Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report

Peggy McMahon,1 Carley Saelinger 2  1Emergency and Critical Care Department, 2Cardiology Department, Animal Specialty and Emergency Center, Los Angeles, CA, USA Abstract: Pathologic right-sided heart changes are a common echocardiographic finding in patients with pulmonary hyperte...

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Autores principales:	McMahon P, Saelinger C
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/090e8da6003c4b5db934921dc28ff56e
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spelling	oai:doaj.org-article:090e8da6003c4b5db934921dc28ff56e2021-12-02T07:19:22ZReversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report2230-2034https://doaj.org/article/090e8da6003c4b5db934921dc28ff56e2015-06-01T00:00:00Zhttp://www.dovepress.com/reversal-of-echocardiographic-right-sided-heart-pathology-in-a-dog-wit-peer-reviewed-article-VMRRhttps://doaj.org/toc/2230-2034Peggy McMahon,1 Carley Saelinger 2  1Emergency and Critical Care Department, 2Cardiology Department, Animal Specialty and Emergency Center, Los Angeles, CA, USA Abstract: Pathologic right-sided heart changes are a common echocardiographic finding in patients with pulmonary hypertension (PH). Canines with PH may have right heart pathology documented via echocardiographic color Doppler interrogation including tricuspid valve regurgitation, pulmonic valve insufficiency, elevated pulmonary arterial systolic pressure, elevated pulmonary arterial diastolic pressure, and alterations in ejection profiles. Two-dimensional echocardiographic findings may include right ventricular hypertrophy, interventricular septal flattening, paradoxical interventricular septal motion, pulmonary artery dilation, and potentially abnormal left heart dimensions. In veterinary medicine, much confidence is given to the measurement of pulmonary arterial systolic pressure estimated from tricuspid valve regurgitation to grade the severity of PH and monitor its improvement with little emphasis placed on the integration of two-dimensional echocardiographic right and left heart pathology in conjunction with Doppler findings. To the authors’ knowledge, marked improvement and/or resolution of echocardiographic-documented right heart pathology have not been previously reported in the veterinary literature. This case report documents profound echocardiographic improvement of right-sided heart disease in a dog with severe PH. Keywords: canine, pulmonary hypertension, tricuspid valve regurgitation, right heart hypertrophy, sildenafil  McMahon PSaelinger CDove Medical PressarticleVeterinary medicineSF600-1100ENVeterinary Medicine: Research and Reports, Vol 2015, Iss default, Pp 211-218 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Veterinary medicine SF600-1100
spellingShingle	Veterinary medicine SF600-1100 McMahon P Saelinger C Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
description	Peggy McMahon,1 Carley Saelinger 2  1Emergency and Critical Care Department, 2Cardiology Department, Animal Specialty and Emergency Center, Los Angeles, CA, USA Abstract: Pathologic right-sided heart changes are a common echocardiographic finding in patients with pulmonary hypertension (PH). Canines with PH may have right heart pathology documented via echocardiographic color Doppler interrogation including tricuspid valve regurgitation, pulmonic valve insufficiency, elevated pulmonary arterial systolic pressure, elevated pulmonary arterial diastolic pressure, and alterations in ejection profiles. Two-dimensional echocardiographic findings may include right ventricular hypertrophy, interventricular septal flattening, paradoxical interventricular septal motion, pulmonary artery dilation, and potentially abnormal left heart dimensions. In veterinary medicine, much confidence is given to the measurement of pulmonary arterial systolic pressure estimated from tricuspid valve regurgitation to grade the severity of PH and monitor its improvement with little emphasis placed on the integration of two-dimensional echocardiographic right and left heart pathology in conjunction with Doppler findings. To the authors’ knowledge, marked improvement and/or resolution of echocardiographic-documented right heart pathology have not been previously reported in the veterinary literature. This case report documents profound echocardiographic improvement of right-sided heart disease in a dog with severe PH. Keywords: canine, pulmonary hypertension, tricuspid valve regurgitation, right heart hypertrophy, sildenafil
format	article
author	McMahon P Saelinger C
author_facet	McMahon P Saelinger C
author_sort	McMahon P
title	Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
title_short	Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
title_full	Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
title_fullStr	Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
title_full_unstemmed	Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
title_sort	reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/090e8da6003c4b5db934921dc28ff56e
work_keys_str_mv	AT mcmahonp reversalofechocardiographicrightsidedheartpathologyinadogwithseverepulmonaryhypertensionacasereport AT saelingerc reversalofechocardiographicrightsidedheartpathologyinadogwithseverepulmonaryhypertensionacasereport
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Reversal of echocardiographic right-sided heart pathology in a dog with severe pulmonary hypertension: a case report

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