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Cardiovascular biomarkers in dogs with systemic inflammatory response syndrome
Author(s) -
Gommeren Kris,
Desmas Isabelle,
Garcia Alexandra,
Clercx Cécile,
Mc Entee Kathleen,
Merveille AnneChristine,
Peeters Dominique
Publication year - 2019
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/vec.12833
Subject(s) - medicine , troponin complex , natriuretic peptide , emergency department , prospective cohort study , systemic inflammatory response syndrome , troponin t , troponin , cardiology , heart failure , gastroenterology , sepsis , myocardial infarction , psychiatry
Objective To measure plasma N‐terminal fragments of pro‐B‐type natriuretic peptides (NT‐proBNP) and cardiac troponin T (cTnT) concentration in hospitalized dogs and relate these markers to underlying conditions and evaluate their potential as prognostic markers in dogs with systemic inflammatory response syndrome (SIRS). Design Prospective, observational, clinical study. Setting Emergency department of a university teaching hospital. Animals Sixty‐nine dogs with SIRS examined in the emergency department were prospectively studied. Patient age ranged from 5 months to 15 years, and weight ranged from 5.5 to 75 kg. Measurements and Main Results Blood samples were obtained at presentation, during hospitalization until discharge or death, and at a “control” visit (T1m) at least 1 month after hospital discharge. NT‐proBNP was assayed with a commercially available canine ELISA, while cTnT was measured with an automated immunoassay previously used in dogs. A correlation procedure, mixed procedure on a linear model, and a logistic procedure were performed. Forty‐four patients survived, 19 of which had control visits. cTnT concentrations were significantly higher than T0 and T1m at T12, T24, and T72. In 28 dogs, cTnT was detected during hospitalization, but cTnT was not detected in any dog at the control visits. Higher concentrations of cTnT were negatively associated with survival, irrespective of disease category. NT‐proBNP concentrations were significantly higher than T0, T6, T12, and T1m at T24, T72, and T120, but were not associated with survival. Conclusions NT‐proBNP and cTnT increased significantly in dogs with SIRS, regardless of the underlying disease process. Nonsurvivors displayed significantly higher cTnT concentrations during hospitalization.