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匹莫苯丹静脉给药对健康犬血液动力学指标及斑点追踪超声心动图左房纵向应变指标的影响。

Effects of intravenous administration of pimobendan on hemodynamic indices and indices of left atrial longitudinal strain derived from speckle-tracking echocardiography in healthy dogs.

出版信息

Am J Vet Res. 2021 Oct;82(10):795-801. doi: 10.2460/ajvr.82.10.795.

DOI:10.2460/ajvr.82.10.795
PMID:34554874
Abstract

OBJECTIVE

To determine the effects of IV administration of pimobendan on hemodynamic indices and indices of left atrial (LA) longitudinal strain by speckle-tracking echocardiography in healthy dogs.

ANIMALS

6 healthy Beagles.

PROCEDURES

After the dogs were anesthetized, the right heart was catheterized and 2-D conventional and speckle-tracking echocardiography were performed before and after IV administration of 0.15 mg of pimobendan/kg. Speckle-tracking echocardiography was performed to assess the 3 LA phasic functions through LA deformation (longitudinal strain and strain rate) and volumetric analyses.

RESULTS

Pimobendan significantly increased stroke volume and cardiac output and decreased systemic vascular resistance. Pimobendan significantly improved left ventricular function assessed by the Tei index and LA booster pump function assessed by LA longitudinal strain and change in fractional volume during atrial systole. Indices of LA reservoir and conduit function were unchanged.

CONCLUSIONS AND CLINICAL RELEVANCE

In healthy dogs, IV administration of pimobendan improved the indices of LA booster pump function but had no effect on the indices of LA reservoir and conduit functions. Further studies are needed to validate whether these results can be extrapolated to dogs with myxomatous mitral valve disease.

摘要

目的

通过斑点追踪超声心动图评估静脉注射匹莫苯丹对健康犬血流动力学指标和左心房(LA)纵向应变指标的影响。

动物

6 只健康比格犬。

方法

在犬麻醉后,经右心导管插入术,在静脉注射 0.15mg/kg 匹莫苯丹前后进行二维常规和斑点追踪超声心动图检查。通过 LA 变形(纵向应变和应变率)和容积分析对 LA 3 个时相功能进行斑点追踪超声心动图评估。

结果

匹莫苯丹可显著增加每搏量和心输出量,降低体循环血管阻力。匹莫苯丹可显著改善 Tei 指数评估的左心室功能和 LA 纵向应变及心房收缩期左房容积变化评估的 LA 辅助泵功能。LA 储备和传导功能的指标无变化。

结论和临床意义

在健康犬中,静脉注射匹莫苯丹可改善 LA 辅助泵功能的指标,但对 LA 储备和传导功能的指标无影响。需要进一步的研究来验证这些结果是否可以推广到患有黏液样二尖瓣病变的犬。

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Effects of intravenous administration of pimobendan on hemodynamic indices and indices of left atrial longitudinal strain derived from speckle-tracking echocardiography in healthy dogs.匹莫苯丹静脉给药对健康犬血液动力学指标及斑点追踪超声心动图左房纵向应变指标的影响。
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引用本文的文献

1
Changes in echocardiographic indices and left ventricular strain values by two-dimensional speckle-tracking echocardiography following pre-anesthetic oral pimobendan administration compared with intravenous pimobendan in dogs.与静脉注射匹莫苯丹相比,犬术前口服匹莫苯丹后二维斑点追踪超声心动图测量的超声心动图指标和左心室应变值的变化。
Front Vet Sci. 2024 Jun 3;11:1394896. doi: 10.3389/fvets.2024.1394896. eCollection 2024.
2
Hemodynamic effect of pimobendan following intramuscular and intravenous administration in healthy dogs: A pilot study.匹莫苯丹在健康犬肌肉注射和静脉注射后的血流动力学效应:一项初步研究。
Front Vet Sci. 2022 Oct 12;9:969304. doi: 10.3389/fvets.2022.969304. eCollection 2022.