Echocardiographic estimation of left atrial pressure in beagle dogs with experimentally-induced mitral valve regurgitation

J Vet Med Sci. 2011 Aug;73(8):1015-24. doi: 10.1292/jvms.10-0141. Epub 2011 Apr 12.

Abstract

Non-invasive and immediate estimation of left atrial pressure (LAP) is very useful for the management of mitral regurgitation (MR), and many reports have assessed echocardiographic estimations of LAP to date. However, it has been unclear of which examination and evaluate article possess the best accuracy for the MR severity. The present research aims to establish the echocardiographic estimation equation of LAP that is well applicable for clinical MR dogs. After the chordae tendineae rupture was experimentally induced via left atriotomy in six healthy beagle dogs (three males and three females, two years old, weighing between 9.8 to 12.8 kg), a radio telemetry transmitter catheter was inserted, which allows the continuous recordings of LAP without the use of sedation. Approximately 5 weeks after the surgery, echocardiographic examination, indirect blood pressure measurement, measurement of plasma atrial natriuretic peptide (ANP) and LAP measurement by way of the radio telemetry system was performed simultaneously. Subsequently, simple linear regression equations between LAP and each variable were obtained, and the equations were evaluated whether to be applicable for clinical MR dogs. As a result, the ratio of early diastolic mitral flow to early diastolic lateral mitral annulus velocity (E/Ea) had the strongest correlation as maximum LAP=7.03*(E/Ea)-54.86 (r=0.74), and as mean LAP=4.94*(E/Ea)-40.37 (r=0.70) among the all variables. Therefore, these two equations associated with E/Ea should bring more precise and instant estimations of maximum and mean LAP in clinical MR dogs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrial Function, Left*
  • Atrial Natriuretic Factor / blood
  • Blood Pressure
  • Dog Diseases / blood
  • Dog Diseases / diagnostic imaging*
  • Dog Diseases / physiopathology
  • Dogs
  • Echocardiography, Doppler
  • Female
  • Linear Models
  • Male
  • Mitral Valve Insufficiency / blood
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / physiopathology
  • Mitral Valve Insufficiency / veterinary*
  • Telemetry / veterinary

Substances

  • Atrial Natriuretic Factor