心血管疾病

Chronic Mitral Valve Disease慢性二 Disease慢性二 尖瓣病变 Pulmonary Oedema
Electrocardiology心电图 Electrocardiology心电图
R-wave amplitude in lead II is increased R波的 振幅增加 QRS duration in lead II is increased QRS的宽 QRS的宽 度增加
Heart Diseases – Acquired获得性心 Acquired获得性心 脏病
Idiopathic Heart Diseases先天性心脏病 Diseases先天性心脏病 Metabolic Heart Diseases代谢性心脏病 Diseases代谢性心脏病 Toxic Heart Diseases中毒性心脏病 Diseases中毒性心脏病 Neoplastic Heart Diseases肿瘤性 Diseases肿瘤性 Infectious Heart Diseases感染性 Diseases感染性 Genetic Heart Diseases遗传性 Diseases遗传性 85% of heart diseases in dogs are cardiomyopathies 85%的心脏病属于心肌疾病 85%的心脏病属于心肌疾病
Summary概述 Summary概述
Progressive disease病程 disease病程 In early and mid stages no signs of heart failure在早期和中期， failure在早期和中期， 心衰是没有明显症状的 In later stages heart failure with pulmonary congestion心衰后期 congestion心衰后期 伴发肺水肿 Left atrial enlargement with compression of left main bronchus is responsible for cough左心房的扩大压迫左支气管表现为 cough左心房的扩大压迫左支气管表现为 咳嗽 Left atrial rupture with sudden death can occur左心房衰竭可能 occur左心房衰竭可能 会导致猝死 Ventricula arrythmias can lead to sudden death心律失常也会猝 death心律失常也会猝 死
Radiology x-检查
Left atrial enlargement左心房扩大 enlargement左心房扩大 Left ventricular enlargement左心室扩大 enlargement左心室扩大 Dislocation of trachea to dorsal气管虚脱 dorsal气管虚脱 Compression of left mainstream bronchus左支气管 bronchus左支气管 Pulmonary oedema (accute chordal rupture shows severe
25 20 15 12 10 5 0 <1 1-2 3-6 6-8 9-12 > 13 Year Years Years Years Years Years 55 2 2 3 10 9 8 16 11 Male Female 23
Heart Failure – Heart Disease心力衰 Disease心力衰 竭
百度文库
Treatment治疗 Treatment治疗
PrePre-clinical Stages of CVD:慢性瓣膜病早期治疗 CVD:慢性瓣膜病早期治疗 ACEACE-Inhibitors ACE抑制剂 ACE抑制剂 Bronchodilators支气管扩张药 Bronchodilators支气管扩张药 Antitussiva CDV with heart failure慢性瓣膜病办法心衰 failure慢性瓣膜病办法心衰 Furosemide呋噻米 Furosemide呋噻米 ACEACE-Inhibitors Pimobendan Low sodium diet and restricted exercise低盐饮食和限制运动 exercise低盐饮食和限制运动 Digoxin when sinus rhythm is present地高辛 present地高辛
Heart Diseases – Congenital 先天性心脏病
Ventricular Septal Defect (VSD)心室间隔缺损 (VSD)心室间隔缺损 Atrial Septal Defect (ASD)心房间隔缺损 (ASD)心房间隔缺损 Patent Ductus Arteriosus (PDA)动脉导管未闭 (PDA)动脉导管未闭 Pulmonic Stenosis (PS)肺动脉瓣狭窄 (PS)肺动脉瓣狭窄 Aortic Stenosis (AS)主动脉瓣狭窄 (AS)主动脉瓣狭窄 Subaortic Stenosis (SAS) Persistent Right Aortic Arch (PRAA)永久性右位主动 (PRAA)永久性右位主动 脉弓 Tetralogy of Fallot 法乐氏四联症
Chronic Valvular Disease慢性瓣膜病 Disease慢性瓣膜病
Degenerative Degenerative disorder of the AV-Valves, AVparticularly the mitral valve Common in older, small breed dogs, acounting for 75-80% of canine cardiac diseases易发于老 75diseases易发于老 年，小型犬 Caused by thickening and contraction of the valve leaflets and the chordae tendinea Genetic in Cavalier King Charles Spaniel and Dachshund查理王犬和腊肠犬的遗传疾病 Dachshund查理王犬和腊肠犬的遗传疾病
oedema without atrial or ventricular enlargement)肺水肿（） enlargement)肺水肿（）
Splitting of the main bronchi in latero-lateral view支气 lateroview支气 管侧面 Pulmonary artery dilation肺动脉扩张 dilation肺动脉扩张
Heart failure is the state when the heart fails to meet the metabolic demands of the body心力衰竭是心输出量不能满足 body心力衰竭是心输出量不能满足 身体需要 Heart failure can also be found in diseases not related directly to the heart, such as Anaemia and Hyperthyroidism心力衰竭不是 Hyperthyroidism心力衰竭不是 独立的疾病，常伴发于贫血和甲亢 Heart disease is the presence of heart murmurs, arrythmias and other cardiac abnormalities心脏病表现于心动过慢，心律失 abnormalities心脏病表现于心动过慢，心律失 常，或心脏畸形 Until these heart conditions are severe, the Animals show no signs of heart failure一般动物不表现症状，表现出来已经很 failure一般动物不表现症状，表现出来已经很 严重了
Heart Diseases - Acquired
Chronic Valvular Disease (CVD)慢性瓣膜病 (CVD)慢性瓣膜病 Dilated Cardiomyopathy (DCM)扩张性心脏病 (DCM)扩张性心脏病 Hypertrophic Cardiomyopathy (HCM)肥厚性心肌病 (HCM)肥厚性心肌病 Feline Thromboembolic Disease (TED)猫血栓 (TED)猫血栓 Bacterial Endocarditis (BE)细菌性心内膜炎 (BE)细菌性心内膜炎 Pericardial Effusion (PE)心包积液 (PE)心包积液 Constrictive Pericardial Disease (CPD)压迫性心包病 (CPD)压迫性心包病 Dirofilariosis犬恶心丝虫 Dirofilariosis犬恶心丝虫
Physical Examination身体检查 Examination身体检查
Systolic heart murmur or mitral regurgitation (pansystolic)心脏听诊 (pansystolic)心脏听诊 Arrythmias in later CVD心律失常在后期慢性瓣膜病 CVD心律失常在后期慢性瓣膜病 Femoral pulses are often normal Chronic non-productive or productive cough咳嗽 noncough咳嗽 If heart failure is present dyspnoe, weakness, exercise intolerance and syncope occur (signs of Congestive Heart Failure)如果有虚弱，不耐运动，昏厥（充血 Failure)如果有虚弱，不耐运动，昏厥（充血 性心衰症状）
Cardiomyopathy心肌疾病 Cardiomyopathy心肌疾病
Dilated Cardiomyopathy (DCM)扩张性心肌病 (DCM)扩张性心肌病 Systolic disfunction收缩不全 disfunction收缩不全 Thinning of ventricular walls心壁变薄 walls心壁变薄 Ventricular cavity dilation心室扩张 dilation心室扩张 Total ventricular mass is increased整个心室扩 increased整个心室扩 张经常发生在狗上 Occurs often in dogs In cats in connection with Taurine deficiency在 deficiency在 猫上主要可能是牛黄酸缺乏症。
Congestive Heart FailureCHF充血性 FailureCHF充血性 心衰
CHF occurs when the left ventricular pressure at end diastole is elevatedCHF发生于舒张期左心 elevatedCHF发生于舒张期左心 室压力增大 The results of CHF are elevated venous pressure and pulmonary oedemaCHF结果是静脉压升 oedemaCHF结果是静脉压升 高，肺水肿
Cardiovascular Diseases In Dogs And Cats狗和猫心血管疾病 Cats狗和猫心血管疾病
Clinical Cardiology Concepts
Anatomy of the Cardiovascular System心血管系统解剖 System心血管系统解剖
Age Relation of Heart Diseases in Dogs心脏病与狗的年龄关系 Dogs心脏病与狗的年龄关系