Rath Pritish, Jena Biswadeep, Behera Sidhartha Sankar, Sathapathy Srinivas, Rath Prasana Kumar, Sarangi Swetapadma
Department of Veterinary Surgery and Radiology, Faculty of Veterinary and Animal Sciences, West Bengal University of Animal and Fishery Sciences, Kolkata, India.
Department of Veterinary Surgery and Radiology, College of Veterinary Science and Animal Husbandry, Odisha University of Agriculture and Technology, Bhubaneswar, India.
Vet Res Forum. 2024;15(8):403-409. doi: 10.30466/vrf.2023.2018338.4108. Epub 2024 Aug 15.
Echocardiography is a non-invasive and gold standard imaging tool for diagnosing dilated cardiomyopathy (DCM) in dogs. This study aimed to compare the echocardiographic parameters between healthy and DCM-affected dogs. A total of 52 client-owned dogs, comprising 38 males and 14 females, were included. Among these, 24 dogs (46.15%) were classified as healthy controls and 28 dogs (53.85%) were part of DCM group. On breed-wise prevalence, it was reported that Labrador Retriever breeds showed a higher incidence of DCM than the others. The comparative studies of echocardiographic parameters showed that DCM-affected dogs had significantly higher values in left ventricular long axis length at -end diastole (LVLdA4C) and -end systole (LVLsA4C), end diastolic volume (EDV), end systolic volume (ESV), left atrium (LA)/aorta diameter (Ao) ratio, left ventricular internal dimension at systole (LVIDs), and end point septal separation (EPSS), as well as significantly lower values in left ventricular contractibility indices such as fractional shortening (FS) and ejection fraction (EF) compared to healthy dogs. Also, receiver operating characteristic curves were made to determine the optimal cut-off points for each echocardiographic parameter with specificity and sensitivity for diagnosing DCM. Significant areas under the curve were observed for parameters such as LVIDs, EF, FS, LA/Ao, EPSS, LVLdA4C, LVLsA4C, left ventricular EDV, left ventricular ESV, and ESV for DCM-affected dogs. This cut-off value can be used as an early diagnosis of DCM through echocardiography, facilitating timely clinical interventions and management strategies for improved quality of life in dogs.
超声心动图是诊断犬扩张型心肌病(DCM)的一种非侵入性的金标准成像工具。本研究旨在比较健康犬和患DCM犬的超声心动图参数。总共纳入了52只客户拥有的犬,其中38只为雄性,14只为雌性。其中,24只犬(46.15%)被分类为健康对照,28只犬(53.85%)属于DCM组。在品种患病率方面,据报道拉布拉多猎犬品种的DCM发病率高于其他品种。超声心动图参数的比较研究表明,与健康犬相比,患DCM的犬在舒张末期左心室长轴长度(LVLdA4C)和收缩末期(LVLsA4C)、舒张末期容积(EDV)、收缩末期容积(ESV)、左心房(LA)/主动脉直径(Ao)比值、收缩期左心室内径(LVIDs)和终点室间隔分离(EPSS)方面的值显著更高,而在左心室收缩性指标如缩短分数(FS)和射血分数(EF)方面的值显著更低。此外,还绘制了受试者工作特征曲线,以确定每个超声心动图参数用于诊断DCM的具有特异性和敏感性的最佳切点。对于患DCM犬的LVIDs、EF、FS、LA/Ao、EPSS、LVLdA4C、LVLsA4C、左心室EDV、左心室ESV和ESV等参数,观察到曲线下有显著面积。该临界值可用于通过超声心动图对DCM进行早期诊断,有助于及时采取临床干预措施和管理策略,以提高犬的生活质量。