Mitral Valve Repair–The Development and Rise of Options in the Veterinary World

Bristow, Poppy; Markovic, Lauren E.

doi:10.1016/j.cvsm.2023.07.001

Cited by 1 publication

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interestingly, none of the respondents recommended surgical treatment at any of the disease stages, even though open heart surgery and transcatheter edge-to-edge repair techniques are available options for dogs with advanced stages of MMVD in Europe [ 56 , 57 , 58 , 59 , 60 ]. According to the ACVIM guidelines, a successful surgical intervention is the only way to reach a lower disease stage from C to B [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Utilization of International (ACVIM Consensus) Guidelines and the Latest Clinical Trial Results on the Treatment of Dogs with Various Stages of Myxomatous Mitral Valve Degeneration: A Survey among Veterinary Practitioners

van Staveren,

Muis,

Szatmári

2024

Animals

View full text Add to dashboard Cite

Background: Myxomatous mitral valve degeneration is the most common canine heart disease. Several clinical trials have investigated various treatments. The latest recommendations are published in the ACVIM consensus guidelines (2019). Our study aimed to investigate how closely veterinary practitioners apply the treatment recommendations of these guidelines and the latest clinical trials. Methods: An online survey was sent to Dutch and Belgian veterinary practices via digital channels. Results: The data from 363 fully completed surveys were analyzed. For stage B1 disease, 93% recommended, correctly, no treatment. For stage B2 disease, 67% of the respondents recommended starting pimobendan as monotherapy. For chronic treatment of stage C disease, 16 different drug combinations were mentioned, but nobody recommended surgery. Only 48% of the respondents recommended the only evidence-based drug combination: a loop diuretic with pimobendan. A concerning finding was the simultaneous prescription of two loop diuretics, by 19% of the respondents. Conclusions: Treatment recommendations showed an increasing variation with more advanced disease stages from B1 through B2 to C. This reflects the increasing disagreement among the panelists who prepared the ACVIM consensus guidelines. Practitioners of our study seem to practice more evidence-based medicine than veterinary cardiologists, as it was reported in a recent survey-based study.

show abstract