ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs
Abstract Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-03-01
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| Series: | Journal of Veterinary Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jvim.15725 |
| _version_ | 1819074881304657920 |
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| author | Carol Reinero Lance C. Visser Heidi B. Kellihan Isabelle Masseau Elizabeth Rozanski Cécile Clercx Kurt Williams Jonathan Abbott Michele Borgarelli Brian A. Scansen |
| author_facet | Carol Reinero Lance C. Visser Heidi B. Kellihan Isabelle Masseau Elizabeth Rozanski Cécile Clercx Kurt Williams Jonathan Abbott Michele Borgarelli Brian A. Scansen |
| author_sort | Carol Reinero |
| collection | DOAJ |
| description | Abstract Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary approach to guidelines for the diagnosis, classification, treatment, and monitoring of PH in dogs. Comprehensive evaluation including consideration of signalment, clinical signs, echocardiographic parameters, and results of other diagnostic tests supports the diagnosis of PH and allows identification of associated underlying conditions. Dogs with PH can be classified into the following 6 groups: group 1, pulmonary arterial hypertension; group 2, left heart disease; group 3, respiratory disease/hypoxia; group 4, pulmonary emboli/pulmonary thrombi/pulmonary thromboemboli; group 5, parasitic disease (Dirofilaria and Angiostrongylus); and group 6, disorders that are multifactorial or with unclear mechanisms. The approach to treatment of PH focuses on strategies to decrease the risk of progression, complications, or both, recommendations to target underlying diseases or factors contributing to PH, and PH‐specific treatments. Dogs with PH should be monitored for improvement, static condition, or progression, and any identified underlying disorder should be addressed and monitored simultaneously. |
| first_indexed | 2024-12-21T18:16:33Z |
| format | Article |
| id | doaj.art-871844ad42734524b274f3c3fc32eef0 |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-12-21T18:16:33Z |
| publishDate | 2020-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-871844ad42734524b274f3c3fc32eef02022-12-21T18:54:39ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762020-03-0134254957310.1111/jvim.15725ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogsCarol Reinero0Lance C. Visser1Heidi B. Kellihan2Isabelle Masseau3Elizabeth Rozanski4Cécile Clercx5Kurt Williams6Jonathan Abbott7Michele Borgarelli8Brian A. Scansen9Department of Veterinary Medicine and Surgery, College of Veterinary Medicine University of Missouri Columbia MissouriDepartment of Medicine and Epidemiology, School of Veterinary Medicine University of California, Davis Davis CaliforniaDepartment of Medical Sciences, School of Veterinary Medicine University of Wisconsin Madison WisconsinDepartment of Sciences Cliniques, Faculté de Médecine Vétérinaire Université de Montréal Saint‐Hyacinthe Quebec CanadaDepartment of Clinical Sciences, Cummings School of Veterinary Medicine Tufts University Medford MassachusettsDepartment of Clinical Sciences of Companion Animals and Equine University of Liège Liège BelgiumDepartment of Pathobiology and Diagnostic Investigation, College of Veterinary Medicine Michigan State University East Lansing MichiganDepartment of Small Animal Clinical Sciences, College of Veterinary Medicine University of Tennessee Knoxville TennesseeDepartment of Small Animal Clinical Sciences Virginia Maryland College of Veterinary Medicine Blacksburg VirginiaDepartment of Clinical Sciences Colorado State University Fort Collins ColoradoAbstract Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary approach to guidelines for the diagnosis, classification, treatment, and monitoring of PH in dogs. Comprehensive evaluation including consideration of signalment, clinical signs, echocardiographic parameters, and results of other diagnostic tests supports the diagnosis of PH and allows identification of associated underlying conditions. Dogs with PH can be classified into the following 6 groups: group 1, pulmonary arterial hypertension; group 2, left heart disease; group 3, respiratory disease/hypoxia; group 4, pulmonary emboli/pulmonary thrombi/pulmonary thromboemboli; group 5, parasitic disease (Dirofilaria and Angiostrongylus); and group 6, disorders that are multifactorial or with unclear mechanisms. The approach to treatment of PH focuses on strategies to decrease the risk of progression, complications, or both, recommendations to target underlying diseases or factors contributing to PH, and PH‐specific treatments. Dogs with PH should be monitored for improvement, static condition, or progression, and any identified underlying disorder should be addressed and monitored simultaneously.https://doi.org/10.1111/jvim.15725echocardiographypulmonary arterial hypertensionrespiratory diseasetricuspid regurgitation velocity |
| spellingShingle | Carol Reinero Lance C. Visser Heidi B. Kellihan Isabelle Masseau Elizabeth Rozanski Cécile Clercx Kurt Williams Jonathan Abbott Michele Borgarelli Brian A. Scansen ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs Journal of Veterinary Internal Medicine echocardiography pulmonary arterial hypertension respiratory disease tricuspid regurgitation velocity |
| title | ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs |
| title_full | ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs |
| title_fullStr | ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs |
| title_full_unstemmed | ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs |
| title_short | ACVIM consensus statement guidelines for the diagnosis, classification, treatment, and monitoring of pulmonary hypertension in dogs |
| title_sort | acvim consensus statement guidelines for the diagnosis classification treatment and monitoring of pulmonary hypertension in dogs |
| topic | echocardiography pulmonary arterial hypertension respiratory disease tricuspid regurgitation velocity |
| url | https://doi.org/10.1111/jvim.15725 |
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