Vertebral heart size and vertebral left atrial size reference ranges in healthy Miniature Schnauzers

Am J Vet Res. 2024 Mar 15;85(5):ajvr.24.01.0010. doi: 10.2460/ajvr.24.01.0010. Print 2024 May 1.

Abstract

Objective: The inclusion of vertebral heart score (VHS) and, more recently, the inclusion of the vertebral left atrial size (VLAS) in radiographic evaluation have become important screening tools for identifying dogs with occult cardiac disease. Several recent papers have shown there are interbreed variations in the VHS reference range. Our hypothesis is that the Miniature Schnauzer would also have a higher reference range for its VHS.

Animals: The electronic medical records of IDEXX Telemedicine Consultants were searched for Miniature Schnauzers undergoing thoracic radiographs between March 1, 2022, and February 28, 2023.

Methods: Dogs were included if they had 3 view thoracic radiographs performed and no evidence of cardiopulmonary disease was detected. Dogs with incomplete radiographic studies or cardiac or extracardiac disease were excluded. The VHS and VLAS measurements were performed by 2 board-certified cardiologists independent of one another.

Results: A total of 1,000 radiographs were obtained of which 272 were included for the study. The overall range for the VHS in this cohort was 9.68 to 12.07 with a median of 10.9. For VLAS measurements, a range of 1.71 to 2.4 was documented with a median of 2.0.

Clinical relevance: The VHS for Miniature Schnauzers without cardiac disease was confirmed to be higher than the canine reference range.

Keywords: Miniature Schnauzer; VHS; VLAS; radiograph; vertebral.

MeSH terms

  • Animals
  • Dogs / anatomy & histology
  • Female
  • Heart / anatomy & histology
  • Heart Atria* / anatomy & histology
  • Heart Atria* / diagnostic imaging
  • Male
  • Organ Size
  • Radiography, Thoracic / veterinary
  • Reference Values
  • Thoracic Vertebrae / anatomy & histology
  • Thoracic Vertebrae / diagnostic imaging