A review of interesting case studies (Proceedings)

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?