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Assessment of coagulation function by thromboelastography in dogs with mitral valve insufficiency

  • Jeong, Chorok (College of Veterinary Medicine, Jeonbuk National University) ;
  • Seo, Minwoong (College of Veterinary Medicine, Jeonbuk National University) ;
  • Chang, Ocki (College of Veterinary Medicine, Jeonbuk National University) ;
  • Park, Jinho (College of Veterinary Medicine, Jeonbuk National University) ;
  • Park, Chul (College of Veterinary Medicine, Jeonbuk National University)
  • 투고 : 2022.01.27
  • 심사 : 2022.03.23
  • 발행 : 2022.03.30

초록

In veterinary medicine, a variety of disease are known to cause coagulation abnormalities. Identification of these coagulation abnormalities have been relied on traditional coagulation assays(platelet concentration, aPTT, PT, D-dimer, fibrinogen) which take only a small part of the coagulation pathways rather than global hemostatic capacity. Among of the hypercoagulable diseases, cardiovascular disease, such as mitral valvular disease, was not regarded as the cause of the hypercoagulability. The value of a thromboelastography (TEG) as an early predictor of coagulopathy, especially hypercoagulability, has been founded. It was associated with decreased R and K values, and increased MA and α angle. The objective of this study was to compare thromboelastography results and those of traditional coagulation tests between twenty adult dogs with mitral insufficiency (MVI group) and eleven adult healthy dogs (Healthy group). As a results, MA values in the patients with mitral insufficiency (68.8±7.8 mm) were significantly higher than the normal patients (60.4±4.8 mm) (P value<0.05). Although a little report has been reported in veterinary medicine, platelet activation seems to be related with hypercoagulability in MVI patients in human medicine. The result of this report can support this pathophysiology in veterinary medicine. In addition to traditional coagulation assay, global assessment of coagulopathy using TEG, especially ability to detect hypercoagulability, may be useful for customized treatment in MVI patients. To achieve this, further study is needed to define pathophysiology and effect of medication.

키워드

과제정보

This study was supported by Agriculture, Food and Rural Affairs Convergence Technologies Program for Educating Creative Global Leader.

참고문헌

  1. Bowbrick VA, Mikhailidis DP, Stansby G. 2000. The use of citrated whole blood in thromboelastography. Anesthesia & Analgesia 90: 1086-1088. https://doi.org/10.1097/00000539-200005000-00015
  2. Bowbrick VA, Mikhailidis DP, Stansby G. 2003. Value of thromboelastography in the assessment of platelet function. Clin Appl Thromb Hemost 9: 137-142. https://doi.org/10.1177/107602960300900208
  3. Brown CH 3rd, Leverett LB, Lewis CW, Alfrey CP Jr, Hellums JD. 1975. Morphological, biochemical, and functional changes in human platelets subjected to shear stress. J Lab Clin Med 86: 462-471.
  4. Crowell JW, Read WL. 1955. In vivo coagulation-a probable cause of irreversible shock. Am J Physiol 183: 565-569. https://doi.org/10.1152/ajplegacy.1955.183.3.565
  5. Donahue SM, Otto CM. 2005. Thromboelastography: a tool for measuring hypercoagulability, hypocoagulability, and fibrinolysis. J Vet Emerg Crit Care 15: 9-16. https://doi.org/10.1111/j.1476-4431.2005.04025.x
  6. Falicov RE, Resnekov L. 1977. Mid ventricular obstruction in hypertrophic obstructive cardiomyopathy. New diagnostic and therapeutic challenge. Br Heart J 39: 701-705. https://doi.org/10.1136/hrt.39.7.701
  7. Feldman BF, Kirby R, Caldin M. 2000. Recognition and treatment of disseminated intravascular coagulation. pp. 190-193. In : Bonagura JD, Kirk RW(ed). KIRKS CURRENT VETERINARY THERAPY. 13rd ed. W.B. Saunders. Philadelphia.
  8. Goodwin LV, Goggs R, Chan DL, Allenspach K. 2011. Hypercoagulability in dogs with protein-losing enteropathy. J Vet Intern Med 25: 273-277. https://doi.org/10.1111/j.1939-1676.2011.0683.x
  9. Green RA, Kabel AL. 1982. Hypercoagulable state in three dogs with nephrotic syndrome: role of acquired antithrombin III deficiency. J Am Vet Med Assoc 181: 914-917.
  10. Green RA, Russo EA, Greene RT, Kabel AL. 1985. Hypoalbuminemia-related platelet hypersensitivity in two dogs with nephrotic syndrome. J Am Vet Med Assoc 186: 485-488.
  11. Holcomb JB, Minei KM, Scerbo ML, Radwan ZA, Wade CE, Kozar RA, Gill BS, Albarado R, McNutt MK, Khan S, Adams PR, McCathy JJ, Cotton BA. 2012. Admission rapid thrombelastography can replace conventional coagulation tests in the emergency department: experience with 1974 consecutive trauma patients. Ann Surg 256: 476-486. https://doi.org/10.1097/SLA.0b013e3182658180
  12. Kol A, Borjesson DL. 2010. Application of thrombelastography/thromboelastometry to veterinary medicine. Vet Clin Pathol 39: 405-416. https://doi.org/10.1111/j.1939-165X.2010.00263.x
  13. Kol A, Nelson RW, Gosselin RC, Borjesson DL. 2013. Characterization of thrombelastography over time in dogs with hyperadrenocorticism. Vet J 197: 675-681. https://doi.org/10.1016/j.tvjl.2013.05.047
  14. Kristensen AT, Wiinberg B, Jessen LR, Andreasen E, Jensen AL. 2008. Evaluation of human recombinant tissue factor-activated thromboelastography in 49 dogs with neoplasia. J Vet Intern Med 22: 140-147. https://doi.org/10.1111/j.1939-1676.2008.0030.x
  15. Lennon EM, Hanel RM, Walker JM, Vaden SL. 2013. Hypercoagulability in dogs with protein-losing nephropathy as assessed by thromboelastography. J Vet Intern Med 27: 462-468. https://doi.org/10.1111/jvim.12067
  16. Lennon EM, Maharshak N, Elloumi H, Borst L, Plevy SE, Moeser AJ. 2013. Early life stress triggers persistent colonic barrier dysfunction and exacerbates colitis in adult IL-10-/- mice. Inflamm Bowel Dis 19: 712-719. https://doi.org/10.1097/MIB.0b013e3182802a4e
  17. Michelson AD. 2004. Platelet function testing in cardiovascular diseases. Circulation 110: e489-e493. https://doi.org/10.1161/01.CIR.0000147228.29325.F9
  18. New H, Byers CG. 2011. Pulmonary thromboembolism. Compend Contin Educ Vet 33: E1-E1.
  19. Nielsen VG, Lyerly RT 3rd, Gurley WQ. 2004. The effect of dilution on plasma coagulation kinetics determined by thrombelastography is dependent on antithrombin activity and mode of activation. Anesth Analg 99: 1587-1592. https://doi.org/10.1213/01.ANE.0000136843.58799.AB
  20. Olsen LH, Kristensen AT, Haggstrom J, Jensen AL, Klitgaard B, Hansson H, Pedersen HD. 2001. Increased platelet aggregation response in Cavalier King Charles Spaniels with mitral valve prolapse. J Vet Intern Med 15: 209-216. https://doi.org/10.1111/j.1939-1676.2001.tb02313.x
  21. Peterson PB, Willard MD. 2003. Protein-losing enteropathies. Vet Clinics: Small Anim Pract 33: 1061-1082. https://doi.org/10.1016/S0195-5616(03)00055-X
  22. Prihirunkit K, Sastravaha A, Lekcharoensuk C, Chanloinapha P. 2014. Hemostatic markers in congestive heart failure dogs with mitral valve disease. J Vet Med ePub 2014.
  23. Tong LJ, Hosgood GL, French AT, Irwin PJ, Shiel RE. 2016. Platelet function and activation in Cavalier King Charles Spaniels with subclinical chronic valvular heart disease. Am J Vet Res 77: 860-868. https://doi.org/10.2460/ajvr.77.8.860
  24. Trapani LM. 2013. Thromboelastography: current applications, future directions. Open J Anesth 3: 23-27. https://doi.org/10.4236/ojanes.2013.31007
  25. Tse HF, Lau CP, Cheng G. 1997. Relation between mitral regurgitation and platelet activation. J Am Coll Cardiol 30: 1813-1818. https://doi.org/10.1016/S0735-1097(97)00380-X
  26. Vaden SL, Hammerberg B, Davenport DJ, Orton SM, Trogdon MM, Melgarejo LT, VanCamp SD, Williams DA. 2000. Food hypersensitivity reactions in Soft Coated Wheaten Terriers with protein-losing enteropathy or protein-losing nephropathy or both: gastroscopic food sensitivity testing, dietary provocation, and fecal immunoglobulin E. J Vet Intern Med 14: 60-67. https://doi.org/10.1892/0891-6640(2000)014<0060:FHRISC>2.3.CO;2
  27. Wagg CR, Boysen SR, Bedard C. 2009. Thrombelastography in dogs admitted to an intensive care unit. Vet Clin Pathol 38: 453-461. https://doi.org/10.1111/j.1939-165X.2009.00161.x
  28. Wiinberg B, Jensen AL, Johansson PI, Rozanski E, Tranholm M, Kristensen AT. 2008. Thromboelastographic evaluation of hemostatic function in dogs with disseminated intravascular coagulation. J Vet Intern Med 22: 357-365. https://doi.org/10.1111/j.1939-1676.2008.0058.x