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ACVIM consensus statement guidelines for the classification, diagnosis, and management of cardiomyopathies in cats

Virginia Luis Fuentes1, Jonathan Abbott2, Valérie Chetboul3

  • 1Department of Clinical Science and Services, Royal Veterinary College, Hatfield, United Kingdom.

Journal of Veterinary Internal Medicine
|April 4, 2020
PubMed

Insights

This consensus statement provides a new classification and staging system for feline cardiomyopathies, guiding diagnosis and management for better feline cardiac care.

Area of Science:

  • Veterinary Cardiology
  • Feline Medicine
  • Myocardial Diseases

Background:

  • Cardiomyopathies are common myocardial disorders in cats with varied prognoses.
  • These conditions can lead to severe outcomes like heart failure, thromboembolism, or sudden death.
  • Accurate classification and staging are crucial for effective management.

Purpose of the Study:

  • To establish a standardized classification system for feline cardiomyopathies based on phenotype.
  • To introduce a staging system, including risk stratification for subclinical cases.
  • To provide evidence-based recommendations for diagnosis, staging, and management.

Main Methods:

  • Review and synthesis of available scientific literature on feline cardiomyopathies.
  • Development of a consensus-based classification system using cardiac structure and function.
  • Creation of a staging protocol incorporating risk assessment for subclinical disease.

Main Results:

  • A phenotype-based classification system for feline cardiomyopathies has been outlined.
  • A comprehensive staging system, including risk stratification for subclinical cases, is introduced.
  • Recommendations for diagnostic and therapeutic approaches at each stage are provided.

Conclusions:

  • The proposed classification and staging systems aim to standardize the approach to feline cardiomyopathies.
  • This framework will aid veterinarians in diagnosing, staging, and managing cats with heart disease.
  • Improved understanding and management are expected to enhance outcomes for affected cats.

Keywords:
arrhythmogeniccardiovascularcongestive heart failureconsensus statementechocardiographyfelinehearthypertrophic cardiomyopathyrestrictive cardiomyopathyreviewtreatment

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