Exotics
Pulmonary Hypertension
Weakness, Syncope, and Sudden Death
Acquired Myocardial Disease
Congenital Disease
100

What is the most common cardiac disease in birds (generally parrots/psittacines)?

Atherosclerosis (coronary artery disease - similar to humans; will also be seen in dogs with hypothyroidism!)

100

What is the cutoff for the presence of pulmonary hypertension?

Technically >25 mmHg, but realistically/at ASEC we define it as >35 mmHg

100

A dog presents to your ER in VTach - what do you do?

Give lidocaine 2 mg/kg IV

100

What is a common therapy given at outpatient appointments that can cause myocarditis and secondary DCM

Doxorubicin

100

Describe the kind of murmur you will hear with a PDA

Continuous murmur at the left heart base

200

Name 3 different cardiac diseases that ferrets can get (there are 5 common ones)

HCM, DCM, valvular disease, arrhythmias, HWD

200

How do we treat pulmonary hypertension acutely and chronically?

Acutely: O2

Chronically: sildenafil 1-3 mg/kg PO q8h

200

What are two common non-cardiac causes of syncope? (there are 5+)

Hypoglycemia, hypoxemia, anemia, hyperviscocity, hypotension

200

Name 2 common diseases cats can get that can cause thickening of the myocardium/an HCM phenotype (not primary genetic HCM)

Hyperthyroidism, hypertension

200

What congenital defects are commonly seen concurrently with many other cardiac congenital anomalies?

ASDs

300

How are most reptiles' hearts different from mammals hearts? 

Bonus if you can say which reptile's heart is the SAME structurally to mammals!

Only three chambers (no true IVS - one ventricle)

Crocodiles

300

We use major categories to classify the kinds of diseases that can cause pulmonary hypertension - how many categories are there?

5 (pulmonary arterial hypertension, pulmonary venous hypertension, lung disease/hypoxia, thromboembolism, other)

300

What are the two most common causes for sudden cardiac death?

Arrhythmias (both tachy and brady)

Pericardial hemmorhage (either from cardiac mass or LA tear)

300

What is a common viral cause of myocarditis?

Parvovirus

300

What is the ~fancy~ name of the disease process whereby high pulmonary hypertension results in a left to right shunt to reverse?

Eisenmenger syndrome

400

What are common physical exam findings of birds in CHF?

Edema of the legs or wings

Bluish/discolored or sunken periorbital region

400

Name a condition (either specific or a broad category) that can result in PHT through thromboembolism

Any condition that causes hypercoagulability: Cushings, PLN, neoplasia, trauma, surgery, etc

Also heartworm embolisms

400

What is the primary rhythm that you shock?

Ventricular fibrilation

400

What protozoa commonly seen in dogs in Texas causes myocarditis?

Trypanosoma cruzi

400

What major anomaly do you have to worry about with bulldogs that have pulmonic stenosis

R2A coronary anomaly

500

What is the name of the special kind of cardiomyopathy seen in rabbits?

(hint - similar to Takotsubo cardiomyopathy)

Stress induced cardiomyopathy

500

OTHER than tricuspid regurgitation, what changes can we see on echo that can suggest PHT is occurring?

RV concentric hypertrophy (thickening), flattening of the IVS, dilation of the MPA or its branches, pulmonary insufficiency/its velocity, underfilled LV

500

What are two common cardiac causes of syncope (there are 6)

Arrhythmias, obstruction (PS, SAS, HOCM), poor contractile function, cardiac restriction (tamponade, tension pneumo), cough (tussive), vasovagal

500

What is a common myocardial toxin of horses?

Cantharidin from blister beetles

500

Name 2 (of four) ways to manage a VSD

Medical management

Surgical management - PA banding, Amplatz occlusion, total surgical repair