Diagnosis and treatment
of systemic hypertension.
Not exact matches
Previous history
of myocardial infarction within 1 year prior to study entry, uncontrolled
hypertension or uncontrolled arrhythmias • Pulmonary disease (e.g. COPD, asthma, etc) that is not controlled (moderate to severe symptoms) with current medication • Active, uncontrolled bacterial, viral, or fungal infections, requiring
systemic therapy
We offer a program focused on the treatment
of pediatric
hypertension, as well as a combined program with our rheumatology colleagues for the treatment
of patients with
systemic lupus erythematosus (a chronic, inflammatory autoimmune disorder) and other combined kidney / rheumatologic conditions.
One theory proposes that once the storage capacity
of subcutaneous adipose tissue (SAT) depots is exceeded under conditions
of energy excess, either as a result
of impaired expandability and / or excessive hypertrophic growth, fat deposition within visceral depots and non-adipose tissues including the liver, skeletal muscle and pancreas can ensue.93 This can subsequently lead to the development
of systemic IR and a series
of associated cardiometabolic disorders including dyslipidaemia, dysglycaemia, hyperinsulinaemia and
hypertension.3 Expression
of pro-inflammatory mediators including interleukins 1 (IL - 1), 6 (IL - 6), tumour necrosis factor alpha (TNF - α) and resistin, are also increased which can further potentiate IR and promote atherosclerosis.
The OSU Cardiology Service treats a wide variety
of diseases, including congenital heart disease, degenerative valve disease (endocardiosis), cardiomyopathies (malfunction
of the heart muscle), congestive heart failure, arrhythmias,
systemic hypertension, pulmonary
hypertension, heartworm disease, endocarditis, pericardial disease, and cardiac tumors.
In middle aged and older cats with HCM, secondary
systemic causes
of left ventricular wall thickening should be excluded such as
systemic hypertension and hyperthyroidism.
Systemic hypertension and hyperthyroidism should always be excluded in middle aged and older cats suspected
of having underlying HCM.
HCM is diagnosed once other secondary causes
of left ventricular wall thickening (hypertrophy), such as hyperthyroidism,
systemic hypertension, aortic stenosis and others have been ruled out.
As previously mentioned, additional tests might be needed to rule out underlying diseases such as
systemic hypertension or hyperthyroidism which may cause similar hypertrophy
of the left ventricle as HCM.
Effect
of Control
of Systolic Blood Pressure
of Survival in Cats with
Systemic Hypertension.
Below are some
of the common specialty areas that we have experience with: - Infectious diseases: Tick - borne disease (Lyme disease, Ehrlichiosis, Rocky Mountain Spotted Fever, Bartonella),
systemic and local bacterial infections, feline and canine viral disease - Hematology: Immune - mediated hemolytic anemia, thrombocytopenia, leukemia, bone marrow diseases - Oncology: Surgical and chemotherapy management, lymphoma, mast cell tumors, hemangiosarcoma, osteosarcoma, fibrosarcoma, mammary neoplasia, as well as benign and malignant skin masses such as adenomas and cysts - Urology: Kidney failure, bladder infections, stones / crystals, prostatic disease, pyelonephritis, FLUTD, protein - losing nephropathy, glomerulonephritis - Endocrine: Hormonal diseases such as hyper - and hypothyroidism, diabetes mellitus, cushings disease, addison's disease, endocrine skin disease - Gastroenterology: Chronic vomiting and / or diarrhea, inflammatory bowel disease (IBD), stomach ulcers / gastritis, colitis, pancreatic disorders, liver disease, protein - losing enteropathy - Respiratory disease: Feline asthma, canine chronic bronchitis, upper respiratory viral disease, pleural effusion, laryngeal paralysis - Cardiology: Heart murmurs and arrhythmias, heart failure, heartworm disease,
hypertension - Ophthalmology: Gaucoma, cataracts, uveitis, corneal disease, ocular surgery - Allergic disease: Allergic dermatitis, food allergies, flea allergy, and allergic gastrointestinal and respiratory disease
Renal failure in dogs can be brought about by a variety
of conditions such as Lyme disease,
systemic lupus erythematosus, diabetes mellitus, chronic gastrointestinal diseases, genetic abnormalities,
hypertension, and even skin infections.
Since
systemic hypertension is also a cause for thickening
of the left ventricle, blood pressure measurement is required to distinguish
hypertension from primary hypertrophic cardiomyopathy (HCM) as a cause for ventricular hypertrophy (thickening) in cats.
High blood pressure (
systemic hypertension) is most commonly a result
of kidney disease however sometimes the cause is unknown.
Feline Chronic Kidney Disease and
Systemic Hypertension G. F. Grauer1 and C. E. Atkins Department
of Clinical Sciences, Kansas State University