing, owner has noticed some weight loss over the past 6 months, with some exercise intolerance
Physical examination:
2/6 Systolic murmur heard at the left apex
Heart Rate 200 bpm, irregular
Respiration 60
Temp 101.4
• Radiographs:
• Echocardiogram:
• Electrocardiogram:
• What is your interpretation of this case so far?
• What is your treatment plan?
Buck- 3 Year Old, Male Castrated Domestic Shorthair Cat
HX: Presented for 3 day history of anorexia, depression
Physical examination:
3/6 Systolic murmur heard sternally
Heart Rate 240 bpm
Respiration 44
Temp 101.4
• Radiographs:
• Echocardiogram:
• What is your interpretation of this case so far?
• What is your treatment plan?
Lolly- 13 Year Old, Female Spayed Cocker Spaniel Mix
HX: Previous diagnosis of mitral and tricuspid valve endocardiosis. Presented for evaluation of chronic, progressively increasing abdominal distension
Physical examination:
5/6 Systolic murmur heard at the right and left apex
Heart Rate 150 bpm
Respiration 44
Temp 101.4
• Radiographs:
• Echocardiogram:
• Abdominocentesis – clear,pink fluid consistent with ascites
• What is your interpretation of this case so far?
• What is your treatment plan?
Sissy - 7 Year Old Boxer, Female Spayed 65 Lbs
HX: Sissy was playing with owner in the front yard when she suddenly fell over. Owner performed "CPR" and Sissy appeared to come around. Now seems bright and alert upon presentation
Physical examination:
Heart Rate 176 bpm, irregular
Respiration panting
Temp 101.2
An electrocardiogram is performed
Radiographs are within normal limits
• What is your interpretation of this case so far?
• What is your treatment plan?
Rodney- 6 Year Old, Male Castrated Domestic Shorthair Cat
HX: Heart murmur heard on annual evaluation. Owner feels cat is asymptomatic
Physical examination:
4/6 Systolic murmur heard sternally
Heart Rate 240 bpm
Respiration 30
Temp 101.4
• Radiographs: Left ventricular enlargement, mild left atrial enlargement, no evidence of heart failure
• Echocardiogram Confirms a diagnosis of hypertrophic cardiomyopathy with left ventricular outflow obstruction (SAM)
• What is your treatment plan?