1.名字: EDWARD
2.年齡: 原本是流浪犬.去年5月29日收養至今.醫生粗判他那時大約2歲多
3.犬種: 黃金獵犬
4.性別: 男
5.體重: 28KG
6.病史: 艾利希體(已治療).中度CHD.心臟主動脈狹窄
因為他有中度CHD
作檢查時發現有心雜音.所以做了心臟超音波
二次報告如下:
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2007/9/13 體重31KG
Description: Moderate SAS/Mid PS
Assessment:
Thoracic radiography:I was presented with right lateral view for evaluation. There is mild cardiomegaly with VHS scale of 10.8 vertebrae.
There is substantial aortic dilatation. The pulmonary vasculature to the cranial lung fields is seen well.
Electrocardiography:
The standard 6 leads electroxcardiogram was performed on patient's right lateral position.
There is a normail sinus rhythm with heart rate of 107. The abnormal lead II measurements were noted as follows: P mitrale (P duration=72 msec.) was noted which may be compatible with left atrial enlargement. Tall R wave( R amplitude= 5mV) and wide QRS complex (QRS duration=72 msec.) are compatible with left ventricular enlargement.
Echocardiography:
There is no detectable left atrial dilation. The LV measurements were well maintained within normal limits. There is a moderate subaortic stenosis with LVOT jet reached 3.39 m/s measured through subcostal view. There is also a mild pulmonic stenosis with jet reached 1.53 m/s.
Recommendations:
No detecable compensatory change that the use of medication, special cardiac diet and supplementation.
Measurements:
Heart Rate: 107 bpm
P Duration: 72 ms
PR Lnterval: 104 ms
QT Lnterval: 256 ms
RR interval: 563 ms
Max-Min RR: 40ms
QRS Duration: 72ms
ST Deviation: -150uV
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2008/2/23 體重28KG
Description: Severe SAS. Mild PS. Moderate TR
Assessment:
Electrocardiography: The standard 6 leads electroxcardiogram was performed on patient's right lateral position. There is a normal sinus rhythm with heart rate of 95. The abnormal lead II measurements were noted as follows: P mitrale (P duration=52 msec.) was noted which may be compatible with left atrial enlargement. Tall R wave(R amplitude=4.2 mV) and wide QRS complex (QRS duration=60 msec.) are compatible with left ventricular enlargement.
Echocardiography:
There is mild left atrial dilation. The M mode of the LV measurements were still within normal limits. There is a severe subaortic stenosis with LVOT measured 5.26 m/s. There is a mild pulmonic stenosis and moderatr tricuspid regurgitation.
Recommendations:
Carvedilol 0.1 mg/kg bid initially. Dose up to 0.25 mg/kg bid depending on clinical sign and ABP measurements. Final dose to maintain at 0.5 mg/kg bid if necessary.
Measurements:
Heart Rate: 95pm
P Duration: 52s
PR Lnterval: 100ms
QT Lnterval: 192
RR interval: 629
Max-Min RR: 36
QRS Duration: 60
ST Deviation: 50uV
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以上是醫生的檢查報告!
由於EDWARD有中度CHD.所以體重一直在控制中.目前維持在28-29KG中間
從大約去年11月開始服用Q10.每日30 mg. 從2/23檢查回來後開始增量至90 mg 一天.
由於知道他有CHD問題.所以從12月開始有帶他慢跑的習慣
大約2-3天.會帶他慢跑約7公里.時間大約60分鐘
但是最近一直下雨.所以也大約停了3-4週
醫生覺得慢跑可能會讓他心臟負擔太大.所以2/23後就再也沒帶他慢跑過了
從週六晚上開始服藥開始
edward似乎睡眠時間增加.看似好像還是很活潑.但實際上已經不像之前的好動
想請問醫生:
1.藥物是否有副作用?
2.如果不服藥(因為擔心副作用或是他身體無法負擔).會有怎樣的結果?
2.是否有合適的營養品可以幫助?
謝謝