HCM
ATE
Schrödinger's Boxes
Diagnostics
Treatments
100

What is the most common clinical sign of HCM?

Tachypnea/dyspnea

100

What is the most common signalment of a cat with ATE?

Older male DSH
100

Maine Coons and Ragdolls have a known mutation in what gene that predisposes to HCM?

MyBPC3

100

What is the gold standard method of diagnosing HCM?

Echocardiogram

100

What is the primary drug for control of pulmonary edema and effusions in cats with CHF?

Furosemide

200

What are the three most negative prognostic indicators for cats with HCM?

CHF, ATE, and hypothermia

200

For hospitalized ATE patients, the most important treatments in the first 24 hours are anticoagulants and __________

Analgesics

200

What are two iatrogenic interventions that could precipitate CHF in a cat with HCM?

General anesthesia, fluid therapy

200

What biomarker can be used to distinguish severe HCM from subclinical or early HCM?

NT-proBNP

200

The primary treatment goals in HCM are to treat and/or prevent what two major consequences of a dilated LA?

CHF and ATE

300

What primary functional abnormality caused by LV thickening results in adverse clinical signs in HCM?

Diastolic dysfunction

300

What are the three most positive prognostic indicators for cats with ATE?

No CHF, normothermia, only one limb involved

300

What drug currently in human clinical trials improved diastolic function in HCM research cats?

Mavacamtem

300

What are two imaging modalities used in human medicine that could also be used to definitively diagnose HCM in cats?

CT and MRI

300

What intervention should be taken when a cat has severe pleural effusion and dyspnea?

Thoracocentesis

400

What is the most common cause of a heart murmur in HCM?

DLVOTO / SAM
400

What are the two most common sequelae to ATE in cats that are treated and survive?

Reperfusion injury, AKI

400

HCM murmurs are typically dynamic (louder with stress); changes in what component of cardiac output causes it to be dynamic?

Contractility

400

What is the "5 P Rule" for diagnosing ATE?

Purple/cyanotic/pale toes, polar/poikilothermy, pulselessness, paralysis/paresis, pain

400

What is the gold standard drug for preventing and treating ATE (both first-time and recurrent)?

Clopidogrel +/- rivaroxaban

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