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健康猫和扩张型心肌病猫的血浆牛磺酸浓度及M型超声心动图测量值

Plasma taurine concentrations and M-mode echocardiographic measures in healthy cats and in cats with dilated cardiomyopathy.

作者信息

Sisson D D, Knight D H, Helinski C, Fox P R, Bond B R, Harpster N K, Moise N S, Kaplan P M, Bonagura J D, Czarnecki G

机构信息

Department of Veterinary Clinical Medicine, Urbana 61801.

出版信息

J Vet Intern Med. 1991 Jul-Aug;5(4):232-8. doi: 10.1111/j.1939-1676.1991.tb00954.x.

Abstract

M-mode echocardiography was completed and plasma taurine concentrations were determined in 79 healthy cats and 77 cats with dilated cardiomyopathy (DCM). In healthy cats, a relationship was not observed between plasma taurine concentrations and any M-mode echocardiographic measurement. End-systolic and end-diastolic cardiac chamber dimensions were larger; wall thickness measures were smaller; and calculations of fractional shortening were less in cats with DCM than in healthy cats. Plasma taurine concentrations less than 30 nmol/mL were detected in 7/79 healthy cats and in 52/77 cats with DCM. Of the 52 cats with DCM and an initial plasma taurine concentration less than 30 nmol/mL, 23 died or were euthanized during the first post-treatment week, 7 were lost to further study, and 22 improved after taurine supplementation. Of the 25 cats with DCM and an initial plasma taurine concentration greater than or equal to 30 nmol/mL, 9 died or were euthanatized during the first post-treatment week, and 9 were lost to further study. Two cats did not improve, of which one died and one was euthanatized 4 to 8 weeks after initiation of taurine supplementation. Five cats with a plasma taurine concentration greater than or equal to 30 nmol/mL improved after taurine supplementation. Myocardial function subsequently deteriorated in three of these cats. Two of the three cats had signs of congestive heart failure redevelop.

摘要

对79只健康猫和77只扩张型心肌病(DCM)猫进行了M型超声心动图检查,并测定了血浆牛磺酸浓度。在健康猫中,未观察到血浆牛磺酸浓度与任何M型超声心动图测量值之间存在关联。与健康猫相比,DCM猫的收缩末期和舒张末期心腔尺寸更大;室壁厚度测量值更小;缩短分数计算值更低。79只健康猫中有7只、77只DCM猫中有52只检测到血浆牛磺酸浓度低于30 nmol/mL。在52只初始血浆牛磺酸浓度低于30 nmol/mL的DCM猫中,23只在治疗后的第一周内死亡或被安乐死,7只失访,22只在补充牛磺酸后病情改善。在25只初始血浆牛磺酸浓度大于或等于30 nmol/mL的DCM猫中,9只在治疗后的第一周内死亡或被安乐死,9只失访。2只猫病情未改善,其中1只死亡,1只在开始补充牛磺酸4至8周后被安乐死。5只血浆牛磺酸浓度大于或等于30 nmol/mL的猫在补充牛磺酸后病情改善。其中3只猫随后心肌功能恶化。这3只猫中有2只出现充血性心力衰竭复发迹象。

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