Cardiology

Photo: Flyer for Clinical Trial for Pulmonic Stenosis in Dogs

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Below, please find links to all of the clinical trials involving cardiology. The studies include a multitude of information, including (but not limited to) the study’s purpose, benefits for participating, and financial incentive information. If you have any questions, please contact the individual outlined at the end of each trial summary.

Please visit the Cardiology service webpage at the Veterinary Medical Teaching Hospital (VMTH) if you would like to learn more about the amazing things that our veterinarians can do for you and your animal.

Horses & Ponies

Ventricular Septal Defects in Arabian Horses: Identifying the Genetics

Title: Equine Ventricular Septal Defects

Purpose of Study: Ventricular Septal Defects (VSDs) are the most common congenital heart defects in horses. They allow blood to shunt inappropriately from the left ventricle to the right ventricle via an opening in the ventricular septum. This blood recirculates through the lungs and left chambers, resulting in enlargement of these structures. Arabian horses are overrepresented in horses presenting for VSDs, and we are investigating the possibility of a genetic predisposition for this defect.

Contact: Eric Ontiveros, Stern Laboratory Coordinator: (esontiveros@ucdavis.edu or 530-752-4892)

Participation Requirements: Arabian horses or Arabian crosses that have a right-sided systolic heart murmur, or a veterinary diagnosis of VSD. Horses must tolerate handling and stand for the echocardiogram.

Initial Evaluation for Participation: None.

Procedures: 

  • Collection and submission of a blood sample (3ml in an EDTA purple top) for DNA extraction by the cardiac genetics laboratory

Benefits:

  • Results from this study will determine if a genetic factor plays a role in the development of Ventricular Septal Defects in Arabian horses. This finding would have great significance regarding screening predisposed horses and hopefully guiding breeding management to avoid continuation of this defect in the Arabian horse.

Owner Responsibilities:

  • Submission of a blood sample either by the owner or referring veterinarian
  • If your Arabian was diagnosed with a heart murmur but you are unsure whether it qualifies for the study, please contact us. In some cases, we may be able to review your horse's medical records or even fund a cardiac examination for your horse.

Printable Flyer (PDF)

Dogs

Pulmonic Stenosis: Assessing Two Medications

Title: Echocardiographic effects of butorphanol and atenolol in dogs with subaortic or pulmonic stenosis

Purpose: Pulmonic stenosis (PS), the one of the most common congenital heart defects encountered in dogs, is characterized by a narrowing of the outlet of the right side of the heart. We are studying the effects of two commonly utilized medications – butorphanol, a mild sedative commonly used to help facilitate heart ultrasounds and atenolol, a beta-blocker commonly utilized to help treat PS – on heart function and assessment of disease severity in dogs with PS.

Contact: To schedule an appointment, please call (530) 752-1393 and follow the prompts for Cardiology.

Participation Requirements: Dogs diagnosed with either pulmonic stenosis (PS) with a pressure gradient >50 mmHg, that are free of any other concurrent cardiac disease and not currently taking any cardiac medications.

Initial Evaluation for Participation:  Dogs must be diagnosed with pulmonic stenosis (pressure gradient >50 mmHg), be free of any other concurrent cardiac disease, and not taking any cardiac medications to be eligible to participate in this study

Procedures: If you agree to let your dog participate in this study, the following will happen:

  • Complete physical examination with particular attention paid to the cardiovascular system and complete echocardiogram (heart ultrasound) without the use of sedatives to confirm diagnosis
  • Blood collection to determine if your dog is affected with a genetic mutation that may cause a lack of response to the atenolol drug
  • Administration of a single standard dose of a sedative, butorphanol (intravenously) and single standard dose of atenolol (orally)
  • 2 more echocardiograms (within 5-20 minutes after administering butorphanol and then 2-3 weeks after atenolol administration)

Benefits: All costs associated with the study will be paid for by the study, including diagnostics that would be recommended anyway. If a balloon valvuloplasty procedure is recommended, study participants will receive $800 toward funding the procedure. All dogs previously diagnosed with PS that are specifically referred for this study will receive a discounted clinical exam and echocardiogram whether they qualify for the study or not. If adverse events occur directly as a result of the study and your dog requires further care (e.g., hospitalization, monitoring, treatment/medications etc), the study will cover up to $3,000 of your dog’s care.

Results from this trial will allow us to better understand and guide medical care for your dog and future dogs affected with pulmonic or subaortic stenosis.

Owner Responsibilities: If you allow your dog to participate in this study, you will be responsible for bringing your dog to the scheduled appointment and covering any costs not related to the study. The study appointment and procedures are anticipated to take approximately 4-5 hours and will consist of two visits.

Printable Flyer (PDF)

Irregular Heartbeat (Ventricular Arrhythmias): Reducing the Risk during Chemotherapy

Title: Use of diphenhydramine to reduced fewer infusion-related ventricular arrhythmias in dogs treated with doxorubicin

Purpose: The current recommendation for canine lymphoma treatment includes the use of a chemotherapy drug called doxorubicin. Although effective, one of the reported side effects of doxorubicin is the liberation of a molecule called histamine, which can cause ventricular arrhythmias (an irregular rhythm). The concurrent use of anti-histamine agents like diphenhydramine (commonly known as Benadryl) with doxorubicin therapy could possibly reduce these abnormal beats. Therefore, the aim of this study is to see if use of diphenhydramine can reduce the risk of arrhythmias sometimes associated with the administration of chemotherapy.

Contact:

  • Dr. Joshua A. Stern, DVM, PhD, DACVIM (Cardiology) at 530-752-4892 or jstern@ucdavis.edu
  • Dr. Jenna H Burton. DVM, MS, DACVIM (Oncology) at 530-752-0629 or jhburton@ucdavis.edu

Participation Requirements: Dogs that have been diagnosed with lymphoma

Initial Evaluation for Participation:  Should you decide to enroll your dog in the clinical trial, your pet would receive a free Echocardiogram screening before receiving Doxorubicin. This would occur at one of the chemotherapy visits prior to the first Doxorubicin treatment.

Procedures: 

  • As part of this study, your animal will receive the same diagnostic tests and care that any other dog presented to the Oncology Service would receive. If your dog participated, an anti-histamine drug (diphenhydramine) will be given at only one out of the two study visits.
  • If your dog participated, an anti-histamine drug (diphenhydramine) will be given at only one out of the two study visits.
  • To evaluate the efficacy of diphenhydramine, your dog will wear a portable and battery-operated device that measures heart's activity (Holter monitor) for 3 hours after the infusion of chemotherapy while your dog is still at the VMTH.

Benefits: If you agree to have your dog participate in this study, the screening echocardiogram and your dog’s Holter monitor will be analyzed by a board-certified veterinary cardiologist and will be free of charge. Adverse events are not expected from the use of diphenhydramine; the study will cover up to $3,000 of your dog’s care if any adverse events occur that are attributable to the investigational portion of the study (use of diphenhydramine or not as a pre-medication for doxorubicin) and your dog requires further care (e.g., hospitalization).

Results from this trial may help us to better guide medical care for your dog and future dogs affected with the same disease. The understanding of your dog’s electrocardiogram may guide medical decisions.

Owner Responsibilities: We expect that participation in this clinical trial will last for two visits of the traditional CHOP chemotherapy protocol.

Costs associated with the recommended chemotherapy protocol and patient care will be your responsibility as they are not a part of this study. Additionally, costs associated with side effects that are attributable to doxorubicin administration (decreased appetite, vomiting, diarrhea and/or low white blood cells counts) will not be covered by the study.

Printable Flyer (PDF)