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与猫肥厚型心肌病诊断相关的参数。

Parameters related to diagnosing hypertrophic cardiomyopathy in cats.

机构信息

Sixth year Veterinary Student, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.

Department of Veterinary Medicine, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.

出版信息

Open Vet J. 2024 Sep;14(9):2407-2414. doi: 10.5455/OVJ.2024.v14.i9.29. Epub 2024 Sep 30.

Abstract

BACKGROUND

The initial diagnostic markers are important for general practitioners to identify cats suspected of having cardiac disease, particularly hypertrophic cardiomyopathy (HCM).

AIM

The aim of this study is to investigate the indicators that suggest feline cardiac disease, especially HCM.

METHODS

This is a retrospective study, using the data from 354 cats, to identify various clinical parameters that indicate the presence of cardiac disease in cats in order to develop a model to predict the likelihood of HCM in cats. Among all the parameters gathered, heart sound and LA size are the most significant in predicting the likelihood of HCM in cats.

RESULTS

After undergoing statistical analysis, we created a formula that could help screen cats with HCM and normal cats before further diagnosis, such as echocardiography. The formula Y = -3.637 +2.448 (LA size) +2.683 (murmur) +1.274 (gallop) is the fittest model with an area under curve from the ROC analysis of 0.889. A new set of data was used to validate the model. This predictive model has 40% accuracy but correctly predicts 90% of the truly normal cats, making this model beneficial in helping veterinarians exclude truly normal cats from cats suspected of having HCM.

CONCLUSION

The model may assist in distinguishing normal cats from those suspected of having HCM. Further diagnosis with echocardiography remains the gold standard for the final diagnosis of cardiac diseases in cats.

摘要

背景

对于全科医生来说,识别疑似患有心脏病的猫,尤其是肥厚型心肌病(HCM)的猫,初始诊断标志物很重要。

目的

本研究旨在探讨提示猫患心脏病,特别是 HCM 的指标。

方法

这是一项回顾性研究,使用了 354 只猫的数据,以确定各种提示猫存在心脏病的临床参数,以便开发一种预测猫患 HCM 可能性的模型。在所收集的所有参数中,心音和左心房(LA)大小是预测猫患 HCM 可能性的最重要指标。

结果

经过统计分析,我们创建了一个公式,可以帮助在进一步诊断(如超声心动图)之前筛选出患有 HCM 和正常的猫。公式 Y = -3.637 +2.448(LA 大小)+2.683(杂音)+1.274(奔马律)是最合适的模型,ROC 分析的曲线下面积为 0.889。使用新的数据集验证了该模型。该预测模型的准确率为 40%,但正确预测了 90%的真正正常猫,这使得该模型有助于兽医排除疑似患有 HCM 的真正正常猫。

结论

该模型可帮助区分正常猫和疑似患有 HCM 的猫。超声心动图进一步诊断仍然是猫心脏病最终诊断的金标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51ee/11563607/3d362e45efd5/OpenVetJ-14-2407-g001.jpg

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