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IDIOPATHIC PERICARDIAL
EFFUSION IN DOGS –A THREE
YEAR STUDY


By Katarina Pirtonen, VM1
2011
OUTLINE
 Introduction
 Study of Veterinary Hospital Bhoiguda
 Symptoms of the pericardial effusion
 Diagnosing
 Results
 Treatment
 References
INTRODUCTION
 Pericardial disease is not
  usual cardiac disease of
  dogs. In pericardial
  diseases, the fluid
  bunches up to the
  pericardial sac.
 The most common causes
  of pericardial effusion in
  dogs are cardiac
  hemangiosarcoma, idiopa
  thic pericardial effusion
  and
  chemodectoma, which
  lead to right sided heart
  failure.
STUDY OF VETERINARY HOSPITAL
BHOIGUDA
 28dogs out of 811 dogs
 of different breed, sex
 and heart
 problems, were
 diagnosed with
 idiopathic pericardial
 effusion (IPE).
 The IPE was
 discovered in 13
 Labrador retrievers, 6
 Doberman pinschers, 5
 German Shepards , 3
 Spitz and 1 Great Dane.
STUDY OF VETERINARY HOSPITAL
BHOIGUDA
 The  survey
  revealed, that
  pericardial effusion
  occurs often in male
  dogs at the age of
  7,18 yrs
 The Labrador
  retrievers were most
  prone to the disease.
SYMPTOMS OF THE PERICARDIAL
EFFUSION
 exercise intolerance
 dyspnoea at rest
 weakness
 ascites
 cough
 anorexia
 pallor mucosa and
  cyanotic mucosa
 syncope following
  exertion or exercise
  and peripheral edema
 muffling sounds
DIAGNOSING

 Echocardiography
  was the most delicate
  way of diagnosing
  pericardial effusion
 Useful to distinguish
  different cardiac
  diseases which cause
  cardiomegaly on
  radiograph
RESULTS
 By  echocardiography
  there were found free
  space area
  (hypoechoic to
  anechoic) between
  epicardium and
  pericardium
 low voltage QRS
  complexes with
  electrical alterans
 enlarged heart
TREATMENT
 The  most efficient
  treatment were
  pericardiocentesis
  with frusemide and
  ramipril
 The improvement in
  physical
  activity, appetite and
  general condition was
  noticed
 Also cough, dyspnoea
  and cardiac murmurs
  alleviated.
REFERENCES
 Idiopathic  Pericardial Effusion in Dogs - A
  three year study
 K. Satish Kumar, V. V. V. Amruth Kumar, P.
  Nagaraj, and D. S. Tirumala Rao
 Department of Veterinary Clinical Medicine
  College of Veterinary Science, Rajendranagar
  Hyderabad – 500 030,
  Andhra Pradesh, India
 http://vetscan.co.in/v6n1/78-Idiopathic-
  Pericardial-Effusion-Dogs.htm

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Idiopathic pericardial effusion in dogs –a three

  • 1. IDIOPATHIC PERICARDIAL EFFUSION IN DOGS –A THREE YEAR STUDY By Katarina Pirtonen, VM1 2011
  • 2. OUTLINE  Introduction  Study of Veterinary Hospital Bhoiguda  Symptoms of the pericardial effusion  Diagnosing  Results  Treatment  References
  • 3. INTRODUCTION  Pericardial disease is not usual cardiac disease of dogs. In pericardial diseases, the fluid bunches up to the pericardial sac.  The most common causes of pericardial effusion in dogs are cardiac hemangiosarcoma, idiopa thic pericardial effusion and chemodectoma, which lead to right sided heart failure.
  • 4. STUDY OF VETERINARY HOSPITAL BHOIGUDA  28dogs out of 811 dogs of different breed, sex and heart problems, were diagnosed with idiopathic pericardial effusion (IPE).  The IPE was discovered in 13 Labrador retrievers, 6 Doberman pinschers, 5 German Shepards , 3 Spitz and 1 Great Dane.
  • 5. STUDY OF VETERINARY HOSPITAL BHOIGUDA  The survey revealed, that pericardial effusion occurs often in male dogs at the age of 7,18 yrs  The Labrador retrievers were most prone to the disease.
  • 6. SYMPTOMS OF THE PERICARDIAL EFFUSION  exercise intolerance  dyspnoea at rest  weakness  ascites  cough  anorexia  pallor mucosa and cyanotic mucosa  syncope following exertion or exercise and peripheral edema  muffling sounds
  • 7. DIAGNOSING  Echocardiography was the most delicate way of diagnosing pericardial effusion  Useful to distinguish different cardiac diseases which cause cardiomegaly on radiograph
  • 8. RESULTS  By echocardiography there were found free space area (hypoechoic to anechoic) between epicardium and pericardium  low voltage QRS complexes with electrical alterans  enlarged heart
  • 9. TREATMENT  The most efficient treatment were pericardiocentesis with frusemide and ramipril  The improvement in physical activity, appetite and general condition was noticed  Also cough, dyspnoea and cardiac murmurs alleviated.
  • 10. REFERENCES  Idiopathic Pericardial Effusion in Dogs - A three year study  K. Satish Kumar, V. V. V. Amruth Kumar, P. Nagaraj, and D. S. Tirumala Rao  Department of Veterinary Clinical Medicine College of Veterinary Science, Rajendranagar Hyderabad – 500 030, Andhra Pradesh, India  http://vetscan.co.in/v6n1/78-Idiopathic- Pericardial-Effusion-Dogs.htm