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猫的体型与代谢指标及左心室肥厚的关系

Relationship of body size to metabolic markers and left ventricular hypertrophy in cats.

作者信息

Freeman L M, Rush J E, Feugier A, van Hoek I

机构信息

Department of Clinical Sciences, Tufts Cummings School of Veterinary Medicine, North Grafton, MA.

出版信息

J Vet Intern Med. 2015 Jan;29(1):150-6. doi: 10.1111/jvim.12503. Epub 2014 Nov 20.

Abstract

BACKGROUND

Cats with hypertrophic cardiomyopathy (HCM) are larger and have higher insulin-like growth factor-1 (IGF-1) concentrations than cats without HCM.

HYPOTHESIS/OBJECTIVES: The aim of this study was to assess echocardiographic findings in a colony of adult cats to determine the relationship between early growth and left ventricular hypertrophy (LVH).

ANIMALS

Twenty-eight neutered adult cats (20 males, 8 females) from a colony ≥ 3 years of age for which growth curves were available.

METHODS

Case-control study. Physical examination and echocardiography were performed, and body weight, body condition score (BCS), and head length and width were measured. Circulating glucose, insulin, N-terminal pro-B-type natriuretic peptide (NT-proBNP), and IGF-1 concentrations were measured and growth data were collected. Stepwise multivariate analyses were performed.

RESULTS

Mean age was 5.2 ± 1.1 years. Current BCSs ranged from 4 to 9 (median, 6) and mean body weight was 4.88 ± 1.29 kg. Variation in body weight was apparent by 6 (mean = 3.26 ± 0.80 kg) and 12 months of age (mean = 4.02 ± 1.02 kg). Cardiac abnormalities included a cardiac murmur (n = 7; 24%), gallop (n = 3; 10%), and arrhythmia (n = 1; 4%). Fourteen of 28 cats (50%) had echocardiographic evidence of LVH. Head width (P = .017), body weight (P < .001), NT-proBNP (P = .023), and IGF-1 (P = .013-.022) were significantly associated with selected measures of LVH.

CONCLUSIONS AND CLINICAL IMPORTANCE

Potential associations between body size, IGF-1, LVH, and HCM warrant future prospective studies.

摘要

背景

与未患肥厚型心肌病(HCM)的猫相比,患HCM的猫体型更大,胰岛素样生长因子-1(IGF-1)浓度更高。

假设/目的:本研究的目的是评估一群成年猫的超声心动图检查结果,以确定早期生长与左心室肥厚(LVH)之间的关系。

动物

来自一个群体的28只绝育成年猫(20只雄性,8只雌性),年龄≥3岁,有生长曲线数据。

方法

病例对照研究。进行体格检查和超声心动图检查,测量体重、身体状况评分(BCS)以及头的长度和宽度。测量循环葡萄糖、胰岛素、N末端B型脑钠肽前体(NT-proBNP)和IGF-1浓度,并收集生长数据。进行逐步多变量分析。

结果

平均年龄为5.2±1.1岁。当前BCS范围为4至9(中位数为6),平均体重为4.88±1.29千克。6个月(平均=3.26±0.80千克)和12个月龄(平均=4.02±1.02千克)时体重变化明显。心脏异常包括心杂音(n = 7;24%)、奔马律(n = 3;10%)和心律失常(n = 1;4%)。28只猫中有14只(50%)有LVH的超声心动图证据。头宽(P = 0.017)、体重(P < 0.001)、NT-proBNP(P = 0.023)和IGF-1(P = 0.013 - 0.022)与LVH的选定测量指标显著相关。

结论及临床意义

体型、IGF-1、LVH和HCM之间的潜在关联值得未来进行前瞻性研究。

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