|
1
|
Papa M, Scarpellini L, Pradelli D, Zanaboni AM, Mattia A, Boz E, Rossi C, Signorelli S, Forti V, Longobardi M, Pasquinelli B, Gendusa MC, Gamba D, Bussadori CM. A Retrospective Cohort Evaluation of Left Ventricular Remodeling, Perioperative Complications and Outcome in Medium and Large Size Dogs with Patent Ductus Arteriosus after Percutaneous Closure. Vet Sci 2023; 10:669. [PMID: 38133219 PMCID: PMC10747699 DOI: 10.3390/vetsci10120669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 11/15/2023] [Accepted: 11/21/2023] [Indexed: 12/23/2023] Open
Abstract
This retrospective cohort study included one hundred fifty-seven medium and large-size dogs with the aim of evaluating the effect of signalment and echocardiographic features on complications, outcomes and left ventricular modifications before and after patent ductus arteriosus (PDA) closure. The patients were divided in two groups based on the heart remodeling after closure: Group A included dogs that had a reduction in the end-systolic volume index (ESVI) after closure compared to the ESVI measured before; Group B included dogs without a reduction in ESVI after closure. Body weight, minimal ductal diameter (MDD) of PDA, end-diastolic volume index and presence of arrhythmias at presentation were significantly higher in Group B compared to Group A. The shortening fraction and ejection fraction after closure were reduced in both groups, but in Group B there was a major reduction, and the mean values indicated a possible systolic dysfunction. Complications during the procedure and death due to cardiac reasons were greater in Group B compared to Group A. In conclusion, a higher body weight, a larger MDD, a more severe heart enlargement or arrhythmias at presentation increased the risk of developing a worsening structural and functional condition after ductal closure, and this can be associated with perioperative complications and cardiac death.
Collapse
Affiliation(s)
- Melissa Papa
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Lorenzo Scarpellini
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Danitza Pradelli
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Anna Maria Zanaboni
- Computer Science Department, Università degli Studi di Milano, 20133 Milan, Italy;
- Data Science Research Center DSRC, Università degli Studi di Milano, 20133 Milan, Italy
| | - Alessia Mattia
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Elisabetta Boz
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Cecilia Rossi
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Stefania Signorelli
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Viviana Forti
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Martina Longobardi
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Beatrice Pasquinelli
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Maria Celeste Gendusa
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Davide Gamba
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| | - Claudio Maria Bussadori
- Clinica Veterinaria Gran Sasso, 20134 Milan, Italy; (L.S.); (A.M.); (C.R.); (S.S.); (V.F.); (M.L.); (B.P.); (M.C.G.); (D.G.)
| |
Collapse
|
|
2
|
Yogev D, Tejman-Yarden S, Feinberg O, Parmet Y, Goldberg T, Illouz S, Nagar N, Freidin D, Vazgovsky O, Chatterji S, Salem Y, Katz U, Goitein O. Proof of concept: Comparative accuracy of semiautomated VR modeling for volumetric analysis of the heart ventricles. Heliyon 2022; 8:e11250. [PMID: 36387466 PMCID: PMC9641195 DOI: 10.1016/j.heliyon.2022.e11250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2022] [Revised: 10/12/2022] [Accepted: 10/20/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction Simpson's rule is generally used to estimate cardiac volumes. By contrast, modern methods such as Virtual Reality (VR) utilize mesh modeling to present the object's surface spatial structure, thus enabling intricate volumetric calculations. In this study, two types of semiautomated VR models for cardiac volumetric analysis were compared to the standard Philips dedicated cardiac imaging platform (PDP) which is based on Simpson's rule calculations. Methods This retrospective report examined the cardiac computed tomography angiography (CCTA) of twenty patients with atrial fibrillation obtained prior to a left atrial appendage occlusion procedure. We employed two VR models to evaluate each CCTA and compared them to the PDP: a VR model with Philips-similar segmentations (VR-PS) that included the trabeculae and the papillary muscles within the luminal volume, and a VR model that only included the inner blood pool (VR-IBP). Results Comparison of the VR-PS and the PDP left ventricle (LV) volumes demonstrated excellent correlation with a ρc of 0.983 (95% CI 0.96, 0.99), and a small mean difference and range. The calculated volumes of the right ventricle (RV) had a somewhat lower correlation of 0.89 (95% CI 0.781, 0.95), a small mean difference, and a broader range. The VR-IBP chamber size estimations were significantly smaller than the estimates based on the PDP. Discussion Simpson's rule and polygon summation algorithms produce similar results in normal morphological LVs. However, this correlation failed to emerge when applied to RVs and irregular chambers. Conclusions The findings suggest that the polygon summation method is preferable for RV and irregular LV volume and function calculations.
Collapse
Affiliation(s)
- David Yogev
- The Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
| | - Shai Tejman-Yarden
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
- The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel
- Corresponding author.
| | - Omer Feinberg
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
| | - Yisrael Parmet
- Department of Industrial Engineering and Management, Ben Gurion University, Beer Sheva, Israel
| | - Tomer Goldberg
- The Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shay Illouz
- The Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
| | - Netanel Nagar
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
- Industrial Design Department, Bezalel Academy of Art and Design, Jerusalem, Israel
| | - Dor Freidin
- The Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
| | - Oliana Vazgovsky
- The Engineering Medical Research Lab, Sheba Medical Center, Ramat Gan, Israel
- The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel
| | - Sumit Chatterji
- The Pulmonology Unit, Sheba Medical Center, Ramat Gan, Israel
- Interventional Pulmonology Unit, Sheba Medical Center, Ramat Gan, Israel
| | - Yishay Salem
- The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel
- The Leviev Heart Institute, Sheba Medical Center, Ramat Gan, Israel
| | - Uriel Katz
- The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel
- The Leviev Heart Institute, Sheba Medical Center, Ramat Gan, Israel
| | - Orly Goitein
- Department of Diagnostic Imaging, Sheba Medical Center, Ramat Gan, Israel
| |
Collapse
|
|
3
|
Vatne L, Dickson D, Tidholm A, Caivano D, Rishniw M. The effects of activity, body weight, sex and age on echocardiographic values in English setter dogs. J Vet Cardiol 2021; 37:26-41. [PMID: 34517274 DOI: 10.1016/j.jvc.2021.08.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Revised: 07/22/2021] [Accepted: 08/09/2021] [Indexed: 11/18/2022]
Abstract
BACKGROUND Breed-specific reference intervals improve echocardiographic interpretation and thereby reduce misdiagnoses, especially in athletic breeds. OBJECTIVES The objectives of the study were to examine transthoracic echocardiographic values in healthy adult English setter dogs and determine the effects of activity, body weight, sex and age on these values. ANIMALS, MATERIALS AND METHODS One hundred and one adult English setter dogs, recruited from local veterinary clinics and from the Norwegian English setter club, underwent routine transthoracic echocardiography. The population was stratified into two groups based on the reported level of activity. The effects of activity level, body weight, sex and age on echocardiographic variables were examined. Results were compared with published data from other breeds and from a pre-existing species-wide allometric model. RESULTS Of the 100 dogs between 19 months and 10 years of age included in the study, 72 were reported as very active and 28 as less active. Echocardiographic intervals were calculated for body size-independent echocardiographic variables. The upper limits of the intervals for left-atrial-to-aortic ratios and normalised left ventricular volumes exceeded those of various, previously published studies of other breeds. Normalised left ventricular dimensions exceeded published allometric 95th percentile upper reference values in 13% of dogs in diastole and 32% of dogs in systole. More active dogs had larger cardiac dimensions than less active dogs; however, the activity level did not predict echocardiographic variables when included in a multiple regression model. CONCLUSIONS The study provides breed specific transthoracic echocardiographic values for English setter dogs, thereby contributing to improve diagnostic assessment of cardiac health in this breed.
Collapse
Affiliation(s)
- L Vatne
- AniCura Oslo Animal Hospital, Hoffsveien 70C, 0377 Oslo, Norway.
| | | | - A Tidholm
- AniCura Albano Animal Hospital, Rinkebyvagan 21B, 182 36 Danderyd, Sweden
| | - D Caivano
- Department of Veterinary Medicine, University of Perugia, Via San Costanzo 4, 06126 Perugia, Italy
| | - M Rishniw
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, 14853, USA
| |
Collapse
|
|
4
|
BA-plotteR - A web tool for generating Bland-Altman plots and constructing limits of agreement. Res Vet Sci 2021; 137:281-286. [PMID: 34058399 DOI: 10.1016/j.rvsc.2021.05.017] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 05/20/2021] [Accepted: 05/22/2021] [Indexed: 11/22/2022]
Abstract
Investigators use Bland-Altman plot (Limits of Agreement plot) to compare two methods measuring the same continuous variable to determine interchangeability or agreement of the methods. The method has evolved to deal with heteroscedastic data and fixed or proportional biases (or both). Although an ordinary Bland-Altman plot can be readily made with various software applications, there is no free, open-source application that is dedicated to producing Bland-Altman plots and constructing limits of agreement for data that do not meet the assumptions of a simple comparison. To fill this gap, we created BA-plotteR, a web-based, open-source, freeware tool created in Shiny/R that is dedicated to creating Bland-Altman plots. We validated the tool using 20 datasets with various data distributions by comparing the output from the tool against manually derived results. The webtool handles data that requires a more complex analysis than is commonly available through commercial statistical programs. Moreover, the automated analysis of the data distribution will guide users and help them to correctly plot and analyse their data. The tool agreed perfectly with manually constructed plots. The Bland-Altman graphing tool provides clinical researchers with a tool that correctly analyzes and graphs studies involved in method comparisons. The tool can be accessed here: https://huygens.science.uva.nl/BA-plotteR.
Collapse
|