Clinical and instrumental features of cardiorenal syndrome in cats with hypertrophic cardiomyopathy
- Authors: Byakhova V.M.1, Petrukhina O.A.1, Notina E.A.1, Bykova I.A.1
-
Affiliations:
- RUDN University
- Issue: Vol 19, No 2 (2024)
- Pages: 337-348
- Section: Veterinary science
- URL: https://journals.rcsi.science/2312-797X/article/view/315817
- DOI: https://doi.org/10.22363/2312-797X-2024-19-2-337-348
- EDN: https://elibrary.ru/IAJBRT
- ID: 315817
Cite item
Abstract
This research presents novel insights into the temporal dynamics of clinical and instrumental parameters pertaining to the emergence of cardiorenal syndrome in feline patients afflicted with hypertrophic cardiomyopathy. It elucidates that within pedigreed felines, the progression of congestive heart failure syndrome may precipitate the subsequent evolution and exacerbation of secondary renal damage, thus significantly complicating the trajectory of the primary pathological process. This study establishes, for the first time, the prevalence of cardiorenal syndrome, affecting 51.0% of the population within the broader cohort of cats afflicted with hypertrophic cardiomyopathy (n = 49). Moreover, it substantiates the role of the cardiorenal continuum in felines as a predictor of a more severe course of hypertrophic cardiomyopathy. Manifesting as concentric myocardial hypertrophy in domestic felines, cardiorenal syndrome is characterized by dyspnea, hypothermia, and circulatory insufficiency. Statistically significant findings include an elevated median nocturnal respiratory rate of 34.0 breaths/min (p < 0.001) compared to clinically healthy counterparts (18.0 breaths/min) in affected felines. Additionally, felines afflicted with hypertrophic cardiomyopathy and cardiorenal syndrome exhibit a statistically significant (p < 0.001) elevation in median mean arterial blood pressure to 140.0 mmHg compared to clinically healthy counterparts (104.0 mmHg), sinus tachycardia at 199.0 beats/min (171.5 beats/min in healthy felines), resulting in a statistically significant (p < 0.001) reduction in PQ intervals by 67.0 ms (75.5 ms in healthy felines), and an increase in QT interval by 204.0 ms (165.5 ms in healthy felines). Electrocardiographic assessments reveal indications of compromised intra-atrial and intraventricular conduction in hypertrophic cardiomyopathy-afflicted felines with cardiorenal syndrome, along with an augmented amplitude of the ventricular complex. Echocardiographic evaluations confirm alterations such as pulmonary vein dilation, pronounced left atrial anteroposterior enlargement, interventricular septal and left ventricular free wall hypertrophy, decreased longitudinal contractility of the left and right ventricles, and clinically significant diastolic dysfunction.
About the authors
Varvara M. Byakhova
RUDN University
Author for correspondence.
Email: byakhova-vm@rudn.ru
ORCID iD: 0000-0001-6041-2144
SPIN-code: 5911-3648
Candidate of Veterinary Sciences, Associate Professor, Department of Veterinary Medicine, Agrarian and Technological Institute
6 Miklukho-Maklaya st., Moscow, 117198, Russian FederationOlesya A. Petrukhina
RUDN University
Email: petrukhina-oa@rudn.ru
ORCID iD: 0000-0002-9102-2891
SPIN-code: 3774-6670
Candidate of Veterinary Sciences, Assistant, Department of Veterinary Medicine, Agrarian and Technological Institute
6 Miklukho-Maklaya st., Moscow, 117198, Russian FederationElena A. Notina
RUDN University
Email: notina-ea@rudn.ru
ORCID iD: 0000-0002-1283-8834
SPIN-code: 5031-6764
Ph.D. in Philology, Head of Department of Foreign Languages, Agrarian and Technological Institute
6 Miklukho-Maklaya st., Moscow, 117198, Russian FederationIrina A. Bykova
RUDN University
Email: bykova-ia@rudn.ru
ORCID iD: 0000-0002-5653-3899
SPIN-code: 7797-8418
Ph.D. in Philology, Professor, Department of Foreign Languages, Agrarian and Technological Instituten
6 Miklukho-Maklaya st., Moscow, 117198, Russian FederationReferences
- Vatnikov YA, Sotnikova ED, Byakhova VM, Petrukhina OA, Matveev AV, Rodionova NY, et al. Features of the development of hepatocardial syndrome in dogs with dilated cardiomyopathy. Veterinary Medicine. 2022;(10):52–57. (In Russ.). doi: 10.30896/0042-4846.2022.25.10.52-57
- Rudenko AA. Evaluation of sleeping respiratory rate in cats with congestive heart failure: the degree of adherence to this test of animal owners and its impact on patient survival. Russian Veterinary Journal. 2018;(4):9–14. (In Russ.). doi: 10.32416/article_5bd1c1f917fda5.38468318
- Rudenko AA. Indices of specific cellular immunity in dogs with dilated cardiomyopathy. Veterinary, Zootechnics and Biotechnology. 2018;(6):21–27. (In Russ.).
- Inatullaeva LB, Vatnikov YA, Vilkovisky IF, Voronina YY. Histological changes in kidneys with chronic kidney diseases in cats, associated with the deposition of amyloid. Veterinary, Zootechnics and Biotechnology.
- ;(5):25–31. (In Russ.).
- Shutov AM, Serov VA. Cardiorenal continuum or cardiorenal syndrome? Clinical Nephrology. 2010;(1):44–48. (In Russ.).
- Rudenko TE, Kutyrina IM, Shvetsov MY, Shilov EM, Novikova MS. Therapeutic strategies for the treatment of cardiorenal syndrome. Lechaschi vrach. 2012;(1):71. (In Russ.).
- Efremova EV, Shutov AM, Podusov AS, Troshina IY, Sakaeva ER. Evaluation of comorbidity in patients with chronic cardiorenal syndrome. Nephrology. 2019;23 (supplement 1):26–27. (In Russ.). doi: 10.36485/15616274-2019-23-5-18-43
- vdoshina SV, Efremovtseva MA, Villevalde SV, Kobalava JD. Acute cardiorenal syndrome: epidemiology, pathogenesis, diagnosis and treatment. Klinicheskaya farmakologiya i terapiya. 2013;22(4):11–17. (In Russ.).
- Sotnikova ED, Petrukhina OA, Byakhova VM, Sibirtsev VD. Features of the course of hepatocardial syndrome in cats with hypertrophic cardiomyopathy. RUDN Journal of Agronomy and Animal Industries.
- ;18(2):264–272. (In Russ.). doi: 10.22363/2312-797X-2023-18-2-264-272
- Sibirtsev VD. Mechanisms of formation of diastolic dysfunction of the left ventricle of the heart in animals and its role in the development of diastolic heart failure. In: XII international conference on clinical veterinary in PARTNERS format: conference proceedings. Moscow; 2022. p.227–235. (In Russ.).
- Shuteeva YA, Maryushina TO. Study of electrolyte balance disorders in cats with hypertrophic cardiomyopathy. Molodezhnyi nauchnyi forum: estestvennye i meditsinskie nauki. 2017;(4):167–172. (In Russ.).
- Khrushcheva VP, Kletikova LV, Shumakov VV, Martynov AN. Cardiac troponin I range in cats with complicated cardiomyopathy. Hippology and veterinary medicine. 2021;(1):224–230. (In Russ.).
- Karpenko LY, Kozitsyna AI, Bakhta AA, Polistovskaya PA. Prognostic criteria for assessing of hypertrophic cardiomyopathy in cats. Legal regulation in veterinary medicine. 2022;(1):44–46. (In Russ.). doi: 10.52419/ issn2782-6252.2022.1.44
- Phan VTP, Kontsevaya SY, Orlov SM. Retrospective evaluation of cardiomyopathy disease in 27 cats with heart failure disease. Actual questions of veterinary biology. 2022;(4):26–32. (In Russ.). doi: 10.24412/20745036-2022-4-26-32
- Kotkina KA, Bogdanova MA, Khokhlova SN. Diagnosis of hypertrophic cardiomyopathy in cats. In: Agrarian science and education at the present stage of development: conference proceedings. Ulyanovsk; 2023. p.951–955. (In Russ.).
- Desyaterik EV, Nikulin IA. Diagnosis of hypertrophic cardiomyopathy in cats. In: Actual problems of intensive development of animal breeding: conference proceedings. Bryansk; 2023. p.94–96. (In Russ.).
- Kostylev VA, Goncharova AV. Echocardiographic characteristics of hypertrophic cardiomyopathy of Maine Coon cats. In: Actual problems of veterinary medicine, zootechnics, biotechnology and expertise of raw materials and products of animal origin: conference proceedings. Мoscow; 2022. p.100–102. (In Russ.).
- Kovalenko AA, Stolbova OA. Hypertrophic cardiomyopathy in cats. In: Perspective developments and breakthrough technologies in agro-industrial complex: conference proceedings. Tyumen; 2020. p.63–68. (In Russ.).
- Sorokina SA, Samsonova TS. Stages and efficiency of diagnostics of hypertrophic cardiomyopathy in cats. In: Generation of the future: conference proceedings. St. Petersburg; 2019. p.44–52. (In Russ.).
- Manukhina NA, Kochueva NA. Electrocardiography in cats with hypertrophic cardiomyopathy. In: Actual issues of agro-industrial complex: conference proceedings. Kostroma; 2016. p.73–75. (In Russ.).
Supplementary files
