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患有肾上腺皮质功能亢进的犬类的左心室结构和功能异常。

Left ventricular structural and functional abnormalities in dogs with hyperadrenocorticism.

作者信息

Takano Hiroshi, Kokubu Akira, Sugimoto Keisuke, Sunahara Hiroshi, Aoki Takuma, Fijii Yoko

机构信息

Department of Surgery 1, School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe, Chuoku, Sagamihara, Kanagawa 252-5201, Japan.

Department of Surgery 1, School of Veterinary Medicine, Azabu University, 1-17-71 Fuchinobe, Chuoku, Sagamihara, Kanagawa 252-5201, Japan.

出版信息

J Vet Cardiol. 2015 Sep;17(3):173-81. doi: 10.1016/j.jvc.2015.07.002. Epub 2015 Aug 28.

Abstract

OBJECTIVES

Hyperadrenocorticism has been reported to cause left ventricular (LV) structural and functional abnormalities in human patients. The purpose of the present study was to assess the incidence and features of LV structural and functional changes in dogs with hyperadrenocorticism.

ANIMALS

Twenty-two client-owned dogs with pituitary-dependent hyperadrenocorticism (n = 15) and cortisol-secreting adrenocortical tumors (n = 7) and 6 control dogs were enrolled in this study.

METHODS

Echocardiographic examinations were performed and non-invasive measurements of systolic blood pressure (SBP) were obtained.

RESULTS

The normalized LV wall thickness and LV mass index of the affected dogs differed significantly from those of control dogs. Using a published reference value for M-mode measurements, 15 of the 22 dogs (68%) were found to have increased LV wall thickness. Eleven of the 15 (73%) dogs with increased LV wall thickness were normotensive, and no significant correlation between LV wall thickness and SBP was found.

CONCLUSIONS

Regardless of the presence of systemic hypertension, hyperadrenocorticism should be included in the differential diagnosis of underlying disorders that may cause LV hypertrophy in dogs.

摘要

目的

据报道,肾上腺皮质功能亢进会导致人类患者出现左心室(LV)结构和功能异常。本研究的目的是评估肾上腺皮质功能亢进犬左心室结构和功能变化的发生率及特征。

动物

本研究纳入了22只客户拥有的患有垂体依赖性肾上腺皮质功能亢进的犬(n = 15)和分泌皮质醇的肾上腺皮质肿瘤犬(n = 7)以及6只对照犬。

方法

进行了超声心动图检查,并获得了收缩压(SBP)的无创测量值。

结果

患病犬的左心室壁厚度标准化值和左心室质量指数与对照犬有显著差异。使用已发表的M型测量参考值,22只犬中有15只(68%)被发现左心室壁厚度增加。15只左心室壁厚度增加的犬中有11只(73%)血压正常,且未发现左心室壁厚度与收缩压之间存在显著相关性。

结论

无论是否存在全身性高血压,肾上腺皮质功能亢进都应纳入可能导致犬左心室肥厚的潜在疾病的鉴别诊断中。

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