The ABCDs of confident diagnosis & treatment of feline heart disease

Presented by Rebecca L. Stepien, DVM, MS, Dipl. ACVIM (Cardiology)

Continuing education questionnaire

CE credit: 1

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Questions

2. Which of the following tests delivers the most reliable indicator of NO heart disease in a cat? *

A quantitative NT-proBNP result <100 pmol/L

A normal thoracic radiograph

A murmur auscultated in a young cat

Concurrent diagnosis of hyperthyroidism

A normal ECG trace

3. Which of the following stages of feline cardiomyopathy reflects current or previous congestive heart failure or arterial thromboembolism? *

4. In cats with cardiomyopathy, Stage B1 can best be differentiated from Stage B2 using which diagnostic test finding? *

History of difficulty breathing r

Physical examination findings of Grade 3/6 systolic heart murmu

Radiographic evidence of generalized cardiomegaly

Echocardiographic evidence of severe left atrial enlargement

Positive response to oxygen supplementation

5. When a cat is diagnosed with Stage B2 cardiomyopathy, which of the following medications is recommended by the consensus group? *

6. Sphinx cats are predisposed to developing hypertrophic cardiomyopathy. A healthy two- year-old Sphinx cat with no evidence of heart disease would be classified as: *

7. A “SNAP® ” (cageside) NT-proBNP test will provide an answer to which of the following questions? *

Does this cat have low output heart failure or congestive heart failure?

Does this dyspneic cat have dilated cardiomyopathy or hypertrophic cardiomyopathy?

Are this cat’s respiratory signs likely to represent congestive heart failure?

Is this healthy cat likely to develop heart disease in the future?

Is this hyperthyroid cat with a heart murmur also anemic?

8. An echocardiogram is indicated in an asymptomatic cat with a heart murmur in each of the following circumstances EXCEPT: *

“SNAP®” (cageside) NT-proBNP result is “abnormal”

There are questions about breeding or pedigree

The cat needs to be anesthetized safely

The client wants to know

“SNAP®” (cageside) NT-proBNP) result is “normal”

9. Which of the following medications are NOT indicated for the treatment of congestive heart failure due to cardiomyopathy in cats? *

10. All of the following findings in a dyspneic cat are strongly suggestive of heart disease as a cause of dyspnea EXCEPT: *

“SNAP®” (cageside) NT-proBNP result is “abnormal”

Radiographs show generalized cardiomegaly and alveolar pulmonary infiltrates

The cat has an auscultated arrhythmia with pulse deficits

Pleural effusion with jugular distention is present

A grade 2/6 intermittent systolic heart murmur at the caudal sternum is detected