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Wondering and an Update...

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  • monalissa1978
    Hi All, We spoke with our vet a couple of weeks ago about Phantom. I asked him if Phantom has any of the Cardiomypathies and he said no he has Cardiomegaly
    Message 1 of 2 , Nov 2, 2004
      Hi All,

      We spoke with our vet a couple of weeks ago about Phantom. I asked
      him if Phantom has any of the Cardiomypathies and he said no he has
      Cardiomegaly and Mitral Regurgitation (those who responded about what
      MR stands for were right on!). He said the Mitral Regurgitation is
      very minimal/slight. He also said, that if he remembers correctly,
      the Internal Medicine doc considered his to be not much changed from
      10 months ago.

      I explained that we would like Phantom to see a cardiologist for his
      next Echo. He seemed to understand, even started throwing out names
      of Cardiologists, but he does feel that the Internal Medicine
      Specialist who performed the Echo is very good. He said he does a
      lot of them and has great equipment - I think Doppler (he's a
      traveling IM specialist, so that seemed to be a concern). I also
      found out that the hospital we used to visit, uses the same IM
      specialist who performed Phantom's echo, for Echos even though they
      have an IM specialist who performs ultrasounds on board. That said,
      I would still like to see a Cardio, because I did confirm with him
      that I am not able to speak with the Internal Med Specialist direct
      and if it were me I would see one.

      Just as a re-cap, we got Phantom's echo last year because he was
      really ill (IBD) and we figured for $100.00 more why not get a second
      view of the heart. Plus, he has CRF and gets fluids and so many
      kitties on the CRF list seem to end up having heart disease. Two IM
      specialists performed that echo and found very slight "abnormalities"
      and we were told to re-check, which is what we did this September.
      His heart rate is always normal here at home, BP fine etc. Since
      June he does seem to have a low grade murmur that is sometimes heard
      and sometimes not.

      The AMC vet we were referred to will have to perform the echo again
      and will not look at his most recent one, even though at the time it
      was 5 weeks old (spoke to him direct). Maybe another cardio there
      will, but I get the feeling from the referrals we've gotten that it's
      preferred to perform them again. Our vet said we don't have to do
      one again for 1 year, but we're going in 4-6 months. Of course I'm
      still worried because this all seems very unpredictable.

      Now...what I'm wondering is if anyone's kitty kat getting treatment
      for cardiomegaly alone - no underlying cardiomypathies present?

      Well, this is long enough...probably too long =)

      Any thoughts much appreciated!

      Best wishes to you all,
      Lisa & The Boys
    • Susan
      ... I asked ... Cardiomegaly is not a disease but a description of the state of the heart, ie. that the heart is enlarged. I explained that we would like
      Message 2 of 2 , Nov 2, 2004
        --- monalissa1978 <Monalissa143@...> wrote:
        I asked
        > him if Phantom has any of the Cardiomypathies and he
        > said no he has
        > Cardiomegaly

        Cardiomegaly is not a disease but a description of the
        state of the heart, ie. that the heart is enlarged.

        I explained that we would like Phantom to see a
        > cardiologist for his
        > next Echo. He seemed to understand, even started
        > throwing out names
        > of Cardiologists, but he does feel that the Internal
        > Medicine
        > Specialist who performed the Echo is very good. He
        > said he does a
        > lot of them and has great equipment - I think
        > Doppler

        There are different types of ultrasound, Color Doppler
        I believe is more for showing the flow of the blood
        and 2D shows the dimensions of the atrium and
        venticles.

        My cat's vet is IM. He is old and very experienced.
        Their is a young cardiologist in my city also but I am
        happy with my current vet as he does believe in
        treating asymptomatic cats based on his clinical
        experience. And this is something I agree with even
        though there have been no studies done to demonstrate
        efficacy.


        That said,
        > I would still like to see a Cardio, because I did
        > confirm with him
        > that I am not able to speak with the Internal Med
        > Specialist direct
        > and if it were me I would see one.

        >
        > Now...what I'm wondering is if anyone's kitty kat
        > getting treatment
        > for cardiomegaly alone - no underlying
        > cardiomypathies present?

        I'm not sure. The term cardiomegaly indicates that the
        heart is larger than it should be. My question would
        be why.


        Susan

        =====
        Rudy: Male DSH brown tabby, feral mom, diagnosed 09-2002 at 19 months of age with idiopathic HCM: grade 2 murmur, hyperkinetic heart, borderline normal thickening, considered asymptomatic, 12.5 mg Atenolol 1x day, 1/2 baby aspirin 2x week administered via pilling



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