Peer-reviewed veterinary case report
Are ACE inhibitors effective for early mitral valve disease in dogs
By Donati, P et al.·Published in The Journal of small animal practice·2022·Universidad de Buenos Aires·View original on PubMed →
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Original publication title: Angiotensin-converting enzyme inhibitors in preclinical myxomatous mitral valve disease in dogs: systematic review and meta-analysis.
- Species:
- dog
Plain-English summary
A review of studies on angiotensin-converting enzyme inhibitors for dogs with early signs of myxomatous mitral valve disease found that these medications are generally safe but may not significantly reduce the risk of developing congestive heart failure in dogs with enlarged hearts. For dogs without heart enlargement, the effects of these medications are uncertain; they might lower the risk of heart failure, but there's also a chance they could increase it. Overall, while these medications are commonly used, their effectiveness in preventing heart issues in dogs with this condition remains unclear.
People also search for: dog heart disease treatment · myxomatous mitral valve disease in dogs · congestive heart failure in dogs medication
Abstract
OBJECTIVES: To determine the efficacy and adverse events of the administration of angiotensin--converting enzyme inhibitors for the management of preclinical myxomatous mitral valve disease in dogs. MATERIALS AND METHODS: A compre- hensive search using Pubmed/MEDLINE, LILACS and CAB abstracts databases was performed. Ran- domised clinical trials that assessed efficacy and adverse events of angiotensin-converting enzyme inhibitors for the management of preclinical myxomatous mitral valve disease in dogs were included. Certainty of evidence was rated using GRADE methods. RESULTS: Four randomised clinical trials were included. While safe, angiotensin-converting enzyme inhibitors administration to dogs with myxomatous mitral valve disease and cardiomegaly results in little to no difference in the risk of development congestive heart failure (high certainty of evidence; relative risk: 1.03; 95% confidence interval: 0.87 to 1.23) and may result in little to no difference in cardiovascular-related (low certainty of evidence; relative risk: 1.01; 95% confidence interval: 0.54 to 1.89) and all-cause mortality (low certainty of evidence; relative risk: 0.93; 95% confidence interval: 0.63 to 1.36). Administration of angiotensin-converting enzyme inhibitors to dogs with myxomatous mitral valve disease without cardiomegaly may result in a reduced risk of congestive heart failure development. However, the range in which the actual effect for this outcome may be, the "margin of error," indicates it might also increase the risk of congestive heart failure development (low certainty of evidence; relative risk: 0.86; 95% confidence interval: 0.54 to 1.35). CLINICAL SIGNIFICANCE: Administration of angiotensin-converting enzyme inhibitors to dogs with -preclinical myxoma- tous mitral valve disease and cardiomegaly results in little to no difference in the risk of the develop- ment of congestive heart failure and may result in little to no difference in -cardiovascular-related and all-cause mortality. The certainty of evidence of the efficacy of angiotensin-converting enzyme inhibi- tors administration to dogs without cardiomegaly was low.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34905219/