Changes

Jump to navigation Jump to search
1,052 bytes added ,  12:32, 22 June 2010
no edit summary
Line 1: Line 1:  
{{review}}
 
{{review}}
{{toplink
+
 
|backcolour =
  −
|linkpage =Cardiology - WikiClinical
  −
|linktext =Cardiology
  −
|sublink1=Cardiovascular Conditions - WikiClinical
  −
|subtext1=CARDIOVASCULAR CONDITIONS
  −
|maplink1= Cardiovascular Conditions (Content Map) - WikiClinical
  −
|pagetype=Clinical
  −
}}
  −
<br>
   
{{dog}}{{cat}}
 
{{dog}}{{cat}}
 
*Common in dogs: especially subvalvular lesions; Boxers usually have valvular stenosis  
 
*Common in dogs: especially subvalvular lesions; Boxers usually have valvular stenosis  
Line 120: Line 111:     
-Sudden death within the first 1-3 years of life
 
-Sudden death within the first 1-3 years of life
 +
 +
==From Pathology==
 +
 +
Obstructs blood flow from the left ventricle to the aorta.  Stenosis may be:
 +
*Subvalvular (most common in dog and cat).
 +
*Valvular.
 +
*Supravalvular.
 +
Subvalvular stenosis results in a jet of blood hitting the aortic valve, leading to damage and increased risk of developing endocarditis.
 +
 +
''Incidence:''
 +
*Increased prevalence in Boxers and Golden retrievers.
 +
*Autosomal dominant in Newfoundlands.
 +
 +
''Clinical Signs:''
 +
*Vary from asymptomatic to degrees of exercise intolerance, syncope and even sudden death.
 +
*Harsh systolic murmur at left heart base.
 +
Grade correlates with grade of murmur.
 +
High grade murmurs also have a precordial thrill.
 +
*Murmur may have a diastolic component due to aortic valve damage and insufficiency.
 +
*Weak femoral pulse.
 +
 +
''Diagnosis:''
 +
*Left ventricular enlargement on radiology and ECG.
 +
*Post-stenotic dilatation of the aorta may be visible on radiographs.
 +
*Echogenic fibrous ring may be seen on echocardiography.  Again, Doppler is useful to detect flow rates.
 +
 +
''Treatment:''
 +
*'''Balloon valvuloplasty'''; often unsuccessful.
 +
*Mild cases need no management.
 +
*Medical management; Beta-blockers to decrease myocardial oxygen consumption.
 +
*Prognosis guarded, death due to arrythmias in abnormal myocardium.
 +
 +
[[Category:Cardiovascular_System_-_Developmental_Pathology]]
Author, Donkey, Bureaucrats, Administrators
53,803

edits

Navigation menu