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Echocardiographic assessment of right ventricular systolic function in Boxers with arrhythmogenic right ventricular
S M Cunningham1, B D Aona2, K Antoon1
1Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Road, North Grafton, MA, USA, 01536.
Insights
Boxer dogs with arrhythmogenic right ventricular cardiomyopathy (ARVC) show reduced right ventricular (RV) systolic function, specifically in tricuspid annular plane systolic excursion (TAPSE) and S' velocity. These measures can help distinguish ARVC-affected Boxers from healthy controls.
Area of Science:
- Cardiology
- Veterinary Medicine
- Canine Health
Background:
- Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a significant cardiac condition in Boxer dogs.
- Longitudinal right ventricular (RV) systolic function is crucial for assessing cardiac health.
- Previous studies have explored RV function markers in various dog breeds.
Purpose of the Study:
- To compare RV systolic function measures between Boxers with ARVC and healthy controls.
- To investigate the relationship between RV function markers and factors like age, weight, gender, arrhythmia, and left ventricular (LV) function in Boxers.
- To determine the diagnostic utility of specific RV function parameters in identifying ARVC in Boxers.
Main Methods:
- A retrospective echocardiographic study involving 50 client-owned Boxer dogs.
- Measurement of tricuspid annular plane systolic excursion (TAPSE) and lateral tricuspid annular systolic velocity (S') in three groups: healthy controls, Boxers with ARVC and normal LV function, and Boxers with ARVC and reduced LV function.
- Statistical analysis including group comparisons and correlation analyses.
Main Results:
- Significant differences in TAPSE and S' were observed between Boxers with ARVC and healthy controls (p=0.002 and p=0.001, respectively).
- Correlations were found between left heart size/function and TAPSE/S'.
- No correlations were found between RV function parameters and age, gender, or body weight in this Boxer population. TAPSE and S' demonstrated an area under the curve of 0.77 for distinguishing ARVC-affected Boxers.
Conclusions:
- Boxer dogs diagnosed with ARVC exhibit diminished RV systolic function, indicated by reduced TAPSE and S'.
- TAPSE and S' are effective echocardiographic markers for differentiating ARVC in Boxer dogs.
- Unlike in mixed-breed populations, body weight was not correlated with RV function markers in this homogeneous group of Boxers.
Objectives:
To determine whether there are differences in measures of longitudinal right ventricular (RV) systolic function among Boxers with arrhythmogenic right ventricular cardiomyopathy (ARVC) compared with healthy control Boxer dogs. To explore relationships between markers of RV systolic function and age, body weight, gender, arrhythmia frequency, and markers of left ventricular (LV) systolic function in Boxer dogs.
Animals:
The study included 50 client-owned Boxer dogs.
Methods:
This is a retrospective echocardiographic study. Tricuspid annular plane systolic excursion (TAPSE) and pulsed wave tissue Doppler imaging-derived systolic myocardial velocity of the lateral tricuspid annulus (S') were measured in healthy control Boxers (n = 18), Boxers with ARVC and normal LV systolic function (n = 19), and Boxers with ARVC and reduced LV systolic function (n = 13).
Results:
Tricuspid annular plane systolic excursion (p=0.002) and S' (p=0.001) were significantly different between affected and control groups. Significant correlations were found between measures of left heart size and function and both TAPSE and S'. No correlations were found between RV function parameters and age, gender, or body weight in this fairly homogeneous, single-breed population. Receiver operating characteristic curve analysis revealed that both TAPSE and S' had an area under the curve of 0.77 in distinguishing healthy Boxers from those with ARVC.
Conclusions:
Tricuspid annular plane systolic excursion and S' are reduced in Boxers with ARVC. In contrast to prior studies evaluating these parameters in dogs of different breeds and body types, no correlation was found between markers of RV function and body weight in this population of Boxer dogs.
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