Treatment of high-output cardiac failure secondary to anemia in three cats

Case series summary Three cats presented for clinical signs of respiratory distress and varying etiologies of anemia. Echocardiograms revealed evidence of cardiac dilation without other significant structural or functional heart disease. Thoracic imaging via point-of-care ultrasound and/or radiograp...

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Main Authors: Hillary Hammond, Kursten V Pierce
Format: Article
Language:English
Published: SAGE Publishing 2023-02-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169231154178
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author Hillary Hammond
Kursten V Pierce
author_facet Hillary Hammond
Kursten V Pierce
author_sort Hillary Hammond
collection DOAJ
description Case series summary Three cats presented for clinical signs of respiratory distress and varying etiologies of anemia. Echocardiograms revealed evidence of cardiac dilation without other significant structural or functional heart disease. Thoracic imaging via point-of-care ultrasound and/or radiographs confirmed evidence of volume overload by pleural effusion. Each cat was diagnosed with presumed high-output cardiac failure secondary to anemia. Mainstays of treatment included controlling congestion and correcting the anemia with transfusions in the short-term while addressing the underlying etiology of the anemia in the long-term. Relevance and novel information Reports, treatment and management of high-output failure in the veterinary literature are limited. Extrapolating from human medicine, cats presenting with anemia and findings consistent with volume overload will benefit from treatment of their anemia to reduce neuroendocrine activation and the associated sodium and water retention. Therefore, blood transfusion should neither be avoided nor delayed in anemic cats with changes consistent with volume overload and congestive heart failure.
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spelling doaj.art-006e9c5331094c008da9b107968e29bf2023-02-28T16:33:16ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692023-02-01910.1177/20551169231154178Treatment of high-output cardiac failure secondary to anemia in three catsHillary Hammond0Kursten V Pierce1Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USADepartment of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USACase series summary Three cats presented for clinical signs of respiratory distress and varying etiologies of anemia. Echocardiograms revealed evidence of cardiac dilation without other significant structural or functional heart disease. Thoracic imaging via point-of-care ultrasound and/or radiographs confirmed evidence of volume overload by pleural effusion. Each cat was diagnosed with presumed high-output cardiac failure secondary to anemia. Mainstays of treatment included controlling congestion and correcting the anemia with transfusions in the short-term while addressing the underlying etiology of the anemia in the long-term. Relevance and novel information Reports, treatment and management of high-output failure in the veterinary literature are limited. Extrapolating from human medicine, cats presenting with anemia and findings consistent with volume overload will benefit from treatment of their anemia to reduce neuroendocrine activation and the associated sodium and water retention. Therefore, blood transfusion should neither be avoided nor delayed in anemic cats with changes consistent with volume overload and congestive heart failure.https://doi.org/10.1177/20551169231154178
spellingShingle Hillary Hammond
Kursten V Pierce
Treatment of high-output cardiac failure secondary to anemia in three cats
Journal of Feline Medicine and Surgery Open Reports
title Treatment of high-output cardiac failure secondary to anemia in three cats
title_full Treatment of high-output cardiac failure secondary to anemia in three cats
title_fullStr Treatment of high-output cardiac failure secondary to anemia in three cats
title_full_unstemmed Treatment of high-output cardiac failure secondary to anemia in three cats
title_short Treatment of high-output cardiac failure secondary to anemia in three cats
title_sort treatment of high output cardiac failure secondary to anemia in three cats
url https://doi.org/10.1177/20551169231154178
work_keys_str_mv AT hillaryhammond treatmentofhighoutputcardiacfailuresecondarytoanemiainthreecats
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