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Cardiac troponin I in Doberman Pinschers with cardiomyopathy
1Clinic of Small Animal Medicine, Statistical Consulting Unit, LMU University, Munich, Germany. gwess@lmu.de
Insights
Cardiac troponin I (cTnI) can detect dilated cardiomyopathy (DCM) in Doberman Pinschers, even in clinically normal dogs. This cardiac biomarker aids in early diagnosis of heart disease in this breed.
Area of Science:
- Veterinary Cardiology
- Biomarker Research
- Canine Health
Background:
- Cardiac troponin I (cTnI) is a known indicator of cardiac myocyte damage.
- Its diagnostic utility across various stages of dilated cardiomyopathy (DCM) in Doberman Pinschers remains under investigation.
Purpose of the Study:
- To assess the diagnostic value of cTnI in identifying different stages of DCM in Doberman Pinschers.
- To determine the efficacy of cTnI as an early detection marker for heart disease in this breed.
Main Methods:
- A longitudinal study involving 336 Doberman Pinschers and 653 cTnI measurements.
- Disease staging utilized 24-hour ambulatory ECG (Holter) and echocardiography.
- Dogs were categorized into control, VPC, ECHO, VPC plus ECHO, clinical, and incipient DCM groups.
Main Results:
- cTnI levels were significantly higher in all DCM groups compared to controls (P<.001).
- An elevated cTnI cutoff (>0.22 ng/mL) demonstrated 79.5% sensitivity and 84.4% specificity for detecting cardiomyopathy.
- Higher cTnI values were observed even in dogs with only ventricular premature contractions (VPCs) or incipient disease.
Conclusions:
- Cardiac troponin I (cTnI) measurement is a valuable diagnostic tool for detecting DCM in Doberman Pinschers.
- cTnI can identify cardiomyopathy in dogs that appear clinically normal on routine examination.
- This biomarker aids in the early detection and management of heart disease in Dobermans.
Background:
Cardiac troponin I (cTnI) is useful for detection of cardiac myocyte damage, but its efficacy in detecting various stages of dilated cardiomyopathy (DCM) in Doberman Pinschers is unclear.
Objectives:
To evaluate the diagnostic value of cTnI in various stages of DCM in Dobermans.
Animals:
Six hundred and fifty-three cTnI measurements of 336 Doberman Pinschers.
Methods:
Using a longitudinal study design, staging of the disease was based upon 24-hour-ambulatory-ECG (Holter) and echocardiography. A total of 447 cTnI measurements were performed in 264 healthy Dobermans, and 206 cTnI measurements in 75 Dobermans with cardiomyopathy. Eighty-eight cTnI samples were from dogs with >100 ventricular premature contractions (VPCs)/24 hour, but without echocardiographic changes ("VPC group"). Additional 19 samples originated from dogs with only echocardiographic changes ("ECHO group"), and 56 samples from dogs with both VPCs and echocardiographic changes ("VPC plus ECHO group"). Twenty samples were from dogs with clinical signs ("clinical group"). The group "incipient" included 23 dogs, that were considered to be normal according to Holter and echocardiography at the time of the exam, but that developed DCM within 1.5 years.
Results:
cTnI values of dogs in all disease groups, including the "incipient" (0.30+/-0.20) and "VPC group" (0.36+/-0.34), were significantly (P=.04, P<.001) higher than the control group (0.07+/-0.16). A cut-off value of >0.22 ng/mL had a sensitivity of 79.5% and a specificity of 84.4% to detect all forms of cardiomyopathy.
Conclusions And Clinical Importance:
cTnI measurement is a valuable diagnostic test that can detect cardiomyopathy in dogs that are otherwise clinically normal.
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