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Re: [feline-heart]

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  • bengalboys@aol.com
    In a message dated 3/1/01 6:18:29 AM Pacific Standard Time, irrgang@acm.org ... Congratulations! This is great news for you and Pumpkin. I m really interested
    Message 1 of 3 , Mar 1, 2001
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      In a message dated 3/1/01 6:18:29 AM Pacific Standard Time, irrgang@...
      writes:


      > a great report from Dr. goodwin for Pumpkin....says he's a level 3 (out of
      > 10...10 being the worst) and that he thinks that with enalapril he will be
      >

      Congratulations! This is great news for you and Pumpkin.
      I'm really interested in two things you said in your post. First is that your
      cardiologist uses a 10 point scale to grade murmurs. All the vets who have
      seen Lightning have used a 6 point scale. I'm curious if one is more common
      than the other. A 10 point scale seems like it would make more sense.
      Lightning's murmur rarely gets a whole number. It's is usually graded like 5+
      or 3-4.
      Second, this is very hopeful that your cardiologist thinks the medicine with
      reduce the build up in the heart muscle. When Lightning was first diagnosed
      and started on Atenolol, the cardiologist told me the medicine would be
      successful if it prevented the muscle thickening from getting worse, but it
      wouldn't make it better. All the research I've read seems to agree. An echo
      6 months later showed that Lightning did in fact have a decrease in the
      amount of hypertrophy--even though in theory that's not supposed to happen.
      Does anyone else have a cardiologist like Pum's who is so optimistic, i.e.,
      one who expects to see real improvement in the heart muscles? Am I living in
      Fantasyland or does anyone else think that in some cases, this "incurable"
      disorder might actually be cured? Always trying to be hopeful....

      Lisa


      [Non-text portions of this message have been removed]
    • diane
      Lisa, My vet also uses the 1-6 rating. And I m not sure about curing the disease but the progression can be slowed by using meds. Diane
      Message 2 of 3 , Mar 1, 2001
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        Lisa,

        My vet also uses the 1-6 rating. And I'm not sure about curing the disease
        but the progression can be slowed by using meds.


        Diane
      • Mike & Linda Irrgang
        Hi Lisa, Actually you are right...his grade was a 3/4 and he actually graded his heart condition in different numbers depending on the location of the
        Message 3 of 3 , Mar 1, 2001
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          Hi Lisa,

          Actually you are right...his grade was a 3/4 and he actually graded his
          heart condition in different numbers depending on the location of the
          thickness..Pum has thickening in the area related to both diastolic and
          systolic functions so he got different grades for each area/function : 3 and
          3-4.....does that make sense?

          see more below...

          -----Original Message-----
          From: bengalboys@... [mailto:bengalboys@...]
          Sent: Thursday, March 01, 2001 2:36 PM
          To: feline-heart@yahoogroups.com
          Subject: Re: [feline-heart]


          In a message dated 3/1/01 6:18:29 AM Pacific Standard Time, irrgang@...
          writes:


          > a great report from Dr. goodwin for Pumpkin....says he's a level 3 (out of
          > 10...10 being the worst) and that he thinks that with enalapril he will be
          >

          Congratulations! This is great news for you and Pumpkin.
          I'm really interested in two things you said in your post. First is that
          your
          cardiologist uses a 10 point scale to grade murmurs. All the vets who have
          seen Lightning have used a 6 point scale. I'm curious if one is more common
          than the other. A 10 point scale seems like it would make more sense.
          Lightning's murmur rarely gets a whole number. It's is usually graded like
          5+
          or 3-4.

          gee, I don't know what to say....perhaps he used that explanation to
          translate it to layman's terminology and something that we can relate to
          better....but he did say that there have been times that "we have seen cats
          come in here with an 8 or a 9 and can work them down to a 3-4 with the right
          meds"....

          Can you imagine...that to me makes it all sound very hopeful.....right?

          Second, this is very hopeful that your cardiologist thinks the medicine with
          reduce the build up in the heart muscle. When Lightning was first diagnosed
          and started on Atenolol, the cardiologist told me the medicine would be
          successful if it prevented the muscle thickening from getting worse, but it
          wouldn't make it better. All the research I've read seems to agree.

          Our vet in Houston said that with atenolol he has seen muscle thickness
          decrease in some felines...he mentioned a cat that had such an extreme
          decrease in muscle thickness that they had to use meds to arrest the
          decreasing action....he felt that this was obviously a very unusual case but
          he felt that it showed that it was obviously possible and that he had seen
          it in other felines also, just not to that extent.......

          An echo
          6 months later showed that Lightning did in fact have a decrease in the
          amount of hypertrophy--even though in theory that's not supposed to happen.
          Does anyone else have a cardiologist like Pum's who is so optimistic, i.e.,
          one who expects to see real improvement in the heart muscles? Am I living
          in
          Fantasyland or does anyone else think that in some cases, this "incurable"
          disorder might actually be cured? Always trying to be hopeful....


          I think that the conditions that our kitties have are the best argument for
          making sure that we get them to experienced specialists....I have to say
          that although our vet in Houston is fabulous, he paled beside Dr. Goodwin's
          breadth of experience and expertise....and our houston vet is an internal
          medicine specialist who treats many pets with hcm....but there is clearly no
          substitute for a cardiologist....they spend all their time treating nothing
          else but cardiology problems....there is just no substitute for
          experience...

          Your input???


          Lisa


          [Non-text portions of this message have been removed]


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