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听诊检测临床正常惠比特犬的无害性收缩期杂音及其与血液学和超声心动图检查结果的关系。

Detection of innocent systolic murmurs by auscultation and their relation to hematologic and echocardiographic findings in clinically normal Whippets.

作者信息

Bavegems Valérie C, Duchateau Luc, Polis Ingeborgh E, Van Ham Luc M, De Rick André F, Sys Stanislas U

机构信息

Department of Medicine and Clinical Biology of Small Animals, Faculty of Veterinary Medicine, Ghent University, 9820 Merelbeke, Belgium.

出版信息

J Am Vet Med Assoc. 2011 Feb 15;238(4):468-71. doi: 10.2460/javma.238.4.468.

Abstract

OBJECTIVE

To determine murmur prevalence by auscultation of 105 apparently healthy Whippets without signs of cardiac disease, to determine the origin of these murmurs, and to evaluate the influence of sex, type of pedigree (ie, bred for showing or racing), and training on these murmurs.

DESIGN

Cross-sectional study.

ANIMALS

105 client-owned Whippets.

PROCEDURES

All dogs were auscultated by the first author and underwent a complete physical and cardiological examination, together with a hematologic assessment. Several RBC variables and echocardiographic variables were compared between dogs with or without a murmur at the level of the aortic valve.

RESULTS

44 of 105 (41.9%) dogs had no murmur. A soft systolic murmur was present with point of maximal intensity at the level of the aortic valve in 50 (47.6%) dogs, at the level of the pulmonic valve in 8 (7.6%) dogs, and at the level of the mitral valve in 3 (2.9%) dogs. No significant differences were found in heart rate, rhythm, murmur presence, point of maximal intensity, and murmur grade between males and females, between dogs with race- and show-type pedigrees, or between dogs in training and not in training. Dogs with a murmur at the level of the aortic valve had a significantly higher aortic and pulmonic blood flow velocity and cardiac output, compared with dogs without a murmur.

CONCLUSIONS AND CLINICAL RELEVANCE

Whippets have a high prevalence of soft systolic murmurs in the absence of any structural abnormalities, which fit the description of innocent murmurs. No influence of sex, pedigree type, or training was found on the occurrence of these murmurs in Whippets.

摘要

目的

通过听诊105只无心脏病迹象的外表健康的惠比特犬来确定杂音患病率,确定这些杂音的来源,并评估性别、谱系类型(即用于展示或比赛培育)和训练对这些杂音的影响。

设计

横断面研究。

动物

105只客户拥有的惠比特犬。

步骤

所有犬只均由第一作者进行听诊,并接受全面的体格和心脏检查以及血液学评估。比较了主动脉瓣水平有无杂音的犬只之间的几个红细胞变量和超声心动图变量。

结果

105只犬中有44只(41.9%)无杂音。50只(47.6%)犬在主动脉瓣水平出现柔和的收缩期杂音,最大强度点在此处;8只(7.6%)犬在肺动脉瓣水平出现;3只(2.9%)犬在二尖瓣水平出现。在雄性和雌性之间、具有比赛型和展示型谱系的犬只之间,或训练犬和未训练犬之间,心率、心律、杂音存在情况、最大强度点和杂音分级均未发现显著差异。与无杂音的犬相比,主动脉瓣水平有杂音的犬主动脉和肺动脉血流速度及心输出量显著更高。

结论及临床意义

惠比特犬在无任何结构异常的情况下,柔和收缩期杂音的患病率很高,符合无害杂音的描述。未发现性别、谱系类型或训练对惠比特犬这些杂音的发生有影响。

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