与猫充血性心力衰竭表现类型相关的临床和超声心动图变量

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Journal of Veterinary Cardiology Pub Date : 2025-04-05 DOI:10.1016/j.jvc.2025.04.002

A.K. Masters , L. Brock , M.A. Tropf , A. Rendahl , S. Rogg , J.L. Ward

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引用次数: 0

摘要

本研究的目的是确定与猫充血性心力衰竭（CHF）表现类型相关的临床和超声心动图结果，并评估对CHF复发和生存风险的影响。动物、材料和方法对135只CHF猫的病历进行回顾性分析。根据CHF表现类型对猫进行分组。使用Fisher检验和方差分析评估CHF表现与临床和超声心动图变量之间的关系。在方差分析后，采用Bonferroni-Holm校正的两两Fisher检验和Tukey的诚实显著差异法对CHF表现进行比较。结果充血性心力衰竭的表现与性别（P=0.045）、呼吸频率增高史（P=0.006）、用力程度（P=0.001）、动脉血栓栓塞体征（P=0.004）有关。左心房主动脉比（P=0.043）、舒张期右心室内径（P=0.001）、收缩期右心室内径（P=0.015）、三尖瓣环平面收缩漂移（P=0.044）和非特异性心肌病表型（P=0.001）在CHF组之间存在显著差异。以腹水为CHF表现的猫与其他CHF表现的猫相比，其舒张期中位右心室内径（9.9 mm）和收缩期右心室内径（6.6 mm）在两两比较中明显更高。充血性心力衰竭的表现与生存无统计学意义，但与CHF复发时间相关（P=0.008）。研究局限性回顾性设计、小样本量和对CHF表现类型的潜在错误分类是本研究的局限性。结论心脏病猫的充血性心力衰竭表现类型与多种临床和超声心动图表现相关。

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Clinical and echocardiographic variables associated with the type of congestive heart failure manifestation in cats

Introduction/Objectives

The aim of this study was to determine clinical and echocardiographic findings associated with congestive heart failure (CHF) manifestation type in cats and to assess impact on the risk of CHF recurrence and survival.

Animals, Materials and Methods

A retrospective medical record review of 135 cats with CHF was conducted. Cats were grouped based on CHF manifestation type. Associations between CHF manifestation and clinical and echocardiographic variables were assessed using a Fisher's test and analysis of variance. Comparisons between CHF manifestations were performed using a pairwise Fisher's test with Bonferroni-Holm adjustment and Tukey's honestly significant difference method after analysis of variance.

Results

Congestive heart failure manifestation was associated with sex (P=0.045), history of increased respiratory rate (P=0.006), effort (P=0.001), and signs of arterial thromboembolism (P=0.004). Significant differences between left atrium-to-aorta ratio (P=0.043), diastolic right ventricular internal dimension (P=0.001), systolic right ventricular internal dimension (P=0.015), tricuspid annular plane systolic excursion (P=0.044), and presence of non-specific cardiomyopathy phenotype (P=0.001) were identified among CHF groups. Cats with ascites as their CHF manifestation had significantly higher median diastolic right ventricular internal dimension (9.9 mm) and systolic right ventricular internal dimension (6.6 mm) on pairwise comparison than cats with other CHF manifestations. Congestive heart failure manifestation did not have a statistically significant association with survival but did with time to CHF recurrence (P=0.008).

Study Limitations

Retrospective design, small sample size, and potential misclassification of CHF manifestation type are limitations of this study.

Conclusions

Congestive heart failure manifestation type is associated with various clinical and echocardiographic findings in cats with heart disease.

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来源期刊

Journal of Veterinary Cardiology VETERINARY SCIENCES-

CiteScore

2.50

自引率

25.00%

发文量

审稿时长

154 days

期刊介绍： The mission of the Journal of Veterinary Cardiology is to publish peer-reviewed reports of the highest quality that promote greater understanding of cardiovascular disease, and enhance the health and well being of animals and humans. The Journal of Veterinary Cardiology publishes original contributions involving research and clinical practice that include prospective and retrospective studies, clinical trials, epidemiology, observational studies, and advances in applied and basic research. The Journal invites submission of original manuscripts. Specific content areas of interest include heart failure, arrhythmias, congenital heart disease, cardiovascular medicine, surgery, hypertension, health outcomes research, diagnostic imaging, interventional techniques, genetics, molecular cardiology, and cardiovascular pathology, pharmacology, and toxicology.