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  • Author or Editor: Andrew J. Kallet x
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Objective

To compare blood pressure and heart rate measurements performed in a veterinary clinic to similar measurements performed in a dog's home.

Design

Prospective study.

Animals

14 client-owned, clinically normal dogs.

Procedure

Sequential blood pressure and heart rate measurements were recorded from the metatarsus and metacarpus of conscious dogs by indirect oscillometry. Measurements were performed in the dogs' homes and were repeated in a veterinary clinic. Blood pressures and heart rate were derived from 7 serial estimates over 8 to 10 minutes. Statistical differences between the home and clinic and between recording sites were calculated.

Results

Systolic, diastolic, and mean blood pressure and heart rate measurements obtained from the metatarsus and metacarpus in the dogs' homes were significantly lower than measurements from the metatarsus in the clinic, but were similar to measurements from the metacarpus in the clinic. Significant differences were not found between blood pressure measurements from the metatarsus and metacarpus in the dogs' homes, but systolic and mean blood pressure and heart rate measurements from the metacarpus in the clinic were significantly lower than measurements from the metatarsus. Whereas all dogs had normal blood pressure in their homes, 5 of 14 dogs had transient hypertension (systolic pressure > 165 mm of Hg or diastolic pressure > 95 mm of Hg) in the clinic.

Clinical Implications

Blood pressure and heart rate measurements obtained in the clinic initially overestimate comparable measurements in a dog's home. The differences are best explained by transient autonomic responses to the stress of the clinic. Blood pressure must be measured by use of standardized techniques on dogs acclimated to the clinic environment.

Free access
in Journal of the American Veterinary Medical Association

Summary

The medical records of 7 hypercalcemic cats with primary hyperparathyroidism were evaluated. Mean age was 12.9 years, with ages ranging from 8 to 15 years; 5 were female; 5 were Siamese, and 2 were of mixed breed. The most common clinical signs detected by owners were anorexia and lethargy. A cervical mass was palpable in 4 cats. Serum calcium concentrations were 11.1 to 22.8 mg/dl, with a mean of 15.8 mg/dl calculated from each cat's highest preoperative value. The serum phosphorus concentration was low in 2 cats, within reference limits in 4, and slightly high in 1 cat. The bun concentration was > 60 mg/dl in 2 cats, 31 to 35 mg/dl in 2 cats, and < 30 mg/dl in 3 cats. Abnormalities were detected in serum alanine transaminase, aspartate transaminase, and alkaline phosphatase activities from 2 or 3 cats. Parathormone (pth) concentrations were measured in 2 cats before and after surgery. The preoperative pth concentration was within reference limits in 1 cat and was high in 1 cat. The pth concentrations were lower after surgery in both cats tested. A solitary parathyroid adenoma was surgically removed from 5 cats, bilateral parathyroid cystadenomas were surgically resected in 1 cat, and a parathyroid carcinoma was diagnosed at necropsy in 1 cat. None of the cats had clinical problems with hypocalcemia after surgery, although 2 cats developed hypocalcemia without tetany, one of which was controlled with oral administration of dihydrotachysterol and the other with oral administration of 1,25 dihydroxyvitamin D. All 5 of the cats that underwent removal of an adenoma were alive at least 240 days after surgery. Four of these 5 cats were normocalcemic at the last examination. The cat that had bilateral cystadenomas was lost to follow-up evaluation 110 days after surgery. One of the cats with a parathyroid adenoma was reevaluated 569 days after the first surgery. It was found to be hypercalcemic (21.5 mg/dl), subsequently died, and was identified as having a parathyroid adenoma and a parathyroid carcinoma on histologic evaluation of tissue removed from the neck at necropsy.

Free access
in Journal of the American Veterinary Medical Association