Peer-reviewed veterinary case report
Heart problems in 168 cats with sudden urinary blockage
By Duperrier-Simond, Cyril et al.·Published in The Canadian veterinary journal = La revue veterinaire canadienne·2024·Small Animal Medicine Unit (Duperrier-Simond, France·View original on PubMed →
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Original publication title: Occurrence of cardiovascular events in 168 cats with acute urinary tract obstruction.
- Species:
- cat
Plain-English summary
A group of 168 cats with urinary tract obstruction (UTO) were treated in an intensive care unit, and many experienced heart-related issues. About 62% of these cats showed signs of cardiovascular events, such as irregular heartbeats, heart murmurs, and signs of fluid overload. Factors like high potassium levels, existing kidney disease, and certain ultrasound findings were linked to these heart problems. It's important for pet owners to know that cats with UTO, especially those with kidney issues, may need careful monitoring of their heart health during treatment.
People also search for: cat urinary tract obstruction symptoms · cat heart problems treatment · high potassium in cats · cat kidney disease signs
Abstract
BACKGROUND: Cardiovascular dysfunction associated with acute kidney injury has been recently described in veterinary medicine, but limited information is available for cats with urinary tract obstruction (UTO). OBJECTIVE: This retrospective study aimed to describe the type, frequency, timeline, and risk factors for cardiovascular events (CVEs) in cats treated for acute UTO. ANIMALS AND PROCEDURES: Medical records of cats admitted to the intensive care unit for either upper (ureteral: UUTO) or lower (urethral: LUTO) UTO from 2016 to 2021 were reviewed. Cardiovascular events were defined as development of arrhythmia, heart murmur or gallop sound, clinical signs consistent with fluid overload (CRFO), or decreased tissue perfusion (DTP). RESULTS: One hundred and sixty-eight cats with UTO were recruited (56 with UUTO and 112 with LUTO). Cardiovascular events were reported in 61.9% of cases, including arrhythmia (33.6%), gallop rhythm (28.1%), heart murmur (15.3%), CRFO (14.4%), and DTP (8.6%). Potassium concentration, preexisting chronic kidney disease, and renal pelvic dilation at abdominal ultrasonography were associated with CVE occurrence in multivariate analysis. CONCLUSIONS: This study highlighted frequent CVEs in cats treated for UTO, with a potential strong impact on outcome. Therefore, cardiovascular parameters of cats with preexisting chronic kidney disease or those admitted with hyperkalemia or renal pelvic dilation should be closely monitored.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38164379/