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Peer-reviewed veterinary case report

Pimobendan effects on heart ultrasound in dogs with silent mitral

By Ouellet, M et al.·Published in Journal of veterinary internal medicine·2009·Companion Animal Research Group of the Faculty of Veterinary Medicine, Canada·View original on PubMed

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Original publication title: Effect of pimobendan on echocardiographic values in dogs with asymptomatic mitral valve disease.

Species:
dog

Plain-English summary

A group of 24 dogs with early-stage mitral valve disease (MVD) were given a medication called pimobendan to see if it would help improve their heart function. While the dogs showed some improvement in heart pumping ability shortly after starting the treatment, these benefits did not last over the six-month study period. Unfortunately, pimobendan did not reduce the severity of the heart condition in the long term. If your dog has been diagnosed with MVD, it's important to discuss ongoing treatment options with your veterinarian.

People also search for: dog mitral valve disease treatment · pimobendan for dogs · heart medication for dogs

Abstract

BACKGROUND: Pimobendan (PIMO) is a novel inodilator that has shown promising results in the treatment of advanced mitral valve disease (MVD), but little is known about its hemodynamic effects, especially regarding the mitral regurgitant volume in naturally occurring MVD. HYPOTHESIS: The addition of pimobendan to treatment decreases the regurgitant fraction (RF) in dogs with asymptomatic MVD. ANIMALS: Twenty-four client-owned dogs affected by International Small Animal Cardiac Health Council class Ib MVD. METHODS: Prospective, blinded, and controlled clinical trial. Dogs were assigned to a PIMO treatment group (n = 19) (0.2-0.3 mg/kg q12h) or a control group (n = 5). Echocardiographic evaluations were performed over a 6-month period. RESULTS: The addition of PIMO to treatment did not decrease the RF of dogs affected by asymptomatic class 1b MVD over the study period (P= .85). There was a significant increase in the ejection fraction of the PIMO treated dogs at 30 days (80.8 +/- 1.42 versus 69.0 +/- 2.76, corrected P= .0064), and a decrease in systolic left ventricular diameter (corrected P= .011) within the PIMO group compared with baseline. However, this improvement in systolic function was not sustained over the 6-month trial period. CONCLUSION AND CLINICAL IMPORTANCE: This study did not identify beneficial long-term changes in the severity of mitral regurgitation after addition of PIMO to angiotensin converting enzyme inhibitor treatment of dogs with asymptomatic MVD.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19143935/