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Bronkopnömonili Köpeklerin Tedavi Öncesi ve Sonrası Radyografilerinde Kardiyolojik Değişikliklerin Değerlendirilmesi

Year 2024, , 189 - 195, 28.11.2024
https://doi.org/10.36483/vanvetj.1538872

Abstract

Küçük hayvanlarda yaygın bir solunum yolu hastalığı olan pnömoni, akciğer kapasitesinin ve kalp debisinin azalması nedeniyle köpeklerde önemli hipoksemiye neden olur. Ayrıca, pnömoni kardiyak komplikasyonlara da yol açabilir. Bu çalışmada bronkopnömoni tedavisi uygulanan köpeklerde kardiyak siluet ve ana damar görünümlerindeki değişikliklerin değerlendirilmesi amaçlanmış ve bronkopnömonili köpeklerin tedavi öncesi ve sonrası radyografilerindeki değişiklikler değerlendirilmiştir. Bu amaçla, bronkopnömoni teşhisi konulan ve tedavi edilen 26 köpeğe ait radyografik veriler analiz edilmiştir. Ölçümler sol atriyal boyut, uzun eksen, kısa eksen, 4. torasik vertebra uzunluğu, aort genişliği, kaudal vena kava genişliği ve torasik genişliği içeriyordu. Tedavi öncesi ve sonrasında çekilen radyografilerde vertebral kalp skorunun uzun ve kısa eksenlerinde, dördüncü torasik vertebra uzunluğunda, aort ve kaudal vena kava genişliğinde ve torasik genişlikte herhangi bir değişiklik saptanmamıştır. Ancak, tedavi öncesi radyografilerde sol atriyal boyut tedavi sonrası radyografilere kıyasla daha büyük bulunmuştur. Hem tedavi öncesi hem de tedavi sonrası radyografilerde LAs ve LAs/TV4 ölçümleri arasında ve tedavi öncesi ile sonrası radyografiler arasındaki ölçüm farklılıklarında güçlü bir pozitif korelasyon gözlenmiştir. Sonuç olarak, bronkopnömoni tedavisini izlemek için kullanılan radyografiler, etkilenen köpeklerde potansiyel kardiyak komplikasyonların ilk göstergesi olarak hizmet edebilir.

Project Number

15244

References

  • Aviado DM, Guevera Aviado D (2001). The Bezold‐Jarisch Reflex. Ann N Y Acad Sci, 940 (1), 48–58.
  • Ayodhya S, Tirumala Rao DS, Narsimha Reddy Y, Syam Sundar N, Girish Kumar V (2013). Epidemiological, clinical and haematological studies on canine respiratory diseases in and around Hyderabad city, Andhra Pradesh, India. Int J Curr Microbiol App Sci, 2 (11), 453–462.
  • Bagardi M, Locatelli C, Manfredi M (2022). Breed‐specific vertebral heart score, vertebral left atrial size, and radiographic left atrial dimension in Cavalier King Charles Spaniels: Reference interval study. Vet Radiol Ultrasound, 63 (2), 156-163.
  • Bagardi M, Manfredi M, Zani DD, Brambilla PG, Locatelli C (2021). Interobserver variability of radiographic methods for the evaluation of left atrial size in dogs. Vet Radiol Ultrasound, 62 (2), 161-174.
  • Birks R, Fine DM, Leach SB et al. (2017). Breed-specific vertebral heart scale for the dachshund. J Am Anim Hosp Assoc, 53 (2), 73-79.
  • Boudoulas KD, Paraskevaidis IA, Boudoulas H, Triposkiadis FK (2014). The Left Atrium: From the Research Laboratory to the Clinic. Cardiology, 129 (1), 1–17.
  • Bradley K (2013). Radiology of the thorax. Holloway A, McConnell F (Eds). BSAVA Manual of Canine and Feline Radiography and Radiology (pp. 109–175). British Small Animal Veterinary Association, Gloucester.
  • Brady CA (2004). Bacterial Pneumonia in Dogs and Cats. King LG (Ed). Textbook of Respiratory Disease in Dogs and Cats (pp. 412–421). Saunders, Missouri.
  • Buchanan JW, Bücheler J (1995). Vertebral scale system to measure canine heart size in radiographs. J Am Vet Med Assoc, 206 (2), 194–199.
  • Campbell FE (2007). Cardiac Effects of Pulmonary Disease. Vet Clin North Am Small Anim Pract, 37 (5), 949–962.
  • Corrales-Medina VF, Musher DM, Shachkina S, Chirinos JA (2013). Acute pneumonia and the cardiovascular system. Lancet, 381 (9865), 496–505.
  • Estrada A, Fox-Alvarez S (2016). Vertebral heart scale. Erişim Tarihi: 12 Ekim 2024. Erişim Adresi: https://www.cliniciansbrief.com/article/vertebral-heart-scale
  • Greco A, Meomartino L, Raiano V, Fatone G, Brunetti A (2008). Effect of left versus right recumbency on the vertebral heart score in normal dogs. Vet Radiol Ultrasound, 49 (5), 454-455.
  • Gülanber EG, Gönenci R, Kaya Ü, Aksoy Ö, Biricik HS (2005). Vertebral scale system to measure heart size in thoracic radiographs of Turkish Shepherd (Kangal) dogs. Turk J Vet Anim Sci, 29 (3), 723-726.
  • Hanly P, Light RB (1987). Lung mechanics, gas exchange, pulmonary perfusion, and hemodynamics in a canine model of acutePseudomonas pneumonia. Lung, 165 (1), 305–322.
  • Hansson K, Häggström J, Kvart C, Lord P (2005). Interobserver variability of vertebral heart size measurements in dogs with normal and enlarged hearts. Vet Radiol Ultrasound, 46 (2), 122–130.
  • Ilten F, Şenocak F, Zorlu P, Teziç T (2003). Cardiovascular changes in children with pneumonia. Turk J Pediatr, 45 (4), 306–310.
  • Jaffey JA, Wiggen K, Leach SB et al. (2019). Pulmonary hypertension secondary to respiratory disease and/or hypoxia in dogs: Clinical features, diagnostic testing and survival. Vet J, 251, 105347.
  • Jojima FS, Lucina SB, Santos AL, Sousa MG, Froes TR (2019). Use of measurements from thoracic radiographs to identify high mean left atrium pressure in dogs with myxomatous mitral valve disease. Semin Cienc Agrar, 40 (1), 191–202.
  • Kellihan HB, Stepien RL (2010). Pulmonary Hypertension in Dogs: Diagnosis and Therapy. Vet Clin North Am Small Anim Pract, 40 (4), 623–641.
  • Kogan DA, Johnson LR, Jandrey KE, Pollard RE (2008). Clinical, clinicopathologic, and radiographic findings in dogs with aspiration pneumonia: 88 cases (2004–2006). J Am Vet Med Assoc, 233 (11), 1742–1747.
  • Köse S, Maden M, Sayın Z (2021). Clinical and bacteriological analysis of respiratory tract infections in sheltered dogs and determination of antibacterial treatment options. J Hell Vet Med Soc, 72 (4), 3491–3502.
  • Lamb CR, Boswood A (2002). Role of survey radiography in diagnosing canine cardiac disease. Compend Contin Educ Vet, 24 (4), 316–326.
  • Malcolm EL, Visser LC, Phillips KL, Johnson LR (2018). Diagnostic value of vertebral left atrial size as determined from thoracic radiographs for assessment of left atrial size in dogs with myxomatous mitral valve disease. J Am Vet Med Assoc, 253 (8), 1038–1045.
  • Morita T, Nakamura K, Osuga T et al. (2018). Pulmonary hypertension due to unclassified interstitial lung disease in a pembroke welsh corgi. J Vet Med Sci, 80 (6), 939–944.
  • Mostafa AA, Berry CR (2017). Radiographic assessment of the cardiac silhouette in clinically normal large- and small-breed dogs. Am J Vet Res, 78 (2), 168–177.
  • Mostafa AA, Peper KE, Berry CR (2020). Use of cardiac sphericity index and manubrium heart scores to assess radiographic cardiac silhouettes in large-and small-breed dogs with and without cardiac disease. J Am Vet Med Assoc, 256 (8), 888–898.
  • Nattel S, Burstein B, Dobrev D (2008). Atrial Remodeling and Atrial Fibrillation. Circ Arrhythm Electrophysiol, 1 (1), 62–73.
  • Restrepo MI, Reyes LF (2018). Pneumonia as a cardiovascular disease. Respirology, 23 (3), 250–259.
  • Rudorf H, Taeymans O, Johnson V (2008). Basics of thoracic radiography and radiology. Schwarz T, Johnson V (Eds). BSAVA Manual of Canine and Feline Thoracic Imaging (pp. 1–19). British Small Animal Veterinary Association, Gloucester.
  • Sánchez Salguero X, Prandi D, Llabrés-DÍaz F, Manzanilla EG, Bussadori C (2018). A radiographic measurement of left atrial size in dogs. Irish Vet J, 71 (1).
  • Sanchez X, Prandi D, Garcia-Guasch L et al. (2013). New Radiographic Measurements of Left Atrial Size in Dogs with Degenerative Mitral Valve Disease: Preliminary Study. J Vet Intern Med, 27 (3).
  • Stotts C, Corrales-Medina VF, Rayner KJ (2023). Pneumonia-Induced Inflammation, Resolution and Cardiovascular Disease: Causes, Consequences and Clinical Opportunities. Circ Res, 132 (6), 751–774.
  • Tangpakornsak T, Saisawart P, Sutthigran S et al. (2023). Thoracic Vertebral Length-to-Height Ratio, a Promising Parameter to Predict the Vertebral Heart Score in Normal Welsh Corgi Pembroke Dogs. Vet Sci, 10 (2), 168.
  • Vezzosi T, Puccinelli C, Tognetti R, Pelligra T, Citi S (2020). Radiographic vertebral left atrial size: A reference interval study in healthy adult dogs. Vet Radiol Ultrasound, 61 (5), 507–511.
  • Voelkel NF, Tuder RM (1995). Cellular and molecular mechanisms in the pathogenesis of severe pulmonary hypertension. Eur Respir J, 8 (12), 2129–2138.
  • Wesselowski S, Borgarelli M, Bello NM, Abbott J (2014). Discrepancies in Identification of Left Atrial Enlargement Using Left Atrial Volume versus Left Atrial‐to‐Aortic Root Ratio in Dogs. J Vet Intern Med, 28 (5), 1527–1533.
  • Wingfield WE, Matteson VL, Hackett T, Walton R, Lagutchik M (1997). Arterial Blood Gases in Dogs with Bacterial Pneumonia. J Vet Emerg Crit Care, 7 (2), 75–78.

Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment

Year 2024, , 189 - 195, 28.11.2024
https://doi.org/10.36483/vanvetj.1538872

Abstract

Pneumonia, a common respiratory disease in small animals, causes significant hypoxemia in dogs due to reduced lung capacity and cardiac output. In addition, pneumonia may lead to cardiac complications. This study aimed to evaluate the alterations in cardiac silhouette and main vessel views in dogs that underwent bronchopneumonia treatment, and the alterations were evaluated in radiographs of the dogs with bronchopneumonia before and after treatment. For this purpose, radiographic data from 26 dogs diagnosed with and treated for bronchopneumonia were analyzed. The measurements included left atrial size, long axis, short axis, the fourth thoracic vertebra length, aorta width, caudal vena cava width, and thoracic width. Radiographs obtained before and after treatment indicated no changes in the long and short axes of the vertebral hearth score, the fourth thoracic vertebrae length, aorta and caudal vena cava width, and thoracic width. However, in pre-treatment radiographs, the left atrial size was found to be larger compared to post-treatment radiographs. A strong positive correlation was observed between measurements of LAs and LAs/TV4 in both pre- and post-treatment radiographs, as well as in the measurement differences between pre- and post-treatment radiographs. As a consequence, the radiographs employed to monitor bronchopneumonia treatment may serve as an initial indicator of potential cardiac complications in affected dogs.

Ethical Statement

The study was approved by the Hatay Mustafa Kemal University Animal Experiments Local Ethics Committee (Approval number, 2015/10-10; Approval date, 30 Dec, 2015).

Supporting Institution

Hatay Mustafa Kemal University Scientific Research Projects Coordination Unit

Project Number

15244

Thanks

We would like to thank all MSc students for their assistance in clinical processes.

References

  • Aviado DM, Guevera Aviado D (2001). The Bezold‐Jarisch Reflex. Ann N Y Acad Sci, 940 (1), 48–58.
  • Ayodhya S, Tirumala Rao DS, Narsimha Reddy Y, Syam Sundar N, Girish Kumar V (2013). Epidemiological, clinical and haematological studies on canine respiratory diseases in and around Hyderabad city, Andhra Pradesh, India. Int J Curr Microbiol App Sci, 2 (11), 453–462.
  • Bagardi M, Locatelli C, Manfredi M (2022). Breed‐specific vertebral heart score, vertebral left atrial size, and radiographic left atrial dimension in Cavalier King Charles Spaniels: Reference interval study. Vet Radiol Ultrasound, 63 (2), 156-163.
  • Bagardi M, Manfredi M, Zani DD, Brambilla PG, Locatelli C (2021). Interobserver variability of radiographic methods for the evaluation of left atrial size in dogs. Vet Radiol Ultrasound, 62 (2), 161-174.
  • Birks R, Fine DM, Leach SB et al. (2017). Breed-specific vertebral heart scale for the dachshund. J Am Anim Hosp Assoc, 53 (2), 73-79.
  • Boudoulas KD, Paraskevaidis IA, Boudoulas H, Triposkiadis FK (2014). The Left Atrium: From the Research Laboratory to the Clinic. Cardiology, 129 (1), 1–17.
  • Bradley K (2013). Radiology of the thorax. Holloway A, McConnell F (Eds). BSAVA Manual of Canine and Feline Radiography and Radiology (pp. 109–175). British Small Animal Veterinary Association, Gloucester.
  • Brady CA (2004). Bacterial Pneumonia in Dogs and Cats. King LG (Ed). Textbook of Respiratory Disease in Dogs and Cats (pp. 412–421). Saunders, Missouri.
  • Buchanan JW, Bücheler J (1995). Vertebral scale system to measure canine heart size in radiographs. J Am Vet Med Assoc, 206 (2), 194–199.
  • Campbell FE (2007). Cardiac Effects of Pulmonary Disease. Vet Clin North Am Small Anim Pract, 37 (5), 949–962.
  • Corrales-Medina VF, Musher DM, Shachkina S, Chirinos JA (2013). Acute pneumonia and the cardiovascular system. Lancet, 381 (9865), 496–505.
  • Estrada A, Fox-Alvarez S (2016). Vertebral heart scale. Erişim Tarihi: 12 Ekim 2024. Erişim Adresi: https://www.cliniciansbrief.com/article/vertebral-heart-scale
  • Greco A, Meomartino L, Raiano V, Fatone G, Brunetti A (2008). Effect of left versus right recumbency on the vertebral heart score in normal dogs. Vet Radiol Ultrasound, 49 (5), 454-455.
  • Gülanber EG, Gönenci R, Kaya Ü, Aksoy Ö, Biricik HS (2005). Vertebral scale system to measure heart size in thoracic radiographs of Turkish Shepherd (Kangal) dogs. Turk J Vet Anim Sci, 29 (3), 723-726.
  • Hanly P, Light RB (1987). Lung mechanics, gas exchange, pulmonary perfusion, and hemodynamics in a canine model of acutePseudomonas pneumonia. Lung, 165 (1), 305–322.
  • Hansson K, Häggström J, Kvart C, Lord P (2005). Interobserver variability of vertebral heart size measurements in dogs with normal and enlarged hearts. Vet Radiol Ultrasound, 46 (2), 122–130.
  • Ilten F, Şenocak F, Zorlu P, Teziç T (2003). Cardiovascular changes in children with pneumonia. Turk J Pediatr, 45 (4), 306–310.
  • Jaffey JA, Wiggen K, Leach SB et al. (2019). Pulmonary hypertension secondary to respiratory disease and/or hypoxia in dogs: Clinical features, diagnostic testing and survival. Vet J, 251, 105347.
  • Jojima FS, Lucina SB, Santos AL, Sousa MG, Froes TR (2019). Use of measurements from thoracic radiographs to identify high mean left atrium pressure in dogs with myxomatous mitral valve disease. Semin Cienc Agrar, 40 (1), 191–202.
  • Kellihan HB, Stepien RL (2010). Pulmonary Hypertension in Dogs: Diagnosis and Therapy. Vet Clin North Am Small Anim Pract, 40 (4), 623–641.
  • Kogan DA, Johnson LR, Jandrey KE, Pollard RE (2008). Clinical, clinicopathologic, and radiographic findings in dogs with aspiration pneumonia: 88 cases (2004–2006). J Am Vet Med Assoc, 233 (11), 1742–1747.
  • Köse S, Maden M, Sayın Z (2021). Clinical and bacteriological analysis of respiratory tract infections in sheltered dogs and determination of antibacterial treatment options. J Hell Vet Med Soc, 72 (4), 3491–3502.
  • Lamb CR, Boswood A (2002). Role of survey radiography in diagnosing canine cardiac disease. Compend Contin Educ Vet, 24 (4), 316–326.
  • Malcolm EL, Visser LC, Phillips KL, Johnson LR (2018). Diagnostic value of vertebral left atrial size as determined from thoracic radiographs for assessment of left atrial size in dogs with myxomatous mitral valve disease. J Am Vet Med Assoc, 253 (8), 1038–1045.
  • Morita T, Nakamura K, Osuga T et al. (2018). Pulmonary hypertension due to unclassified interstitial lung disease in a pembroke welsh corgi. J Vet Med Sci, 80 (6), 939–944.
  • Mostafa AA, Berry CR (2017). Radiographic assessment of the cardiac silhouette in clinically normal large- and small-breed dogs. Am J Vet Res, 78 (2), 168–177.
  • Mostafa AA, Peper KE, Berry CR (2020). Use of cardiac sphericity index and manubrium heart scores to assess radiographic cardiac silhouettes in large-and small-breed dogs with and without cardiac disease. J Am Vet Med Assoc, 256 (8), 888–898.
  • Nattel S, Burstein B, Dobrev D (2008). Atrial Remodeling and Atrial Fibrillation. Circ Arrhythm Electrophysiol, 1 (1), 62–73.
  • Restrepo MI, Reyes LF (2018). Pneumonia as a cardiovascular disease. Respirology, 23 (3), 250–259.
  • Rudorf H, Taeymans O, Johnson V (2008). Basics of thoracic radiography and radiology. Schwarz T, Johnson V (Eds). BSAVA Manual of Canine and Feline Thoracic Imaging (pp. 1–19). British Small Animal Veterinary Association, Gloucester.
  • Sánchez Salguero X, Prandi D, Llabrés-DÍaz F, Manzanilla EG, Bussadori C (2018). A radiographic measurement of left atrial size in dogs. Irish Vet J, 71 (1).
  • Sanchez X, Prandi D, Garcia-Guasch L et al. (2013). New Radiographic Measurements of Left Atrial Size in Dogs with Degenerative Mitral Valve Disease: Preliminary Study. J Vet Intern Med, 27 (3).
  • Stotts C, Corrales-Medina VF, Rayner KJ (2023). Pneumonia-Induced Inflammation, Resolution and Cardiovascular Disease: Causes, Consequences and Clinical Opportunities. Circ Res, 132 (6), 751–774.
  • Tangpakornsak T, Saisawart P, Sutthigran S et al. (2023). Thoracic Vertebral Length-to-Height Ratio, a Promising Parameter to Predict the Vertebral Heart Score in Normal Welsh Corgi Pembroke Dogs. Vet Sci, 10 (2), 168.
  • Vezzosi T, Puccinelli C, Tognetti R, Pelligra T, Citi S (2020). Radiographic vertebral left atrial size: A reference interval study in healthy adult dogs. Vet Radiol Ultrasound, 61 (5), 507–511.
  • Voelkel NF, Tuder RM (1995). Cellular and molecular mechanisms in the pathogenesis of severe pulmonary hypertension. Eur Respir J, 8 (12), 2129–2138.
  • Wesselowski S, Borgarelli M, Bello NM, Abbott J (2014). Discrepancies in Identification of Left Atrial Enlargement Using Left Atrial Volume versus Left Atrial‐to‐Aortic Root Ratio in Dogs. J Vet Intern Med, 28 (5), 1527–1533.
  • Wingfield WE, Matteson VL, Hackett T, Walton R, Lagutchik M (1997). Arterial Blood Gases in Dogs with Bacterial Pneumonia. J Vet Emerg Crit Care, 7 (2), 75–78.
There are 38 citations in total.

Details

Primary Language English
Subjects Veterinary Internal Medicine
Journal Section Araştırma Makaleleri
Authors

Serkan İrfan Köse 0000-0003-3189-6690

Ramazan Gönenci 0000-0002-4043-2612

Project Number 15244
Early Pub Date November 28, 2024
Publication Date November 28, 2024
Submission Date August 26, 2024
Acceptance Date October 19, 2024
Published in Issue Year 2024

Cite

APA Köse, S. İ., & Gönenci, R. (2024). Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment. Van Veterinary Journal, 35(3), 189-195. https://doi.org/10.36483/vanvetj.1538872
AMA Köse Sİ, Gönenci R. Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment. Van Vet J. November 2024;35(3):189-195. doi:10.36483/vanvetj.1538872
Chicago Köse, Serkan İrfan, and Ramazan Gönenci. “Evaluation of Cardiologic Alterations in Radiographs of Dogs With Bronchopneumonia Before and After Treatment”. Van Veterinary Journal 35, no. 3 (November 2024): 189-95. https://doi.org/10.36483/vanvetj.1538872.
EndNote Köse Sİ, Gönenci R (November 1, 2024) Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment. Van Veterinary Journal 35 3 189–195.
IEEE S. İ. Köse and R. Gönenci, “Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment”, Van Vet J, vol. 35, no. 3, pp. 189–195, 2024, doi: 10.36483/vanvetj.1538872.
ISNAD Köse, Serkan İrfan - Gönenci, Ramazan. “Evaluation of Cardiologic Alterations in Radiographs of Dogs With Bronchopneumonia Before and After Treatment”. Van Veterinary Journal 35/3 (November 2024), 189-195. https://doi.org/10.36483/vanvetj.1538872.
JAMA Köse Sİ, Gönenci R. Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment. Van Vet J. 2024;35:189–195.
MLA Köse, Serkan İrfan and Ramazan Gönenci. “Evaluation of Cardiologic Alterations in Radiographs of Dogs With Bronchopneumonia Before and After Treatment”. Van Veterinary Journal, vol. 35, no. 3, 2024, pp. 189-95, doi:10.36483/vanvetj.1538872.
Vancouver Köse Sİ, Gönenci R. Evaluation of Cardiologic Alterations in Radiographs of Dogs with Bronchopneumonia Before and After Treatment. Van Vet J. 2024;35(3):189-95.

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