Re: New to group/Shania and Kitty
- see below your post for mine
--- In firstname.lastname@example.org, "acrocat@..." <acrocat@...> wrote:
> Hi Shania
> In answer to your question, a benign heart murmur is one that occurs in the absence of disease. In dogs, a heart murmur almost always means they have heart disease. In cats, a heart murmur can be benign or is associated with heart disease. You can't tell without an echocardiogram, unfortunately, except in certain cases (very loud murmurs are unlikely to be benign, for example, and one type of congenital condition causes a distinctive type of murmur).
> Do you have a copy of your echo report?
> BTW, when you reply, it replies to my email rather than the list. You have to choose the list to reply-to from the drop down, if you are looking at the list online.
This is how Kitty's visit went today at Cornell University. The vet did an
electrocardiogram which revealed no abnormalities. He also tested her thyroid
function. I will have the results of that tomorrow. The echo demonstrated
thickening of her left ventricle. Her blood pressure was elevated. He wants to
wait until the thyroid test comes back before deciding how to proceed. Her
ventricular hypertrophy could be from primary hypertrophic cardiomyopathy or
from hyperthyroidism. Although her blood pressure is elevated they would like to
know her thyroid function before they begin medication,as hyperthyroidism may
contribute to hypertension. They recommend having Kitty's blood pressure taken
again in 5-7 days as her bp elevation may have been partially due to the stress
of the exam.
Echocardiogram interpretation: overall "stiff" appearance to the heart,LV
papillary muscles prominent,no evidence of intracardiac thrombosis,decreased E
to A transmittal ratio,mildly increased IVRT
Overall assessment of cardiac status: Evidence of mid left ventricular pressure
gradient(approx 28 mmHg gradient),mild systemic hypertension,and at least mild
LV diastolic dysfunction. Palpable thyroid raises the possibility of
hyperthyroidism,which may be contributing to hypertension. LV changes may be
secondary to hyperthyroidism/hypertension or may be primary HCM. Recommend
withhold anesthesia and await T4 prior to making thereapeutic recommendations.
Repeat BP in 5-7 days prior to making decisions regarding potential amlodipine
Prognosis:Guarded pending follow up.