Abstract

<p><strong><strong>There is an erratum to this paper published in <em>Veterinary Evidence</em> Vol 3, Issue 1 (2018): <a id="pub-id::doi" href="/index.php/ve/article/view/168/220" target="_blank">http://dx.doi.org/10.18849/ve.v3i1.168</a></strong></strong></p><p><strong>Clinical bottom line</strong></p><p>There is very weak veterinary clinical and experimental evidence based upon a limited number of studies to indicate that adding transdermal nitroglycerine to other therapies used for management of left-sided congestive heart failure in dogs speeds the resolution of clinical signs.</p><p> </p><br /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access" /> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed" />

Highlights

  • Summary of the evidencePopulation: mixed breed dogs with Seller’s grades 2+ or 3+ mitral regurgitation Sample size: 9 dogs

  • Placebo and nitroglycerine tape were applied to a clipped area of skin on the chest of healthy beagle dogs

  • The effect of nitroglycerin tape compared to placebo tape on blood pressure, heart rate and coronary blood flow in healthy beagle dogs

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Summary

Summary of the evidence

Population: mixed breed dogs with Seller’s grades 2+ or 3+ mitral regurgitation Sample size: 9 dogs. Five months after production of mitral regurgitation, left atrial dimension and ventricular function were measured using echocardiography/Doppler and left ventricular micromanometry. All dogs were given an IV (saline) and a transdermal placebo (Vaseline). Outcome studied: The effect of 4 different cardioactive drugs on left ventricular function in dogs with mitral regurgitation of 5 months duration. Parameters studied included intracardiac dimension, peak aortic flow, left atrial diastolic and systolic function. Main findings: (relevant to PICO question): When compared to placebo (Vaseline), transdermal nitroglycerin failed to produce an effect on any of the parameters studied

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