Prieto-Ramos Jorge, Parkin Tim D H, French Anne T
Small Animal Hospital, School of Veterinary Medicine, University of Glasgow, G61 1QH, UK.
Weipers Equine Centre, School of Veterinary Medicine, University of Glasgow, G61 1QH, UK.
J Vet Cardiol. 2016 Jun;18(2):125-36. doi: 10.1016/j.jvc.2015.12.004. Epub 2016 Feb 11.
Prospective inclusion of 48 echocardiograms performed on client-owned dogs.
Two standard views and the novel view were compared for quality of 2D images and spectral Doppler traces and also for pulmonary annulus diameter and spectral Doppler velocities. Association between view, heart rate and body weight and quality, annulus diameter, pulsed-wave and continuous-wave velocities were analyzed using regression analysis. Agreement between views was assessed by Bland-Altman analysis. Pulsed-wave and continuous-wave velocities were compared using the sign test for medians.
Forty-eight studies were undertaken of which thirty-nine were analyzed. The quality of 2D images was associated with view and heart rate. No significant difference was found in quality of spectral Doppler traces between views. Annulus diameter showed significant association with view, heart rate and weight. This measured about 0.26 cm less on one particular view. Spectral Doppler velocities showed no association with view, heart rate or weight. Continuous-wave velocities were significantly higher than pulsed-wave velocities in every view.
The novel left cranial oblique view can be used as an additional tool for the echocardiographic evaluation of the pulmonary artery. The pulmonary annulus diameter was consistently smaller measured from the one standard view compared to both the novel and other standard views. Comparable quality and velocities were obtained for spectral Doppler. Continuous-wave and pulsed-wave modes were not interchangeable.
