ECOCARDIOGRAFÍA DOPPLER PULSADO Y TISULAR EN PERROS CON ENFERMEDAD MITRAL DEGENERATIVA CRÓNICA ESTADIO C ESTABLE

Autores/as

  • Vicente García Sánchez Departamento de Medicina y Cirugía Animal. Facultad de Veterinaria. Universidad de Murcia
  • Mª Josefa Fernández del Palacio Departamento de Medicina y Cirugía Animal. Facultad de Veterinaria. Universidad de Murcia. Servicio Cardiorrespiratorio del Hospital Veterinario de la Universidad de Murcia
DOI: https://doi.org/10.6018/analesvet.549341
Palabras clave: Enfermedad mixomatosa de la válvula mitral, función sistólica, función diastólica, perro

Resumen

La enfermedad mitral degenerativa crónica (EMCD) es la valvulopatía adquirida más frecuente en perros de raza pequeña y edad avanzada que es responsable de insuficiencia cardiaca congestiva. La ecocardiografía es el método de elección para efectuar el diagnóstico, clasificar a los pacientes y monitorizar el tratamiento.  El objetivo de este estudio es examinar la utilidad del Doppler pulsado del flujo transmitral y Doppler tisular para evaluar la funcionalidad cardiaca en perros con enfermedad mitral degenerativa crónica en estadio C.  Materiales y métodos: Se incluyeron en el estudio 5 perros con EMDC en estadio C y 5 perros sanos de edades y pesos similares. Se seleccionó de los historial clínico de cada perro los datos de la reseña y siguientes parámetros ecocardiográficos: ratio AI/Ao, velocidades flujo transmitral (E, A y ratio E/A), velocidades del anillo mitral (lateral y medial) y radial en eje corto mediante Doppler tisular (S´, E´ y A´), ratio E/E´ y parámetros de funcionalidad del ventrículo derecho (excursión sistólica del plano del anillo tricúspide-TAPSE-, y Doppler tisular del anillo tricúspide lateral (S´, E´ y A´)). Resultados:  once de los diecinueve parámetros evaluados resultaron diferentes de forma significativa   entre animales sanos y enfermos: elevación ratio AI/Ao, Vmax E, ratio E/A, E´ en las tres regiones, S´ (lateral y medial), ratio E/E´, E´ y S´ del ventrículo derecho.  Conclusiones: la elevación de los parámetros del Doppler tisular indica que la funcionalidad tanto del ventrículo izquierdo como derecho esta mantenida en perros con EMCD estadio C estable. Estos perros presentan presiones de llenado del ventrículo izquierdo muy elevadas (Vmax E; ratio E/A).

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Publicado
28-04-2023
Cómo citar
García Sánchez, V., & Fernández del Palacio, M. J. . (2023). ECOCARDIOGRAFÍA DOPPLER PULSADO Y TISULAR EN PERROS CON ENFERMEDAD MITRAL DEGENERATIVA CRÓNICA ESTADIO C ESTABLE. Anales de Veterinaria de Murcia, 37. https://doi.org/10.6018/analesvet.549341
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Trabajos Fin de Grado/Fin de Máster