Laste N J, Harpster N K
Department of Cardiology, Angell Memorial Animal Hospital, Boston, Massachusetts 02131, USA.
J Am Anim Hosp Assoc. 1995 Nov-Dec;31(6):492-500. doi: 10.5326/15473317-31-6-492.
The medical records of 100 cats with distal aortic thromboembolism were reviewed. The average age was 7.7 years, with the neutered male being the most common signalment (63%). Evidence of preexisting cardiac disease was noted in 11% of the cases. A murmur or arrhythmia was noted in 57% of the cases on presentation. Frequent laboratory abnormalities included elevations in blood glucose, alanine aminotransferase, aspartate aminotransferase, blood urea nitrogen, and creatinine. Radiographic and electrocardiographic abnormalities were common (89% and 85%, respectively). The most frequent, underlying disease was hypertrophic feline cardiomyopathy (58%), with the left atrial size (as measured by M-mode) significantly increased in the majority of cases (mean left atrial-to-aortic ratio, 2.08). The average, long-term survival in the 37% of cases which survived the initial thromboembolic episode was 11.5 months. The remaining cases either died (28%) or were euthanized (35%).
回顾了100只患有远端主动脉血栓栓塞的猫的病历。平均年龄为7.7岁，绝育雄性猫是最常见的发病情况（63%）。11%的病例有既往心脏病证据。就诊时57%的病例有杂音或心律失常。常见的实验室异常包括血糖、丙氨酸转氨酶、天冬氨酸转氨酶、血尿素氮和肌酐升高。放射学和心电图异常很常见（分别为89%和85%）。最常见的潜在疾病是肥厚型猫心肌病（58%），大多数病例中左心房大小（通过M型测量）显著增加（平均左心房与主动脉比值为2.08）。在最初血栓栓塞事件中存活下来的37%的病例，平均长期存活时间为11.5个月。其余病例要么死亡（28%），要么被安乐死（35%）。
