Abstract
Dilated cardiomyopathy is a chronic progressive heart disease leading to the death of the animal. To provide timely and effective medical assistance to dogs suffering from dilated cardiomyopathy, early diagnosis is essential. It allows identifying sick animals before the development of cardiac decompensation and clinical manifestations of congestive heart failure. There are two major diagnostic methods for dilated cardiomyopathy in dogs at the symptomless stage: echocardiography and 24-hour Holter monitoring. If untreated, this pathology progresses over time. For this reason, the clinicians are faced with a challenge of enhancing the quality of an animal’s life and prolonging it. Given this, we set the objective of studying the effects of the beta-blocker Bisoprolol (Concor) on myocardial conduction and contractility in dogs with dilated cardiomyopathy and comparing tolerance to this drug taken by dogs in various initial dosages with their therapeutic efficacy. The study object was beta-blocker Bisoprolol (Concor). The experiments were performed on dogs, age 2–5 years, weight 15-30 kg, with dilated cardiomyopathy in the developed chronic Stage С Index B heart failure stage. All dogs underwent comprehensive clinical examinations, tonography, echocardiography, and Holter monitoring. It was established that usage of Bisoprolol (dosage 0.25 mg/kg) led to blood pressure decrease, reduced ejection fraction, shortening fraction, and deterioration of the general condition of sick dogs. We have proved therapeutic efficacy and good tolerance of Bisoprolol in the initial dosage of 0.15 mg/kg taken by dogs every 12 hours.
Highlights
Dilated cardiomyopathy (DCM) is a disease common to many species of mammals
The object of this study is the determination of the effects of the beta-blocker Bisoprolol (Concor) on myocardial conduction and contractility in dogs with dilated cardiomyopathy and comparing tolerance to this drug taken by dogs in various initial dosages with their therapeutic efficacy
The experiments were performed on dogs with dilated cardiomyopathy and developed chronic heart failure (Stage C, Index B) [14]
Summary
Dilated cardiomyopathy (DCM) is a disease common to many species of mammals. It is characterized by progressive congestive heart failure and cardiac remodeling with ventricles becoming less elliptical and more spherical, dilation of heart chambers dilating and thinning of ventricular walls. The principal causes of this cardiac pathology are toxic, infectious, autoimmune, and metabolic. It can develop as a result of an endocrine disorder or genetic inheritance (idiopathic cause) [8, 9]. In the decompensated heart failure stage, these mechanisms become overwhelmed and symptoms emerge. In 25% of cases, dogs with DCM suffer a sudden death from paroxysmal ventricular tachycardia. The survival time for sick dogs ranges from 27 to 150 days after discovery of the pathology [8, 13, 22]
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