主動脈狹窄 

版主: doggydc, Jeff Wang, JLLinVET, 艾咪

主動脈狹窄

文章Edward 麻 » 2008-02-26, 17:39

1.名字: EDWARD
2.年齡: 原本是流浪犬.去年5月29日收養至今.醫生粗判他那時大約2歲多
3.犬種: 黃金獵犬
4.性別: 男
5.體重: 28KG
6.病史: 艾利希體(已治療).中度CHD.心臟主動脈狹窄


因為他有中度CHD
作檢查時發現有心雜音.所以做了心臟超音波

二次報告如下:

********************************************************************************
2007/9/13 體重31KG
Description: Moderate SAS/Mid PS
Assessment:
Thoracic radiography:I was presented with right lateral view for evaluation. There is mild cardiomegaly with VHS scale of 10.8 vertebrae.
There is substantial aortic dilatation. The pulmonary vasculature to the cranial lung fields is seen well.

Electrocardiography:
The standard 6 leads electroxcardiogram was performed on patient's right lateral position.
There is a normail sinus rhythm with heart rate of 107. The abnormal lead II measurements were noted as follows: P mitrale (P duration=72 msec.) was noted which may be compatible with left atrial enlargement. Tall R wave( R amplitude= 5mV) and wide QRS complex (QRS duration=72 msec.) are compatible with left ventricular enlargement.

Echocardiography:
There is no detectable left atrial dilation. The LV measurements were well maintained within normal limits. There is a moderate subaortic stenosis with LVOT jet reached 3.39 m/s measured through subcostal view. There is also a mild pulmonic stenosis with jet reached 1.53 m/s.

Recommendations:
No detecable compensatory change that the use of medication, special cardiac diet and supplementation.

Measurements:
Heart Rate: 107 bpm
P Duration: 72 ms
PR Lnterval: 104 ms
QT Lnterval: 256 ms
RR interval: 563 ms
Max-Min RR: 40ms
QRS Duration: 72ms
ST Deviation: -150uV

********************************************************************************

2008/2/23 體重28KG

Description: Severe SAS. Mild PS. Moderate TR

Assessment:
Electrocardiography: The standard 6 leads electroxcardiogram was performed on patient's right lateral position. There is a normal sinus rhythm with heart rate of 95. The abnormal lead II measurements were noted as follows: P mitrale (P duration=52 msec.) was noted which may be compatible with left atrial enlargement. Tall R wave(R amplitude=4.2 mV) and wide QRS complex (QRS duration=60 msec.) are compatible with left ventricular enlargement.

Echocardiography:
There is mild left atrial dilation. The M mode of the LV measurements were still within normal limits. There is a severe subaortic stenosis with LVOT measured 5.26 m/s. There is a mild pulmonic stenosis and moderatr tricuspid regurgitation.

Recommendations:
Carvedilol 0.1 mg/kg bid initially. Dose up to 0.25 mg/kg bid depending on clinical sign and ABP measurements. Final dose to maintain at 0.5 mg/kg bid if necessary.

Measurements:
Heart Rate: 95pm
P Duration: 52s
PR Lnterval: 100ms
QT Lnterval: 192
RR interval: 629
Max-Min RR: 36
QRS Duration: 60
ST Deviation: 50uV

**************************************************************************
以上是醫生的檢查報告!

由於EDWARD有中度CHD.所以體重一直在控制中.目前維持在28-29KG中間
從大約去年11月開始服用Q10.每日30 mg. 從2/23檢查回來後開始增量至90 mg 一天.

由於知道他有CHD問題.所以從12月開始有帶他慢跑的習慣
大約2-3天.會帶他慢跑約7公里.時間大約60分鐘
但是最近一直下雨.所以也大約停了3-4週

醫生覺得慢跑可能會讓他心臟負擔太大.所以2/23後就再也沒帶他慢跑過了

從週六晚上開始服藥開始
edward似乎睡眠時間增加.看似好像還是很活潑.但實際上已經不像之前的好動

想請問醫生:
1.藥物是否有副作用?
2.如果不服藥(因為擔心副作用或是他身體無法負擔).會有怎樣的結果?
2.是否有合適的營養品可以幫助?

謝謝
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Edward 麻
 
文章: 137
註冊時間: 2007-09-06, 11:13
性別: 未指定

文章doggydc » 2008-02-29, 01:54

please follow your doctor's instruction and do the regular recheck on your dog.
Every medicne has its side effect that why you have to follow the doctor's instruction for re-evaluate the condition of the heat to make sure medicine is working.
I don't know know there is any nutritrional supplement will help the heart function on this disease although Q 10 is very popular in Taiwan.
Proper excercise without over working of the heart is the goal to maintain the heart function. I absolutely agree to your doctor that no strenous running and heavy types exercise on your dog.
doggydc
 
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文章chien » 2008-02-29, 07:59

譯文如下:

請遵循您醫師的指示並定期帶狗狗回去複診。
因為每種藥物都有副作用,所以必須遵照醫師的建議,不斷的評估以確定此種藥物對心臟狀況是否有正面成效。
雖然在台灣,Q10的使用已是十分普遍,但我並不瞭解是否有對心臟主動脈狹窄有所助益的營養保健品…
適度運作、不過勞,是維持心臟功能的原則。我同意您醫師說的,不要讓您的狗狗從事激烈的跑步及其他對心臟負擔過大的運動。
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chien
 
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文章Edward 麻 » 2008-02-29, 16:14

謝謝醫生.也謝謝翻譯.....

昨天回診.目前血壓看似正常.(108)
醫生建議先停葯一週.看是否會恢復往常的活力
如果是.那就確認是藥物的影響
如果沒恢復.就可以排除藥物的影響了

我會持續複診.以隨時能了解病情的變化!

醫生有建議可以補充q10和魚油
但不推薦使用處方飼料
我已經開始讓牠服用
也希望能有點幫助

謝謝!
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Edward 麻
 
文章: 137
註冊時間: 2007-09-06, 11:13
性別: 未指定


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