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Demystifying Congestive Heart Failure in Dogs – A Practical Approach to Diagnosis and Management
Presenté par Éva Larouche-Lebel, D.M.V., Dipl. ACVIM (Cardiologie)
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Demystifying Congestive Heart Failure in Dogs - A Practical Approach to Diagnosis and Management
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Questions
1. Which of the following is the most common cause of congestive heart failure in dogs?
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Dilated cardiomyopathy
Myxomatous mitral valve disease
Pulmonic stenosis
Pericardial effusion
2. Which patient is MOST likely to develop CHF due to mitral valve disease?
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2-year-old Great Dane
10-year-old Cavalier King Charles Spaniel
4-year-old Labrador Retriever
1-year-old mixed breed
3. A 9-year-old Shih Tzu presents with a chronic cough but is otherwise bright, with normal respiratory rate at rest and no exercise intolerance. A grade II/VI systolic murmur is ausculted. What is the MOST appropriate interpretation?
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CHF is highly likely
CHF cannot be ruled out without NT-proBNP
CHF is unlikely; other causes of cough should be prioritized
Start furosemide empirically
4. Which of the following is MOST consistent with left-sided CHF in dogs?
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Pleural effusion
Perihilar and caudodorsal pulmonary edema
Craniodorsal lung consolidation only
Pneumothorax
5. Which statement about thoracic radiographs is TRUE?
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They are always definitive for CHF
They detect early CHF reliably
Interpretation is completely objective
Findings may lag behind clinical disease
6. An NT-proBNP > 1800–2500 pmol/L in a dyspneic dog suggests:
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Primary respiratory disease
Normal cardiac function
Increased likelihood of CHF
Kidney failure
7. Which of the following is NOT a primary goal of CHF treatment?
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Relieve congestion
Improve cardiac output
Suppress RAAS
Increase systemic blood pressure
8. What is the mechanism of action of loop diuretics?
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Block aldosterone receptors
Inhibit Na/K/2Cl transporter in the loop of Henle
Increase cardiac contractility
Block angiotensin II receptors
9. Which patient is an appropriate candidate for pimobendan?
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Dog with stage B1 MMVD (no enlargement)
Dog with stage B2 MMVD
Dog with subaortic stenosis
Cat with HCM and normal systolic function
10. Which of the following is the MOST useful parameter for owners to monitor at home?
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Body temperature
Resting respiratory rate
Heart murmur grade
Blood pressure
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ANIMAUX
DE COMPAGNIE
CHEVAUX
Animaux
de ferme
Éducation
Académie féline
CommuniQUIZ
Derrière la croquette
Études de cas
NutriQUIZ
ScientiFlash
Tech vet
Vetspresso
Webdiffusions
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Envol!
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