Page 207 - Feline diagnostic imaging
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210  13  Acquired Heart Disease

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                                      (b)


















            Figure 13.8  On continuous-wave Doppler at the aortic valve, normal laminar flow is below the baseline and abnormal flow is above
            the baseline (a). Color Doppler at the level of the left ventricular outflow tract shows the red color jet originating from the aortic valve
            extending into the left ventricular outflow tract. This jet represents regurgitant flow at the aortic valve (b).

              ventricular  outflow  tract  toward  the  left  ventricle
            (Figure 13.8b). Color Doppler at the aortic valve and left
            ventricular outflow tract may assist in documentation of
            left ventricular outflow obstruction by displaying a mosaic
            of colors. Be careful to observe the color map and the listed
            sample  volumes.  If  the  velocity  at  the  aorta  exceeds  the
            sample volume, yellow and orange color indicates increased
            velocity and true pathology (Figure 13.9).




            13.3   Use of Biomarkers in Cardiac
            Disease

            Biomarkers have been investigated in order to find markers   Figure 13.9  Color Doppler at the left ventricular outflow tract
            of cardiac disease prior to clinical signs. Cardiac troponin I   shows yellow and orange colors due to the velocity of flow
                                                              reaching above the 67.0 cm/s. This color pattern is due to the
            (cTnI) has been found to be a sensitive marker of cardiac   normal velocity in the left ventricular outflow tract and not to
            monocyte damage and has been found elevated in cats with   pathology.
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