Degenerative Mitral Valve Disease Flashcards

Degenerative Mitral Valve Disease Flashcards What is the gold standard for DX or L-CHF? thoracic radiograph What stage of DMVD does this describe?High risk for developing heart disease but currently has no identifiiable structural disorder of the heart Stage A What is the most common acquired heart dz in dogs?Name other common names for it Degeneraritve valve disease dogsakamyxomatous valve disease What stage of DMVD does this describe?Asymptomatic patients that have hemodynamically significant valve reguritation resulting in atrial and ventricular enlargement that meets ePIC clinical trial criteria Stage B2 Is DMVD considered a relatively fatal condition? No most remain asymptomatic and don't die What stage is defined as "diuretic dependent"? Stage C DMVD is for small/large breed male/female dogs? Small breed male dogs

• dx for DMVD?1. thoracic radiographs2. BP3. echocardiogram

To be able to define a DMVD as stage D, what oral dose of furosemide must it need daily as appropriate therapy?equal to or more than 8mg/kg/day What hormone is responsible contributing to valve remodeling serotonin signaling contributed DMVD causes volume or pressure overloadvolume In DVD what is the most commonly affected valve? second most?MITRAL2nd is tricuspid What stage of DMVD does this describe?patients with end-stage disease with no clinical signs of heart failure caused by degenerative valve disease that are refractory to "standard therapy" Stage D How to ddx symptomatic tachypnea for DMVD? Resting Resp Rate RRR - equal to or less than 30 bpm at home is asymptomatic What stage of DMVD does this describe?Asymptomatic patients that have no radiographic or ecocardiographic evidence of cardiac remodeling Stage B1 List the treatments for DMVD based on stageB1B2CD B1 - No TxB2 - Pimobendan and mild NA restrict dietC - Acute: pimobendan and furosemideC - Chronic: pimobendan, furosemide, ACEi, spironolactone What does VHS describe?Vertebral heart sizeIt's a way to measure and classify DMVD Prognosis of DMVD based on stages?b1 - >5 yrb2 - 2-5 yrC - 6-18 mD 3-6 mCOLLABORATIVE CARE What stage of DMVD does this describe?patients with past or current clinical signs of heart failure associated with their valvular disease Stage C

What stage of DMVD does this describe?patient with structural heart disease that has never developed clinical signs caused by heart failure Stage B What is a natral biomarker for DMVD?B-type natriuretic peptides BNP What are the criteria for L CHF on thoracic radiographs?1. LA enlargement or LV too2. Interstitial pulmonary infiltrates3. +/- enlargement pulmonary VEINS When do you use echocardiogram vs thoracic radiograph?TR = symptomaticEcho = asymp DMVD is common in what breed of dogs?Cavalier King Charles Spaniel How can MR in DMVD worsen acutely?IF chordae tendinae rupture before compensatory hypertrophy occurs