Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy
Također poznato kao: HCM, Hypertrophic obstructive cardiomyopathy, HOCM
Ukratko
Hypertrophic cardiomyopathy (HCM) is a common and serious heart disease primarily affecting cats, and occasionally dogs, characterized by abnormal thickening of the heart muscle. This guide covers symptoms, genetic risks, diagnostic tests, and treatment options.
TL;DR. Zadebljanje stijenke lijeve klijetke, uglavnom u mačaka; rizik zatajenja srca ili arterijske embolije.
Stijenka LK se zadebljava i smanjuje punjenje.
Što je to?
Primarna bolest miokarda: debela, kruta LK, plućna kongestija, rizik arterijske tromboembolije (ATE).
Uzroci i čimbenici rizika
Uglavnom genetska u mačaka. Predispozicija: Maine Coon, Ragdoll cats, American Shorthair, Persian, British Shorthair, Norwegian Forest Cat, Scottish Fold, Bengal Cat. Isključiti hipertenziju i hipertireozu.
Znakovi
- Česti: tahipneja, dispneja, letargija; ponekad asimptomatska
- Povremeni: sinkopa, akutna paraliza stražnjih nogu (ATE)
Disanje otvorenih usta u mačke je hitno.
Dijagnostika
Echo srca, RTG, EKG, krvni tlak, T4.
Echo mjeri debljinu i funkciju.
Liječenje
- CHF: Furosemide; kisik po potrebi
- Rizik tromba: Clopidogrel ili Aspirin pri povećanom LA
- Adjuvansi: Atenolol, Diltiazem u odabranim slučajevima; Spironolactone kao diuretik
Prognoza
Vrlo varijabilna; nakon CHF ili ATE opreznija.
Prevencija
Screening kod rizičnih pasmina.
Kada zvati veterinara
Hitno: disanje ustima, tahipneja u mirovanju, kolaps, akutna paraliza stražnjih nogu.
Pasmine
Vlasnici Maine Coon, Ragdoll cats: razgovarati o screening echu.
Izvori
- Clinical Echocardiography of the Dog and Cat, p. 201
- Internal Medicine, 5th Edition, p. 179, 181
- Small Animal Critical Care Medicine, 2nd Edition, p. 250, 252
My highlights & notes
Znakovi i simptomi
Pasmine s višim rizikom
Kako se dijagnosticira
- EchocardiographyZlatni standard
- Electrocardiography
- Systemic blood pressure measurement
- Thoracic radiographs
- Genetic Testing
Pristupi liječenju
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Česta pitanja
What is Hypertrophic Cardiomyopathy?
Hypertrophic cardiomyopathy (HCM) is a common and serious heart disease primarily affecting cats, and occasionally dogs, characterized by abnormal thickening of the heart muscle. This guide covers symptoms, genetic risks, diagnostic tests, and treatment options.
What are the symptoms of Hypertrophic Cardiomyopathy?
Difficulty breathing (dyspnea)、Pleural effusion、Fluid in the lungs、Systolic murmur、Fast heart rate、Congestive heart failure、Irregular heartbeat、thromboembolism
How is Hypertrophic Cardiomyopathy diagnosed?
Echocardiography、Electrocardiography、Systemic blood pressure measurement、Thoracic radiographs、Genetic Testing
How is Hypertrophic Cardiomyopathy treated?
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Izvori
- Clinical Echocardiography of the Dog and Cat · p. 201
- Internal Medicine 5th · p. 181
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 252
- Internal Medicine 5th · p. 179
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 250
- Internal Medicine 5th · p. 179
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