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Systolic and diastolic myocardial dysfunction in cats with hypertrophic cardiomyopathy or systemic hypertension
Carolina Carlos Sampedrano1, Valérie Chetboul, Vassiliki Gouni
1Unité de Cardiologie d'Alfort, Ecole Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.
Insights
Tissue Doppler imaging detects similar myocardial dysfunction in cats with hypertrophic cardiomyopathy (HCM) and systemic hypertension (SHT)-induced left-ventricular hypertrophy (LVH). This dysfunction occurs even in non-hypertrophied segments, aiding disease understanding.
Area of Science:
- Veterinary Cardiology
- Echocardiography
- Feline Heart Disease
Background:
- Hypertrophic cardiomyopathy (HCM) and systemic hypertension (SHT) are common causes of left-ventricular hypertrophy (LVH) in cats.
- Assessing LVH-associated myocardial dysfunction is crucial for understanding feline heart disease pathophysiology.
Purpose of the Study:
- To quantify left-ventricular free-wall (LVFW) motion using tissue Doppler imaging (TDI).
- To differentiate feline HCM from SHT-related LVH (LVH-SHT) using TDI-derived LVFW motion parameters.
Main Methods:
- Echocardiography and 2D color TDI were performed on 108 cats (35 HCM, 17 LVH-SHT, 56 controls).
- Analysis focused on radial and longitudinal diastolic and systolic LVFW velocities.
Main Results:
- Both HCM and LVH-SHT groups showed similar alterations in diastolic LVFW velocities compared to controls.
- Systolic dysfunction was observed in longitudinal motion for both hypertrophy groups, but not radial motion.
- Diastolic dysfunction was present in non-hypertrophied segments in both HCM and LVH-SHT cats.
Conclusions:
- LVFW motion alterations are similar in cats with HCM and LVH-SHT.
- TDI can detect systolic and diastolic functional changes in non-hypertrophied segments.
- These findings highlight TDI's utility in evaluating myocardial dysfunction in feline cardiac diseases.
Background:
Hypertrophic cardiomyopathy (HCM) and chronic systemic hypertension (SHT) can both lead to left-ventricular hypertrophy (LVH) in cats. Assessment of LVH-associated myocardial dysfunction could provide new insights in the understanding of the pathophysiology of these diseases.
Hypothesis:
Quantification of left-ventricular free-wall (LVFW) motion using tissue Doppler imaging (TDI) could permit differentiation of feline HCM from SHT-related LVH (LVH-SHT).
Animals:
A total of 108 cats of different breeds were enrolled in this study: 35 cats with HCM, 17 with concentric LVH and SHT, and 56 healthy cats as a control group.
Methods:
All cats were examined by conventional echocardiography and 2-dimensional color TDI.
Results:
Radial and longitudinal diastolic LVFW velocities were similarly altered in cats with HCM and LVH-SHT, compared to controls. Systolic velocities were also lower in the groups with hypertrophy than in the controls, for longitudinal but not radial motion. To determine whether these diastolic and systolic alterations could also be observed in cats without LVFW hypertrophy, we performed a subgroup analysis in cats with a normal M-mode examination, that is, with only a localized subaortic interventricular septum hypertrophy. A significant radial and longitudinal diastolic dysfunction was still observed in both the HCM and LVH-SHT groups compared to controls, and systolic dysfunction was detected in the longitudinal motion.
Conclusions:
LVFW motion is similarly altered in cats with HCM and LVH-SHT. This dysfunction occurs independently of the presence of myocardial hypertrophy, demonstrating that TDI is capable of detecting systolic and diastolic segmental functional changes in nonhypertrophied wall segments in cats with HCM and SHT.
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