Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas

The effects of cardiac disease on the intestine have been reported in humans but not in dogs. We investigated the effects of myxomatous mitral valve disease (MMVD), which is capable of causing congestion and tissue hypoperfusion, on the intestine in Chihuahuas, a breed frequently encountered in clin...

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Main Authors: R. Araki, K. Iwanaga, Kazunori Ueda, M. Isaka
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-11-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2021.777579/full
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author R. Araki
R. Araki
R. Araki
K. Iwanaga
Kazunori Ueda
M. Isaka
author_facet R. Araki
R. Araki
R. Araki
K. Iwanaga
Kazunori Ueda
M. Isaka
author_sort R. Araki
collection DOAJ
description The effects of cardiac disease on the intestine have been reported in humans but not in dogs. We investigated the effects of myxomatous mitral valve disease (MMVD), which is capable of causing congestion and tissue hypoperfusion, on the intestine in Chihuahuas, a breed frequently encountered in clinical practice as the preferred breed for MMVD. In this study, 69 Chihuahuas were divided into four groups based on echocardiography and chest radiography: 19 healthy Chihuahuas (H) and 50 Chihuahuas with MMVD classified according to the ACVIM consensus (stage B1, B2, C/D). In all the cases, serum intestinal fatty acid-binding protein (I-FABP) and D/L-lactate concentrations, markers of intestinal mucosal injury, were measured. I-FABP was significantly higher in stage C/D Chihuahuas than in other groups (p < 0.05), and stage B2 was significantly higher than H (p < 0.05). D-lactate was significantly increased in stages B2 and C/D compared to H and stage B1 (p < 0.05). L-lactate was significantly higher in stage C/D Chihuahuas than in any other group (p < 0.05), and stage B2 was significantly higher than that in H and stage B1 (p < 0.05). Intestinal mucosal injury risk was significantly higher in Chihuahuas with heart failure due to MMVD, suggesting that the risk could increase with worsening heart disease. This is the first study to investigate the intestinal complications of MMVD, and further investigations a needed in the future.
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spelling doaj.art-899ce3d513c4450aa398a2efb7e3aa9c2022-12-21T23:10:26ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692021-11-01810.3389/fvets.2021.777579777579Intestinal Complication With Myxomatous Mitral Valve Diseases in ChihuahuasR. Araki0R. Araki1R. Araki2K. Iwanaga3Kazunori Ueda4M. Isaka5Yokohama Yamate Dog & Cat Medical Center, Yokohama, JapanTokyo Veterinary Cardiology Center, Fukazawa, JapanDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, JapanTokyo Veterinary Cardiology Center, Fukazawa, JapanYokohama Yamate Dog & Cat Medical Center, Yokohama, JapanDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine, Rakuno Gakuen University, Ebetsu, JapanThe effects of cardiac disease on the intestine have been reported in humans but not in dogs. We investigated the effects of myxomatous mitral valve disease (MMVD), which is capable of causing congestion and tissue hypoperfusion, on the intestine in Chihuahuas, a breed frequently encountered in clinical practice as the preferred breed for MMVD. In this study, 69 Chihuahuas were divided into four groups based on echocardiography and chest radiography: 19 healthy Chihuahuas (H) and 50 Chihuahuas with MMVD classified according to the ACVIM consensus (stage B1, B2, C/D). In all the cases, serum intestinal fatty acid-binding protein (I-FABP) and D/L-lactate concentrations, markers of intestinal mucosal injury, were measured. I-FABP was significantly higher in stage C/D Chihuahuas than in other groups (p < 0.05), and stage B2 was significantly higher than H (p < 0.05). D-lactate was significantly increased in stages B2 and C/D compared to H and stage B1 (p < 0.05). L-lactate was significantly higher in stage C/D Chihuahuas than in any other group (p < 0.05), and stage B2 was significantly higher than that in H and stage B1 (p < 0.05). Intestinal mucosal injury risk was significantly higher in Chihuahuas with heart failure due to MMVD, suggesting that the risk could increase with worsening heart disease. This is the first study to investigate the intestinal complications of MMVD, and further investigations a needed in the future.https://www.frontiersin.org/articles/10.3389/fvets.2021.777579/fullChihuahuasD-lactateintestinal complicationintestinal fatty acid-binding proteinintestinal mucosal injury markersmyxomatous mitral valve disease
spellingShingle R. Araki
R. Araki
R. Araki
K. Iwanaga
Kazunori Ueda
M. Isaka
Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
Frontiers in Veterinary Science
Chihuahuas
D-lactate
intestinal complication
intestinal fatty acid-binding protein
intestinal mucosal injury markers
myxomatous mitral valve disease
title Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
title_full Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
title_fullStr Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
title_full_unstemmed Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
title_short Intestinal Complication With Myxomatous Mitral Valve Diseases in Chihuahuas
title_sort intestinal complication with myxomatous mitral valve diseases in chihuahuas
topic Chihuahuas
D-lactate
intestinal complication
intestinal fatty acid-binding protein
intestinal mucosal injury markers
myxomatous mitral valve disease
url https://www.frontiersin.org/articles/10.3389/fvets.2021.777579/full
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