Chronic Renocardiac Syndrome in a Non-descript dog- A case report
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Keywords:
Chronic renocardiac syndrome, Cardiorenal syndrome, chronic kidney disease, cardiovascular diseaseAbstract
Ten old male mongrel dog weighing 18 kg was presented in recumbency to Veterinary Clinical Complex of NTR College of Veterinary Science, Gannavaram, with a history of anorexia, polyuria, polydipsia and halitosis. It was evident from the history that the dog was diagnosed to be having kidney dysfunction four months earlier and the owner had discontinued the medication. Clinical examination revealed subnormal temperature, pallor mucous membrane and tachycardia. Haemato-biochemical examination revealed anaemia, elevated creatinine, BUN, potassium and phosphorus levels indicating chronic kidney disease. ECG revealed tachycardia and spiked T waves. Ultrasonographic examination revealed shrunken kidneys, while echocardiography showed left ventricular hypertrophy and thickening of interventricular septum. Based on the diagnostic investigation, the case was diagnosed as chronic renocardiac syndrome. Therapy was initiated with fluid therapy, antibiotics, antiemetics, ACE inhibitors, diuretics, proton pump inhibitors and supportive therapy.
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Brunetto, M. A., Ruberti, B., Halfen, D. P., Caragelasco, D. S., Vendramini, T. H. A., Pedrinelli, V., Macedo, H. T., Jeramias, J. T., Pontieri, C. F. F., Ocampos, F. F., Colnago, L. A., and Kogika, M. M. (2021). Healthy and chronic kidney disease (CKD) dogs have differences in serum metabolomics and renal diet may have slowed disease progression. Metabolites, 11(11): 782.
Habas, E., Akbar, R., Khan, F., and Elzouki, A. N. (2021). Reno-Cardiac Syndrome (RCS): A Clinical Review. International Journal of Science and Research, 10(6): 1705-1712.
IRIS (International Renal Interest Society). (2023). IRIS Staging of CKD (modified 2023). Retrieved from http://www.iris-kidney.com/pdf/2_IRIS_Staging_of_CKD_2023.pdf.
Lucero, M.C., Duque, F.J., Gil, M., Ruiz, P., Macías-García, B., Cristóbal, J.I., Zaragoza, C. and Barrera, R. (2019). A plasma calcium-phosphorus product can be used to predict the lifespan of dogs with chronic kidney disease. The Canadian Veterinary Journal, 60(12): 1319.
Orvalho, J. S., and Cowgill, L. D. (2017). Cardiorenal syndrome: diagnosis and management. Veterinary Clinics: Small Animal Practice, 47(5): 1083-1102.
Perondi, F., Lippi, I., Marchetti, V., Bruno, B., Borrelli, A., and Citi, S. (2020). How ultrasound can be useful for staging chronic kidney disease in dogs: ultrasound findings in 855 cases. Veterinary Sciences, 7(4): 147.
Quiroga, B., Ortiz, A., Navarro-González, J. F., Santamaría, R., de Sequera, P., and Díez, J. (2023). From cardiorenal syndromes to cardionephrology: a reflection by nephrologists on renocardiac syndromes. Clinical kidney journal, 16(1): 19-29.
Rangaswami, J., Bhalla, V., Blair, J. E., Chang, T. I., Costa, S., Lentine, K. L., Mezue, K., Molitch, M., Ronco, C., and American Heart Association Council on the Kidney in Cardiovascular Disease and Council on Clinical Cardiology. (2019). Cardiorenal syndrome: classification, pathophysiology, diagnosis, and treatment strategies: a scientific statement from the American Heart Association. Circulation, 139(16): 840-878.
Teymouri, N., Mesbah, S., Navabian, S. M. H., Shekouh, D., Najafabadi, M. M., Norouzkhani, N., Poudineh, M., Qadirifard, M. S., Mehrtabar, S., and Deravi, N. (2022). ECG frequency changes in potassium disorders: a narrative review. American Journal of Cardiovascular Disease, 12(3): 112.