Resistive index (RI) and pulsatility index (PI) are indirect measurements of blood flow resistance that may be used to evaluate vascular changes in renal and ophthalmologic diseases. To our knowledge, no reports are available describing values for renal and ocular PI index in the unsedated dog and ocular RI and PI indices in the unsedated cat. The purpose of this study was to measure normal values for both intrarenal and ocular RI and PI within the same subject in unsedated clinically normal dogs and cats. Twenty-seven dogs and 10 cats were considered healthy by means of physical examination, CBC, biochemical profile, urinalysis, and ultrasonography. Systolic blood pressure was measured by Doppler ultrasonography. Intrarenal and ocular arteries were scanned by pulsed Doppler ultrasonography to calculate RI and PI. No significant differences were noted between the values obtained for the right vs. the left kidney and eye. The upper values of these indices were calculated as mean + 2 standard deviations resulting in 0.72 and 1.52 for dog renal RI and PI; 0.7 and 1.29 for cat renal RI and PI; 0.76 and 1.68 for dog ocular RI and PI; and 0.72 and 1.02 for cat ocular RI and PI.
Summary
Changes in haemostasis in horses with colic were assessed by using specific and sensitive markers of coagulation and fibrinolysis activity. Blood samples from 41 horses with severe colic and from 30 healthy control horses were tested. Diagnosis of DIC was based on the findings of at least 3 of 6 abnormalities: thrombocytopenia, prolonged clotting times (PT and APTT), increased polyclonal FDPs, decreased fibrinogen and decreased AT‐III activity. Plasma thrombin‐antithrombin III complexes (TAT), monoclonal fibrin degradation products fragment D (D‐dimer) and monoclonal fibrinogen degradation products (FgDP) were also tested by using ELISA kits.
DIC was diagnosed in 16 of 41 horses with colic. Compared to control and non‐DIC colic values, TAT was significantly (P<0.000) greater in horses with colic and DIC (Control group, mean ± s.d. 2.6 ± 2; non‐DIC colic group, 7.5 ± 9, and DIC colic group, 30.9 ± 36 ng/ml). Also, D‐dimer was significantly (P<0.000) less in the DIC group when compared to control and non‐DIC colic values (mean ± s.d. 677 ± 119, 682 ± 220 and 399 ± 234 ng/ml, respectively). Compared to non‐DIC colic values, FgDP was significantly (P<0.05) lower in the DIC group (363 ± 111, 437 ± 230 and 293 ± 187 ng/ml respectively). Both PT and APTT showed a significant positive correlation with TAT. DIC was more common among nonsurvivors and horses with ischaemic bowel. We conclude that a hypercoagulative state was detected in horses with colic, which was stronger in horses with colic and DIC. Hypofibrinolysis was present only in horses with DIC. Therefore, marked hypercoagulation together with hypofibrinolysis are associated with DIC in horses.
This study investigated the possible relationships between renal resistive index (RI) or pulsatility index (PI) and systolic blood pressure and biochemical and haematological parameters in dogs and cats with renal disease. The study included 50 dogs and 20 cats with renal disease. RI and PI were significantly higher in both dogs and cats with renal disease than in 27 healthy dogs and 10 healthy cats. In dogs, a significant negative correlation was found between RI and red blood cell count, and a positive correlation was found between PI and serum creatinine. In cats, a positive correlation was found between RI and serum urea, between PI and serum creatinine, and between PI and serum urea. No relationship could be found between either RI or PI and systolic blood pressure.
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