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Evaluation of coagulation status in dogs with naturally occurring canine hyperadrenocorticism
Author(s) -
Klose Tyler C.,
Creevy Kate E.,
Brainard Benjamin M.
Publication year - 2011
Publication title -
journal of veterinary emergency and critical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.886
H-Index - 47
eISSN - 1476-4431
pISSN - 1479-3261
DOI - 10.1111/j.1476-4431.2011.00696.x
Subject(s) - medicine , partial thromboplastin time , fibrinogen , prothrombin time , hematocrit , antithrombin , coagulation , coagulation testing , coagulopathy , platelet , mean platelet volume , gastroenterology , anesthesia , heparin
Objective To determine whether or not there are differences in coagulation parameters (eg, thrombelastography [ TEG ], activated partial thromboplastin time [a PTT ], prothrombin time [ PT ], and fibrinogen) among dogs with naturally occurring hyperadrenocorticism ( HAC ), dogs with HAC undergoing medical management, and dogs without HAC . Design Prospective, observational study. Setting Veterinary teaching hospital. Animals Forty‐six client‐owned dogs undergoing adrenal function testing. Interventions None. Measurements and Main Results Nine dogs were diagnosed with HAC de novo, 19 dogs were presented for therapeutic monitoring of previously diagnosed HAC , and 18 dogs did not have HAC . Variables compared between groups were age, body weight, platelet count, mean platelet volume, serum concentrations of cholesterol, triglycerides, antithrombin, PT , a PTT , fibrinogen, and TEG parameters (eg, alpha angle, R , K , and maximum amplitude [ MA ]). Dogs with HAC and dogs treated for HAC had higher serum cholesterol than dogs without HAC ( P < 0.05). All groups had mean MA greater than the institutional reference interval. There was a weak, positive correlation between hematocrit and MA that was independent of diagnosis ( r 2 = 0.266, P = 0.004). Conclusions The results of this study do not support the supposition that a significant difference exists in coagulation tendencies between dogs with HAC prior to treatment, dogs with HAC during treatment, and dogs without HAC . This disagreement with the classically accepted notion that HAC leads to a hypercoagulable state could be due to a couple of possibilities. Namely, the link between HAC and hypercoagulability may be relatively weak, or our findings may be the result of a type II error either as a result of a small sample size or the use of coagulation assays that are insensitive to the effects of HAC on the hemostatic system.