Streitberger Andrea, Hocke Verena, Modler Peter
Traunkreis Vet Clinic, Veterinärstraße 2, 4642 Sattledt, Austria.
J Vet Cardiol. 2013 Sep;15(3):181-7. doi: 10.1016/j.jvc.2013.05.001. Epub 2013 Aug 9.
To evaluate the feasibility of measuring pulmonary transit time (PTT) in healthy cats by transthoracic echocardiography using the ultrasound contrast agent Sonovue(®). To determine normalized PTT (nPTT) values in 42 healthy cats and to estimate the interobserver variability and the within-day repeatability of nPTT measurements.
Forty-two privately owned healthy cats of different breeds, gender and age presented for cardiac examination.
A bolus injection of contrast agent (Sonovue(®)) was administered intravenously. The right parasternal short axis echocardiographic view was used to record the contrast agent's transit time from the pulmonary artery to the left atrium. Pulmonary transit time and nPTT were determined independently by three examiners with different levels of experience.
Normalized PTT was 4.12 ± 1.0 (mean ± SD) in our population. The median interobserver variability across our population was 6.8%, the median within-day variability for the three observers were 13.1%, 12.7% and 13%. No effect of the observer's experience on nPTT measurement was identified. Age, sex and body weight did not significantly influence nPTT.
This study demonstrates that nPTT measurement is feasible in cats using ultrasound and the blood pool contrast media Sonovue(®). Measurements of nPTT can be performed in a clinical setting. Normalized PTT values in healthy cats are comparable with those reported in healthy dogs.
通过经胸超声心动图使用超声造影剂声诺维(Sonovue®)评估测量健康猫肺循环时间(PTT)的可行性。确定42只健康猫的标准化肺循环时间(nPTT)值,并评估观察者间变异性和nPTT测量的日内重复性。
42只不同品种、性别和年龄的 privately owned 健康猫前来进行心脏检查。
静脉推注造影剂(声诺维(Sonovue®))。使用右胸骨旁短轴超声心动图视图记录造影剂从肺动脉到左心房的通过时间。由三名经验水平不同的检查者独立确定肺循环时间和nPTT。
我们研究群体中标准化PTT为4.12±1.0(平均值±标准差)。我们群体中观察者间变异性的中位数为6.8%,三名观察者日内变异性的中位数分别为13.1%、12.7%和13%。未发现观察者经验对nPTT测量有影响。年龄、性别和体重对nPTT无显著影响。
本研究表明,使用超声和血池造影剂声诺维(Sonovue®)测量猫的nPTT是可行的。nPTT测量可在临床环境中进行。健康猫的标准化PTT值与健康犬报道的值相当。