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Peer-reviewed veterinary case report

Blood test for early kidney and heart problems in dogs with heart

By Jung, Han-Byeol et al.·Published in Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc·2018·Department of Veterinary Internal Medicine, South Korea·View original on PubMed

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Original publication title: Evaluation of serum neutrophil gelatinase-associated lipocalin as a novel biomarker of cardiorenal syndrome in dogs.

Species:
dog

Plain-English summary

A group of dogs with heart failure was studied to see if a blood test could help detect kidney problems early. Researchers found that dogs who later developed kidney issues had higher levels of a protein called NGAL in their blood when they were first admitted. This test was very accurate, correctly identifying 90% of dogs that would go on to have kidney problems. The findings suggest that measuring NGAL could help veterinarians monitor heart failure dogs for potential kidney issues sooner, allowing for better management of their health.

People also search for: dog heart failure symptoms · kidney problems in dogs · NGAL test for dogs

Abstract

Worsening renal function and azotemia in patients with heart failure (HF) are strongly associated with disease severity and poor prognosis. Increasing interest in this correlation led to the description and classification of cardiorenal syndrome (CRS). We evaluated the role of neutrophil gelatinase-associated lipocalin (NGAL) in the early detection of CRS in dogs with HF. Ten healthy dogs and 31 dogs admitted with HF were included in our study. NGAL and troponin-I were measured on samples collected on the day of admission; creatinine was measured on admission and again on day 7. The CRS group was defined as subsequently developing renal azotemia. Of 31 dogs with HF, 20 were included in the HF group, and 11 were included in the CRS group. The admission NGAL concentrations of the CRS group were significantly higher than those of other groups ( p < 0.001). The severity of HF evaluation based on the modified New York Heart Association classification showed significant correlation with NGAL ( p < 0.001) and troponin-I ( p = 0.009) concentration. However, only serum NGAL concentration at admission was significantly associated with the development of CRS in dogs with HF ( p = 0.021). The admission serum NGAL &#x2265; 16.0 ng/mL (optimal cutoff value) had a sensitivity of 90.9% and specificity of 90.0% in predicting the development of CRS.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/29429401/