01
病例介绍
1.1 基本信息
1.2 主诉
02
临床检查
2.2 实验室检查
图4.1个月后复诊时心脏超声检查
03
诊断
04
治疗
05
讨论分析
5.1
猫的暂时性心脏病无法根据首次充血性心力衰竭的检查手段去进行确诊,在超声心动图上,猫暂时性心肌病与原发性肥厚性心肌病无显著差别;在临床症状上,肺水肿或者胸腔积液的发病率也与原发性肥厚性心肌病无显著差别;但有研究表明在首次猫充血性心力衰竭中,猫暂时性心肌病比肥厚性心肌病的预后更好;因此,确定猫TMT需要多次复诊根据心脏超声结果,左心室壁厚度下降至 5.5mm 及 LA/AO 下降才能进行确诊。
06
结论
【参考文献】
[1] J. Novo Matos,N. Pereira.Transient Myocardial Thickening in Cats Associated with Heart Failure. J Vet Intern Med. 2017
[2] Virginia Luis Fuentes.ACVIM consensus statement guidelines for the classification, diagnosis, and management of cardiomyopathies in cats.J Vet Intern Med. 2020;1–16
[3] K.V. Pierce, J.E. Rush.Association between Survival Time and Changes in NT-proBNP in Cats Treated for Congestive Heart Failure.J Vet Intern Med 2017
[4] Jessica L. Ward.Evaluation of point-of-care thoracic ultrasound and NT-proBNP for the diagnosis of congestive heart failure in cats with respiratory distress.J Vet Intern Med. 2018;1–12.
[5] Hezzell MJ, Rush JE, Humm K, et al. Differentiation of cardiac from noncardiac pleural effusions in cats using second-generation quantitative and point-of-care NT-proBNP measurements. J Vet Intern Med. 2016;30:536–542
[6] Fox PR, Rush JE, Reynolds CA, et al. Multicenter evaluation of plasma N-terminal probrain natriuretic peptide (NT-proBNP) as a biochemical screening test for asymptomatic (occult) cardiomyopathy in cats. J Vet Intern 2011;25:1010–1016.
来源:《东西部兽医》杂志 铎悦专栏
作者:张凯