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Etienne Cote - Feline Cardiology

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Etienne Cote Feline Cardiology

Feline Cardiology: summary, description and annotation

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Feline Cardiology is the first book dedicated to the diagnosis and treatment of heart disease in cats. Designed for use in clinical practice, this reference combines cutting-edge information with practical applications, using a consistent format for ease of use. Feline Cardiology provides detailed, species-specific information that is absent from other texts, with an emphasis on the most commonly encountered feline cardiovascular diseases.

Drawing on the expertise of four internationally recognized authors, the book is packed with state-of-the-art information within the framework of daily practice. Coverage ranges from basic and advanced treatment approaches for cardiomyopathies, arrhythmias, and many other disorders to the newest information on genetic testing, circulating markers of heart disease, and more. Feline Cardiology provides a comprehensive single resource to managing cardiovascular disease in cats and is a welcome addition to any small animal practice library

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This edition first published 2011 2011 by John Wiley Sons Inc - photo 1

This edition first published 2011 2011 by John Wiley & Sons, Inc.

Wiley-Blackwell is an imprint of John Wiley & Sons, formed by the merger of Wileys global Scientific, Technical and Medical business with Blackwell Publishing.

Registered office: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

Editorial offices: 2121 State Avenue, Ames, Iowa 50014-8300, USA

The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK

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For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell.

Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by Blackwell Publishing, provided that the base fee is paid directly to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payments has been arranged. The fee codes for users of the Transactional Reporting Service are ISBN-13: 978-0-8138-1242-7/2011.

Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought.

Library of Congress Cataloging-in-Publication Data

Feline cardiology / Etienne Ct ... [et al.].

p. ; cm.

Includes bibliographical references and index.

ISBN 978-0-8138-1242-7 (hardcover : alk. paper)

1. CatsDiseases. 2. Veterinary cardiology. I. Ct, Etienne.

[DNLM: 1. Cat Diseases. 2. Cardiovascular Diseasesveterinary. SF 985]

SF985.F414 2011

636.8'089dc22

2011007198

A catalogue record for this book is available from the British Library.

This book is published in the following electronic formats: ePDF 9780470960165; ePub 9780470960172; Mobi 9780470960189

Disclaimer

The publisher and the authors make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation warranties of fitness for a particular purpose. No warranty may be created or extended by sales or promotional materials. The advice and strategies contained herein may not be suitable for every situation. This work is sold with the understanding that the publisher is not engaged in rendering legal, accounting, or other professional services. If professional assistance is required, the services of a competent professional person should be sought. Neither the publisher nor the authors shall be liable for damages arising herefrom. The fact that an organization or website is referred to in this work as a citation and/or a potential source of further information does not mean that the authors or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet websites listed in this work may have changed or disappeared between when this work was written and when it is read.

Cover Image CreditsTop left image: Radiograph of a cat with a permanent epicardial pacemaker. Second left image: Echocardiogram of a cat with hypertrophic obstructive cardiomyopathy, showing systolic anterior motion of the mitral valve and associated mitral regurgitation and turbulence in the left ventricular outflow tract. Third left image: Electrocardiogram of a cat showing normal sinus rhythm and superimposed motion artifact caused by purring. Fourth left image: Spectral Doppler tracing obtained in the left ventricular outflow of a cat with dynamic left ventricular outflow tract obstruction. Bottom left image: Cardiac magnetic resonance image of a cat with hypertrophic cardiomyopathy. Right image: Cat Eyes by Barbara Hartsook, http://WithBrushandPen.com

For my father, Franois Ct, and in memory of my mother, Louise Martin, who have been my nature and nurture.

Etienne Ct

For my husband Jim, my mother Nancy, and my daughter Lexi: thank you for bringing so much happiness and support to my life and for encouraging my endeavors. Thank you to my mentor, Dr. Mark Kittleson, for giving me the opportunity and guidance in my research of feline hypertrophic cardiomyopathy.

Kristin A. MacDonald

For the many, many, many mentors (both human and feline) I have had along the way, thank you.

Kathryn M. Meurs

For Drs. David H. Knight and Jim W. BuchananI was privileged to be one of your students.

For Mary Jane, who always believed in me. Thank you, Granny.

For Dave, who loves me anyway.

Meg M. Sleeper

Preface

Cats are the most popular house pet in the United States, numbering some 88.3 million (contrasting with 74.8 million dogs) (HSUS 2010). Surveys suggest proportionally similar domestic feline populations in many other countries (Murray et al. 2010; Chambre Syndicale 2006; EPFIF 2010). Even so, a textbook dedicated to heart diseases of the cat has not existed until now. By contrast, the first textbook on cardiology of the dog was published over 40 years ago (Ettinger and Suter 1970). Therefore, much of the information on heart diseases of cats in current reference texts is presented in combination with information on heart diseases of dogs. Such an approach provides a framework but is insufficient, especially in practices where cats make up a substantial proportion of the caseload. Cats develop and manifest cardiac disease uniquely, in ways that often do not lend themselves to comparisons or extrapolations from other species.

Our ability to recognize feline heart disease continues to increase, and as a result, some studies suggest that the prevalence of heart disease in cats rivals or surpasses the prevalence of heart disease in humans (Paige et al. 2009). This awareness presents both opportunity and dilemma. What are the appropriate tests to diagnose heart disease in cats, and how can private practitioners best use them in daily practice? Does every cat with a murmur need an echocardiogram? Can some confounding factors influence the diagnosis of heart disease (Campbell and Kittleson 2007)? Should a cat be treated if structural changes of the heart are only discovered as an incidental finding? Is the prognosis guarded even if his/her cardiac disorder is stable for years? How should comorbidities be addressed in cats with underlying cardiac disease? Answers exist for some of these questions but not others; what is undeniable is the emergence of these questions in daily feline practice. Despite insufficient published information, dedicated cat owners expect veterinarians to diagnose and treat cats that have heart disease with a high level of proficiency and care.

As veterinarians, we are faced daily with the spectrum of feline heart disease. The severity of our feline patients problems ranges from the very mild to life-threatening and devastating situations. A multiauthor consensus for providing optimal diagnosis and treatment in an attempt to attain the best overall outcome seemed useful but was lacking in existing texts.

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