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Clinical-Diagnostic and Therapeutic Advances in Feline Hypertrophic Cardiomyopathy
Felipe Gaia de Sousa1, Ana Cristina Ribeiro Mendes2, Luisa Pimenta de Carvalho2
1Department of Veterinary Clinic and Surgery, Veterinary School, Federal University of Minas Gerais-UFMG, Belo Horizonte 31620-295, Minas Gerais, Brazil.
Insights
This review summarizes feline hypertrophic cardiomyopathy (HCM), a heart disease in cats. Research highlights genetic causes, diagnostic methods, and current treatments to improve feline heart health.
Area of Science:
- Veterinary Cardiology
- Genetics
- Internal Medicine
Background:
- Feline hypertrophic cardiomyopathy (HCM) is a common cardiac disease in cats.
- It is characterized by left ventricular concentric hypertrophy and diastolic dysfunction.
- Genetic mutations in sarcomeric genes are strongly implicated in HCM development.
Purpose of the Study:
- To provide a comprehensive review of current evidence on feline HCM.
- To summarize the latest therapeutic advancements for managing feline HCM.
- To identify areas requiring further research in feline HCM diagnosis and treatment.
Main Methods:
- A comprehensive literature review was conducted.
- Existing evidence and recent therapeutic advancements were synthesized.
- Diagnostic criteria and treatment strategies were analyzed.
Main Results:
- Feline HCM involves variable, often asymmetric, concentric hypertrophy of the left ventricle.
- Diastolic dysfunction arises from cardiomyocyte disarray and myocardial fibrosis, impairing relaxation.
- Clinical signs frequently include congestive heart failure (CHF) and arterial thromboembolism (ATE).
Conclusions:
- Diagnosis relies on clinical evaluation, laboratory tests, and imaging, though some aspects need further understanding.
- Therapeutic management aims to control signs, slow progression, and enhance quality of life and life expectancy.
- Continued research is crucial for refining diagnostics and developing novel treatments for feline HCM.
Abstract:
A comprehensive literature review was conducted to summarise existing evidence and the latest therapeutic advancements in feline HCM. The disease phenotype is characterised by the development of concentric hypertrophy, which is variable but often asymmetric, primarily affecting the left ventricle. The HCM is marked by diastolic dysfunction, resulting in a reduced intracavitary internal diameter due to the disordered alignment of cardiomyocytes and excessive collagen deposition, which thickens the myocardial tissue and impairs relaxation. There is strong evidence supporting the role of genetic mutations in sarcomeric genes in the development of HCM. Clinical signs vary but are frequently associated with congestive heart failure (CHF) and ATE. Diagnosis is based on a combination of clinical evaluation, laboratory tests, and imaging studies, although certain aspects of the disease remain insufficiently understood and require further research. Therapeutic management focuses on controlling clinical signs, slowing disease progression, and improving both quality of life and life expectancy. However, ongoing studies are essential to refine diagnostic strategies and explore novel treatment options for better disease management.
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