- 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...
From: bengalboys@... [mailto:bengalboys@...]
Sent: Thursday, March 01, 2001 2:36 PM
Subject: Re: [feline-heart]
In a message dated 3/1/01 6:18:29 AM Pacific Standard Time, irrgang@...
> a great report from Dr. goodwin for Pumpkin....says he's a level 3 (out ofCongratulations! This is great news for you and Pumpkin.
> 10...10 being the worst) and that he thinks that with enalapril he will be
I'm really interested in two things you said in your post. First is that
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
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
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.......
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
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
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