Department of Clinical Science and Services, Royal Veterinary College, Hatfield, United Kingdom.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, Tennessee, USA.
J Vet Intern Med. 2020 May;34(3):1062-1077. doi: 10.1111/jvim.15745. Epub 2020 Apr 3.
Cardiomyopathies are a heterogeneous group of myocardial disorders of mostly unknown etiology, and they occur commonly in cats. In some cats, they are well-tolerated and are associated with normal life expectancy, but in other cats they can result in congestive heart failure, arterial thromboembolism or sudden death. Cardiomyopathy classification in cats can be challenging, and in this consensus statement we outline a classification system based on cardiac structure and function (phenotype). We also introduce a staging system for cardiomyopathy that includes subdivision of cats with subclinical cardiomyopathy into those at low risk of life-threatening complications and those at higher risk. Based on the available literature, we offer recommendations for the approach to diagnosis and staging of cardiomyopathies, as well as for management at each stage.
心肌病是一组心肌疾病,其病因大多不明,在猫中较为常见。在一些猫中,它们可以被很好地耐受,且不影响预期寿命,但在另一些猫中,它们可能导致充血性心力衰竭、动脉血栓栓塞或猝死。猫的心肌病分类具有挑战性,在本共识声明中,我们基于心脏结构和功能(表型)概述了一种分类系统。我们还引入了一种心肌病分期系统,将亚临床心肌病的猫细分为有生命威胁并发症低风险和高风险的猫。基于现有文献,我们为心肌病的诊断和分期方法以及每个阶段的管理提供了建议。