To investigate the effects of dexmedetomidine (DXM) and its subsequent reversal with atipamezole (APM) on the echocardiogram and circulating concentrations of cardiac biomarkers in cats.
14 healthy cats.
Cats underwent echocardiography and measurements of circulating cTn-I and NT-proBNP concentrations before (PRE) and during (INTRA) DXM sedation (40 µg/kg IM) and 2 to 4 (2H POST) and 24 (24H POST) hours after reversal with APM.
Administering DXM significantly decreased heart rate, right ventricular and left ventricular (LV) outflow tract velocities, and M-mode–derived LV free-wall thickness; increased LV end systolic diameter and volume; and caused valvar regurgitation. While sedative effects resolved within 25 minutes of APM reversal, the evolution of echocardiographic changes was mixed: LV ejection fraction and mitral valvar regurgitation score were different at 2H POST than at both INTRA and PRE (partial return toward baseline), LV end-diastolic volume was different PRE to INTRA and INTRA to 2H POST but not different PRE to 2H POST (full return toward baseline), and M-mode–derived LV free-wall thickness was significantly different from PRE to INTRA and PRE to 2H POST (no return toward baseline). Serum cTn-I and plasma NT-proBNP concentrations increased significantly with DXM, which remained significant 2H POST.
Administration of DXM and APM reversal produced changes in echocardiographic results and in circulating cTn-I and NT-proBNP concentrations. Understanding these changes could help veterinarians differentiate drug effects from cardiac disease.
Objective—To test the hypothesis that feedlot cattle
with acute interstitial pneumonia (AIP) have bacterial
infection of the lung or liver and concurrent bovine
respiratory syncytial virus (BRSV) infection significantly
more often than pen mates without AIP.
Animals—39 feedlot cattle with signs consistent
with AIP and no history of treatment with antimicrobials
and 32 healthy control cattle from the same
Procedure—Lung and liver specimens were
obtained postmortem for bacterial or mycoplasmal
culture and histologic examination; lung tissue was
assessed for BRSV infection immunohistochemically.
Results—Among affected cattle, 26 had AIP confirmed
histologically. Lung tissue from 11 cattle with
AIP yielded microbial respiratory tract pathogens on
culture; tissues from control animals yielded no
microbial growth. In 4 cattle with AIP and 2 control
animals, liver abscesses were detected; bacteria
were isolated from abscessed tissue in 3 and 1 of
those animals, respectively. Immunohistochemically,
9 cattle with AIP and no control animals were BRSV-positive.
Histologically, 9 AIP-affected cattle had only
acute alveolar damage with exudation, and the other
17 had acute exudation with type II pneumocyte
hyperplasia. No lesions of AIP were detected in control
animals. Only 4 AIP-affected cattle had bacterial
infection of the lung with concurrent BRSV infection.
Conclusions and Clinical Relevance—Results indicated
that microbial respiratory tract pathogens are
more common in cattle with AIP than in healthy pen
mates. Control of bacterial pneumonia late in the
feeding period may reduce the incidence of AIP at
feedlots where AIP is a problem. (Am J Vet Res 2004;65:1525–1532)