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Tachycardia-Induced Cardiomyopathy As a Chronic Heart Failure Model in Swine
Published on: February 17, 2018
Prevalence of cardiomyopathy in apparently healthy cats
Christopher F Paige1, Jonathan A Abbott, François Elvinger
1Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Virginia Polytechnic Institute, Blacksburg, VA 24061, USA.
Insights
Cardiomyopathy is common in apparently healthy cats, affecting 15.5%. A heart murmur is not a reliable indicator of this feline heart condition.
Area of Science:
- Veterinary Cardiology
- Feline Internal Medicine
Background:
- Cardiomyopathy is a significant concern in feline cardiac health.
- Understanding the prevalence of cardiac conditions in seemingly healthy animals is crucial for preventative care.
Purpose of the Study:
- To determine the prevalence of cardiomyopathy in apparently healthy domestic cats.
- To investigate the association between heart murmurs and cardiomyopathy in this population.
Main Methods:
- A cross-sectional study involving 103 privately owned, apparently healthy domestic cats.
- Physical and echocardiographic examinations were performed independently by two investigators.
- Left ventricular hypertrophy was diagnosed using echocardiography, defining hypertrophic cardiomyopathy (HCM) based on specific criteria.
Main Results:
- Cardiomyopathy was identified in 15.5% of cats, with hypertrophic cardiomyopathy (HCM) being the most common form.
- Heart murmurs were detected in 15.5% of cats, but only 5 of these had co-existing cardiomyopathy.
- The sensitivity of detecting a heart murmur for diagnosing cardiomyopathy was 31%, with a specificity of 87%.
Conclusions:
- Cardiomyopathy is a prevalent condition in apparently healthy cats.
- Auscultatory detection of a heart murmur is not a reliable diagnostic indicator for cardiomyopathy in this population.
- Further research may explore additional diagnostic markers for feline cardiomyopathy.
Objective:
To determine the prevalence of cardiomyopathy and the relationship between cardiomyopathy and heart murmurs in apparently healthy cats.
Design:
Cross-sectional study.
Animals:
103 privately owned, apparently healthy domestic cats.
Procedures:
Cats were physically and echocardiographically examined by 2 investigators independently. Left ventricular wall thickness was determined via 2-dimensional echocardiography in short-axis and long-axis planes. Left ventricular hypertrophy was identified when end-diastolic measurements of the interventricular septum or posterior wall were > or = 6 mm. Cats with left ventricular hypertrophy but without left ventricular dilatation were considered to have hypertrophic cardiomyopathy (HCM). The associations between heart murmurs and Doppler echocardiographic velocity profiles indicative of dynamic ventricular outflow tract obstruction were evaluated.
Results:
Heart murmurs were detected in 16 (15.5%; 95% confidence interval, 9.2% to 24.0%) cats; of these, 5 had cardiomyopathy. Cardiomyopathy was also identified in 16 (15.5%; 95% confidence interval, 9.2% to 24.0%) cats; 15 had HCM, and 1 had arrhythmogenic right ventricular cardiomyopathy. Of the cats with HCM, 11 had segmental left ventricular hypertrophy, 3 had diffuse left ventricular hypertrophy, and 1 had borderline left ventricular hypertrophy with marked systolic anterior motion of the mitral valve. Sensitivity and specificity of auscultatory detection of a heart murmur for diagnosing cardiomyopathy were 31% and 87%, respectively. Echocardiographic evidence of late systolic acceleration within ventricular outflow tracts was associated with the existence of a heart murmur.
Conclusions And Clinical Relevance:
Cardiomyopathy was common in the healthy cats evaluated in this study. In apparently healthy cats, detection of a heart murmur is not a reliable indicator of cardiomyopathy.
Related Concept Videos
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy V: Interprofessional Care
Myocarditis II: Clinical Features and Diagnostic Tests

