高级检索+

3例猫短暂性心肌增厚病例的诊治

Diagnosis and treatment of three cases of transient myocardial thickening in cats

  • 摘要: 3只猫在进行不同手术后出现了呼吸急促症状,为了对其所患疾病进行诊治,采取一般临床检查、血细胞分类计数、血液生化指标、X射线、心脏超声检查,并根据诊断结果进行治疗。结果表明:3只猫均存在心肌肥厚、左心房扩张,初步诊断为肥厚性心肌病(HCM)或短暂性心肌肥厚(TMT),同时3只猫都伴有不同程度的心源性肺水肿,在进行了吸氧和利尿的治疗后症状缓解,随后以HCM的治疗方案进行管理,在之后的心脏超声复查中,3只猫的心脏结构及功能均恢复正常,预后良好。3只猫最终确诊为短暂性心肌增厚。说明当年轻猫经历了能使猫应激的前驱病史后被诊断为有充血性心力衰竭的HCM表型时,TMT应当被纳入鉴别诊断。

     

    Abstract: Three cats had shortness of breath after different surgeries. In order to diagnose and treat their disease, general clinical examination, blood cell classification and count, blood biochemical index, X-ray, and cardiac ultrasonography examination were taken, and the treatment was carried out according to the results. The results showed that all three cats had myocardial hypertrophy and left atrial dilation, and the initial diagnosis was hypertrophic cardiomyopathy(HCM) or transient myocardial hypertrophy(TMT); at the same time, all three cats were accompanied by different degrees of cardiogenic pulmonary edema. Symptomatic relief can be obtained with oxygen and diuretic therapy, and subsequently managed with HCM regimen. In the subsequent echocardiography, the cardiac structure and function of the three cats returned to normal, and the prognosis was good. Three cats were eventually diagnosed with TMT.This suggested that TMT should be included in the differential diagnosis when a young cat was diagnosed with an HCM phenotype of congestive heart failure following a cat-stress prodromal history.

     

/

返回文章
返回