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Published on: August 8, 2022
The Feline Cardiomyopathies: 3. Cardiomyopathies other than HCM
Mark D Kittleson1, Etienne Côté2
1School of Veterinary Medicine, Department of Medicine and Epidemiology, University of California, Davis, and Veterinary Information Network, 777 West Covell Boulevard, Davis, CA 95616, USA.
Feline hypertrophic cardiomyopathy (HCM) is common, but other cardiomyopathies like dilated (DCM) and restrictive (RCM) are recognized. Echocardiography is key for diagnosis, though treatment often remains similar across feline cardiomyopathy types.
Area of Science:
- Veterinary Cardiology
- Feline Medicine
- Cardiovascular Research
Background:
- Feline hypertrophic cardiomyopathy (HCM) is the most common cardiac disease in cats.
- Other cardiomyopathies, including dilated cardiomyopathy (DCM), restrictive cardiomyopathy (RCM), arrhythmogenic right ventricular cardiomyopathy (ARVC), left ventricular noncompaction (LVNC), and cardiomyopathy - nonspecific phenotype (NCM), are also recognized in domestic cats.
- These less common cardiomyopathies are often diagnosed late, typically when cats present with heart failure or thromboembolic disease.
Purpose of the Study:
- To review the recognition, diagnosis, and management of non-HCM cardiomyopathies in domestic cats.
- To highlight the diagnostic role of echocardiography in differentiating feline cardiomyopathies.
- To discuss the clinical presentation and treatment similarities among various feline cardiomyopathy types.
Main Methods:
- Review of existing literature on feline cardiomyopathies.
- Echocardiographic findings for different cardiomyopathy types (RCM, DCM, ARVC, LVNC, NCM).
- Comparison of clinical presentations and treatment strategies for HCM and other feline cardiomyopathies.
Main Results:
- Non-HCM cardiomyopathies are rarely suspected in subclinical cats and are often identified during advanced disease stages.
- Echocardiography is the definitive diagnostic tool for confirming feline cardiomyopathies.
- While distinct echocardiographic criteria exist for RCM, DCM, ARVC, and LVNC, the nonspecific phenotype (NCM) encompasses cases not fitting specific criteria or meeting multiple criteria.
- Treatment for heart failure, thromboembolism, and other consequences is generally consistent across different feline cardiomyopathy diagnoses.
Conclusions:
- The clinical and radiographic signs of feline cardiomyopathies can be indistinguishable from HCM.
- Echocardiography is crucial for ante-mortem diagnosis, but distinguishing between types is not always essential for guiding therapy due to similar prognoses and treatments.
- Further research into interrelationships among feline cardiomyopathies may offer critical insights for future treatment and prognosis.
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