Open AccessEchocardiographic Evaluation of the Right Atrial Area Index in Dogs with Pulmonary Hypertension
Author(s) -
Vezzosi T.,
Domenech O.,
Iacona M.,
Marchesotti F.,
Zini E.,
Venco L.,
Tognetti R.
Publication year - 2018
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/jvim.15035
Subject(s) - medicine , body surface area , cardiology , pulmonary hypertension , central venous pressure , heart failure , cardiac index , hemodynamics , blood pressure , cardiac output , heart rate
Background Right atrial area ( RAA ) is a prognostic factor in human patients with pulmonary arterial hypertension ( PAH ). Reference intervals for RAA have been described in healthy dogs. Objectives To evaluate RAA indexed to the body surface area in dogs with PAH as an indicator of right atrial size, PAH severity and right‐sided congestive heart failure (R‐ CHF ). Animals A total of 119 client‐owned dogs, 48 dogs with PAH and 71 control dogs. Methods Prospective observational study. Pulmonary arterial hypertension was classified according to the tricuspid regurgitation pressure gradient ( TRPG ) as mild (36–50 mmHg), moderate (51–75 mmHg), or severe (>75 mmHg). The RAA index was calculated as the RAA divided by body surface area. Results The RAA index was higher in dogs with moderate PAH (13.3 cm 2 /m 2 ; range, 3.4–24.7 cm 2 /m 2 ) and severe PAH (12.1 cm 2 /m 2 ; range, 5.4–21.8 cm 2 /m 2 ) than in those with mild PAH (6.7 cm 2 /m 2 ; range, 4.8–10.7 cm 2 /m 2 ) or in controls (7.3 cm 2 /m 2 ; range, 4.2–10.2 cm 2 /m 2 ; P < 0.001). The RAA index was higher ( P < 0.0001) in dogs with R‐ CHF (17.5 cm 2 /m 2 ; range, 12.7–24.7 cm 2 /m 2 ) compared to those without R‐ CHF (7.6 cm 2 /m 2 ; range, 4.4–19.4 cm 2 /m 2 ). The most accurate cutoff value of the RAA index to identify R‐ CHF was >12.3 cm 2 /m 2 (sensitivity, 100%; specificity, 89.5%). In dogs with PAH , severity of tricuspid regurgitation ( TR ) was the only independent predictor of RAA index based on multivariate analysis ( P < 0.02). Conclusions and Clinical Importance The RAA index can be used to evaluate right atrial size in dogs and may be more effective than TRPG in predicting R‐ CHF in dogs with PAH . The severity of TR is the main determinant of the RAA index in dogs with PAH .