Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy
Juga dikenali sebagai: HCM, Hypertrophic obstructive cardiomyopathy, HOCM
Ringkasnya
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, terutamanya pada kucing; risiko gagal jantung atau embolisme arteri.
Dinding LV menebal dan mengurangkan pengisian.
Apakah ini?
Penyakit miokardium primer: LV tebal dan kaku, kesesakan paru-paru, risiko tromboembolisme arteri (ATE).
Punca dan faktor risiko
Kebanyakannya 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
- Biasa: takipnea, dyspnoea, letargi; kadang tanpa gejala
- Kadang-kadang: sinkop, lumpuh akut kaki belakang (ATE)
Pernafasan mulut terbuka pada kucing adalah kecemasan.
Diagnosis
Echo jantung, X-ray, ECG, tekanan darah, T4.
Echo mengukur ketebalan dan fungsi.
Rawatan
- CHF: Furosemide; oksigen jika perlu
- Risiko bekuan: Clopidogrel atau Aspirin jika LA membesar
- Adjuvan: Atenolol, Diltiazem dalam kes terpilih; Spironolactone sebagai diuretik
Prognosis
Sangat berubah-ubah; selepas CHF atau ATE lebih berjaga-jaga.
Pencegahan
Saringan baka berisiko.
Bila hubungi doktor haiwan
Kecemasan: pernafasan mulut, takipnea semasa rehat, rebah, lumpuh belakang akut.
Baka
Pemilik Maine Coon, Ragdoll cats: bincang echo saringan.
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 & simptom
Baka berisiko lebih tinggi
Cara didiagnosis
- EchocardiographyStandard emas
- Electrocardiography
- Systemic blood pressure measurement
- Thoracic radiographs
- Genetic Testing
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
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?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
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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