Histologic characterization of canine dilated cardiomyopathy
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Published on: October 26, 2017
1Albano Animal Hospital of Stockholm, Rinkbyvägen 23, S-182 36 Danderyd, Sweden. anna_tidholm@hotmail.com
Insights
Dilated cardiomyopathy (DCM) in dogs presents two distinct histologic forms: fatty infiltration-degenerative and attenuated wavy fiber. The latter may precede clinical signs, aiding early diagnosis of this common canine heart disease.
Area of Science:
- Veterinary Cardiology
- Canine Pathology
Background:
- Dilated cardiomyopathy (DCM) is a prevalent heart disease in dogs, marked by chamber dilation and impaired heart function.
- Clinical diagnosis relies on echocardiography and Doppler exams, excluding other cardiac conditions.
- Echocardiographic criteria for DCM are not entirely specific, often necessitating histologic confirmation.
Purpose of the Study:
- To differentiate the distinct histologic forms of canine dilated cardiomyopathy.
- To investigate the potential for early detection of DCM through histologic changes.
Main Methods:
- Review of histologic findings in clinically diagnosed canine DCM cases.
- Classification of DCM into distinct histologic subtypes based on observed changes.
Main Results:
- Two primary histologic forms of DCM were identified: "fatty infiltration-degenerative" (common in Boxers, Doberman Pinschers) and "attenuated wavy fiber" (seen in various large breeds).
- Histologic changes of the "attenuated wavy fiber" type can manifest before clinical or echocardiographic evidence of DCM.
Conclusions:
- Histologic examination reveals at least two distinct forms of canine DCM.
- The "attenuated wavy fiber" form offers potential for earlier DCM diagnosis in dogs, preceding clinical manifestation.
Abstract:
Dilated cardiomyopathy (DCM), characterized by chamber dilatation and myocardial systolic and diastolic dysfunction, is one of the most common heart diseases in dogs. The clinical diagnosis is based on findings on echocardiographic and Doppler examinations, with the active exclusion of other acquired or congenital heart diseases. However, the echocardiographic criteria for the diagnosis of DCM are not wholly specific for the disease, and histologic examination may be necessary for final diagnosis. Review of reports on histologic findings in dogs with clinically diagnosed DCM reveals two histologically distinct forms of DCM: 1) cardiomyopathy of Boxers and Doberman Pinschers, corresponding to the "fatty infiltration-degenerative" type and 2) the form seen in many giant, large-, and medium-sized breeds, including some Boxers and Doberman Pinschers, classified as the "attenuated wavy fiber" type of DCM. The histologic changes of the attenuated wavy fiber type of DCM may precede clinical and echocardiographic signs of heart disease, thus indicating an early stage of DCM.
Related Concept Videos
Myocarditis I: Introduction
Myocarditis II: Clinical Features and Diagnostic Tests
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy

