Pericardial effusion in cats: a retrospective study of clinical findings and outcome in 146 cats.

Autor: Hall DJ; Department of Cardiology, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, Philadelphia, PA, USA., Shofer F, Meier CK, Sleeper MM
Jazyk: angličtina
Zdroj: Journal of veterinary internal medicine [J Vet Intern Med] 2007 Sep-Oct; Vol. 21 (5), pp. 1002-7.
DOI: 10.1892/0891-6640(2007)21[1002:peicar]2.0.co;2
Abstrakt: Background: Pericardial effusion (PE) in dogs most often is associated with neoplasia or idiopathic pericarditis, and frequently causes cardiac tamponade. Studies of PE in the cat are limited.
Hypothesis: Congestive heart failure (CHF) is the most common cause of PE in the cat.
Animals: All cats diagnosed with PE on echocardiographic examination at the Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania (MJR-VHUP) from 2000 to 2005.
Methods: The clinical and pathologic findings in 146 cats with PE were reviewed. Records were examined retrospectively to identify additional underlying conditions. Follow-up status and cause of death were determined by review of the medical records or phone interviews with the owners.
Results: The most common cause of PE in this study was CHF (75%). Biochemical abnormalities were uncommon, but aspartate aminotransferase (AST) activity frequently was increased (85%). Follow-up information was available on 108 cats (74%). Median survival time (MST) was 144 days for cats that were not euthanized within 24 hours (n = 85). The MST of cats with heart failure was 41 days, whereas the MST of cats without heart failure was 361 days, when those euthanized within 24 hours were excluded.
Conclusions: Survival time of cats with heart failure in this study was significantly shorter than previously reported, and significantly shorter than in cats without heart failure as a cause of PE.
Databáze: MEDLINE
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