Dilated cardiomyopathy in cats: survey of veterinary cardiologists and retrospective evaluation of a possible association with diet.

Dilated cardiomyopathy in cats: survey of veterinary cardiologists and retrospective evaluation of a possible association with diet.
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DOI:
10.1016/j.jvc.2021.11.002
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发表时间:
2022-02
期刊:
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology
影响因子:
--
通讯作者:
Yang VK
Yang VK
中科院分区:
其他
文献类型:
--
作者:
Karp SI;Freeman LM;Rush JE;Arsenault WG;Cunningham SM;DeFrancesco TC;Karlin ET;Laste NJ;Lefbom BK;Plante C;Rodriguez KT;Tyrrell WD;Yang VK

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目的是对心脏病专家进行调查,了解他们最近治疗患有扩张型心肌病(DCM)的猫的经验,并回顾性审查猫DCM的个别病例。第一部分:向心脏病专家分发了一份调查问卷,询问了过去两年中诊断为DCM的猫的病例量和临床管理情况。第二部分:完成调查的心脏病专家被邀请提交最近诊断为DCM的猫的数据。记录信号、临床体征、饮食、超声心动图测量和结果的数据。第一部分:从52个已完成的调查中,许多心脏病专家回应说,测量和补充牛磺酸,并建议改变DCM猫的饮食习惯是常见的做法。少数(15%)心脏病专家报告说,在过去两年中,猫DCM病例的数量有所增加,尽管有些病例即使不存在牛磺酸缺乏症也有所改善。第二部分:在诊断时,37只猫中有20只(54%)食用低豌豆/扁豆(低PL)饲粮,14只(38%)食用高PL饲粮;其中三名患者的饮食信息不完整。测量的13只猫中有两只(15%)的牛磺酸水平低于参考范围。在调整了其他变量后,在诊断后改变饮食的高PL猫的生存时间明显长于在诊断后不改变饮食的高PL猫(P = 0.025)。需要进一步的研究来确定猫的饮食和DCM之间是否存在可能的联系。
The objectives were to conduct a survey of cardiologists on their recent experiences with cats that have dilated cardiomyopathy (DCM) and to retrospectively review individual cases of feline DCM. Part one: A survey was distributed to cardiologists with questions regarding caseload and clinical management of cats with DCM diagnosed over the past two years. Part two: Cardiologists completing the survey were invited to submit data from cats recently diagnosed with DCM. Data on signalment, clinical signs, diet, echocardiographic measurements and outcome were recorded. Part one: From 52 completed surveys, many cardiologists responded that measuring and supplementing taurine and recommending a diet change in cats with DCM are common practices. Few (15%) cardiologists reported an increase in the number of feline DCM cases over the past two years, although some had cases that improved even if taurine deficiency was not present. Part two: Twenty of 37 (54%) cats ate low pea/lentil (low PL) diets, and 14/37 (38%) ate high PL diets at the time of diagnosis; three had incomplete diet information. Two of 13 cats (15%) in which taurine was measured had levels below the reference range. After adjusting for other variables, cats eating high PL diets that changed diets after diagnosis had a significantly longer survival time than that of cats eating high PL diets that did not change diets after diagnosis (P = 0.025). Additional research is warranted to determine whether there could be a possible association between diet and DCM in cats.
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