Peer-reviewed veterinary case report
Pulmonary hypertension in dogs - diagnosis and treatment guidelines
By Reinero, Carol et al.·Published in Journal of veterinary internal medicine·2020·Department of Veterinary Medicine and Surgery·View original on PubMed →
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Original publication title: ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs.
- Species:
- dog
Plain-English summary
A dog with breathing problems may be suffering from pulmonary hypertension (PH), a condition where there is increased pressure in the blood vessels of the lungs. This can happen due to various underlying issues, including heart disease or respiratory problems. To diagnose PH, veterinarians will consider the dog's age, symptoms, and results from tests like echocardiograms. Treatment focuses on managing the underlying causes and may include medications to help reduce the pressure in the lungs. Regular monitoring is essential to track the dog's condition and adjust treatment as needed.
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Abstract
Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary approach to guidelines for the diagnosis, classification, treatment, and monitoring of PH in dogs. Comprehensive evaluation including consideration of signalment, clinical signs, echocardiographic parameters, and results of other diagnostic tests supports the diagnosis of PH and allows identification of associated underlying conditions. Dogs with PH can be classified into the following 6 groups: group 1, pulmonary arterial hypertension; group 2, left heart disease; group 3, respiratory disease/hypoxia; group 4, pulmonary emboli/pulmonary thrombi/pulmonary thromboemboli; group 5, parasitic disease (Dirofilaria and Angiostrongylus); and group 6, disorders that are multifactorial or with unclear mechanisms. The approach to treatment of PH focuses on strategies to decrease the risk of progression, complications, or both, recommendations to target underlying diseases or factors contributing to PH, and PH-specific treatments. Dogs with PH should be monitored for improvement, static condition, or progression, and any identified underlying disorder should be addressed and monitored simultaneously.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32065428/