Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy
Juga dikenal sebagai: HCM, Hypertrophic obstructive cardiomyopathy, HOCM
Singkatnya
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. Penebalan dinding ventrikel kiri, terutama pada kucing; risiko gagal jantung atau emboli arteri.
Dinding LV menebal dan mengurangi pengisian.
Apa itu?
Penyakit miokardium primer: LV tebal dan kaku, kongesti paru, risiko tromboemboli arteri (ATE).
Penyebab dan faktor risiko
Sebagian besar genetik pada kucing. Predisposisi: Maine Coon, Ragdoll cats, American Shorthair, Persian, British Shorthair, Norwegian Forest Cat, Scottish Fold, Bengal Cat. Singkirkan hipertensi dan hipertiroidisme.
Tanda
- Umum: takipnea, dispnea, letargi; kadang asimtomatik
- Kadang: sinkop, lumpuh akut kaki belakang (ATE)
Pernapasan mulut terbuka pada kucing adalah darurat.
Diagnosis
Echo jantung, rontgen, EKG, tekanan darah, T4.
Echo mengukur ketebalan dan fungsi.
Pengobatan
- CHF: Furosemide; oksigen bila perlu
- Risiko bekuan: Clopidogrel atau Aspirin jika LA membesar
- Adjuvan: Atenolol, Diltiazem pada kasus terpilih; Spironolactone sebagai diuretik
Prognosis
Sangat bervariasi; setelah CHF atau ATE lebih waspada.
Pencegahan
Skrining ras berisiko.
Kapan hubungi dokter hewan
Darurat: pernapasan mulut, takipnea saat istirahat, kolaps, lumpuh belakang akut.
Ras
Pemilik Maine Coon, Ragdoll cats: diskusikan echo skrining.
Sumber
- 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
Tanda & gejala
Ras berisiko lebih tinggi
Cara didiagnosis
- EchocardiographyStandar emas
- Electrocardiography
- Systemic blood pressure measurement
- Thoracic radiographs
- Genetic Testing
Pendekatan pengobatan
Pengobatan harus diresepkan dokter hewan berlisensi. Dosis spesifik sengaja tidak ditampilkan.
Pertanyaan umum
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?
Pengobatan harus diresepkan dokter hewan berlisensi. Dosis spesifik sengaja tidak ditampilkan.
Sumber
- 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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