Objective—To describe the disposition of and pharmacodynamic response to atenolol when administered as a novel transdermal gel formulation to healthy cats.
Animals—7 healthy neutered male client-owned cats.
Procedures—Atenolol was administered either orally as a quarter of a 25-mg tablet or as an equal dose by transdermal gel. Following 1 week of treatment, an ECG and blood pressure measurements were performed and blood samples were collected for determination of plasma atenolol concentration at 2 and 12 hours after administration.
Results—2 hours after oral administration, 6 of 7 cats reached therapeutic plasma atenolol concentrations with a mean peak concentration of 579 ± 212 ng/mL. Two hours following transdermal administration, only 2 of 7 cats reached therapeutic plasma atenolol concentrations with a mean peak concentration of 177 ± 123 ng/mL. The difference in concentration between treatments was significant. Trough plasma atenolol concentrations of 258 ± 142 ng/mL and 62.4 ± 17 ng/mL were achieved 12 hours after oral and transdermal administration, respectively. A negative correlation was found between heart rate and plasma atenolol concentration.
Conclusions and Clinical Relevance—Oral administration of atenolol at a median dose of 1.1 mg/kg every 12 hours (range, 0.8 to 1.5 mg/kg) in cats induced effective plasma concentrations at 2 hours after treatment in most cats. Transdermal administration provided lower and inconsistent plasma atenolol concentrations. Further studies are needed to find an effective formulation and dosing scheme for transdermal administration of atenolol.
Objective—To develop, validate, and evaluate a questionnaire (Cats’ Assessment Tool for Cardiac Health [CATCH] questionnaire) for assessing health-related quality of life in cats with cardiac disease.
Animals—275 cats with cardiac disease.
Procedures—The questionnaire was developed on the basis of clinical signs of cardiac disease in cats. A CATCH score was calculated by summing responses to questionnaire items; possible scores ranged from 0 to 80. For questionnaire validation, owners of 75 cats were asked to complete the questionnaire (10 owners completed the questionnaire twice). Disease severity was assessed with the International Small Animal Cardiac Health Council (ISACHC) classification for cardiac disease. Following validation, the final questionnaire was administered to owners of the remaining 200 cats.
Results—Internal consistency of the questionnaire was good, and the CATCH score was significantly correlated with ISACHC classification. For owners that completed the questionnaire twice, scores were significantly correlated. During the second phase of the study, the CATCH score ranged from 0 to 74 (median, 7) and was significantly correlated with ISACHC classification.
Conclusions and Clinical Relevance—Results suggested that the CATCH questionnaire is a valid and reliable method for assessing health-related quality of life in cats with cardiac disease. Further research is warranted to test the tool's sensitivity to changes in medical treatment and its potential role as a clinical and research tool.
Objective—To determine clinical characteristics and
clinicopathologic findings, including results of pericardial
fluid analysis, and determine the outcome associated
with pericardial effusion caused by cardiac lymphoma
Design—Retrospective case series.
Procedure—Medical records of affected dogs were
reviewed for echocardiographic findings, radiographic
findings, results of pericardial fluid analysis,
clinicopathologic findings, treatment protocols,
Results—Pericardial effusion was detected by
echocardiography in all 12 dogs, and lymphoma was
detected by cytologic examination of the effusion
(11/12 dogs) or histologic examination of pericardium
(3/12). Large-breed dogs were overrepresented;
median weight was 40.5 kg (89.1 lb). Most hematologic
and biochemical changes were mild and nonspecific.
Survival time for dogs treated with combination
chemotherapeutic agents was 157 days and for
dogs that did not receive chemotherapy survival time
was 22 days. This difference was not significant, but
several dogs had long-term survival.
Conclusions and Clinical Relevance—Cardiac lymphoma
is an uncommon cause of pericardial effusion,
and results suggest that cardiac lymphoma does not
always warrant the poor prognosis of other stage V,
substage b lymphomas. (J Am Vet Med Assoc 2005;