Comparison of cardiac measurements by multi-detector computed tomography angiography and transthoracic echocardiography in English bulldogs

• Published in: Journal of veterinary cardiology Vol. 19; no. 6; pp. 480 - 491
• Main Authors: Hostnik, E.T., Scansen, B.A., Habing, A.M., Chiappone, G.A., Layman, R.R., White, R.D.
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.12.2017
• Subjects: Animals; Canine; Cardiac angiography; Computed Tomography Angiography - veterinary; Coronary Angiography - veterinary; Dogs - physiology; Dual source; Echocardiography - veterinary; Female; Male; Observer Variation; Pedigree; Prospective Studies; Reference Values; Retrospective ECG-Gating; Veterinary; Dual source; Veterinary; Cardiac angiography; Retrospective ECG-Gating; Canine
• ISSN: 1760-2734; 1875-0834
• DOI: 10.1016/j.jvc.2017.10.003

Transthoracic echocardiography (TTE) is the primary tool for the assessment of cardiac structure and function in dogs but is challenging in English bulldogs due to dorsoventral compression of the thorax, obesity, and narrow intercostal spaces. Multi-detector computed tomography angiography (CTA) may overcome the conformational obstacles of cardiac imaging in this breed. Eleven client-owned English bulldogs. Prospective clinical trial with paired analysis of TTE and CTA studies. Eight of the 25 linear cardiac dimensional measurements were significantly different between TTE and CTA (p<0.033). Intraobserver agreement was strong with average coefficients of variation (CV) of 5.34% for TTE and 2.50% for CTA. Interobserver agreement CV averaged 6.5% for TTE and 8.75% CTA. Ejection fraction, stroke volume, and end-systolic volume were significantly different between modalities (all p<0.002). No significant difference was present between end-diastolic volume for TTE compared with CTA. High-quality cardiac angiographic studies were accomplished using CTA without the use of general anesthesia in English bulldogs. Multi-detector computed tomography angiography and TTE are not interchangeable modalities in the clinical setting. Multi-detector-CT ECG-gated cardiac angiography is possible in sedated, non-intubated English bulldogs. Differences were found between some cardiac dimensions as measured by TTE in the awake dog and compared with sedated CTA, indicating the two methodologies are not equivalent. Sedated, non-intubated CTA yielded high-quality imaging with strong intraobserver and interobserver measurement repeatability in English bulldogs.