Three months later
|Mickey was diagnosed with taurine responsive dilated cardiomyopathy 11
weeks ago. He has been treated with enalapril, furosemide,
and taurine supplementation. The enalapril and furosemide
were discontinued two weeks ago when the owner ran out of the
medication. The owner reports some vomiting and diarrhea occurred while on the
enalapril but has not occurred since stopping the medication. Taurine
supplementation is 500 mg (1/8 teaspoon) once to twice daily. The owner
reports that Mickey is doing very well. Excellent food and water intake, no
coughing sneezing etc. Energy level is excellent. |
|Mickey currently eats a combination of baked chicken and Iams dry cat
food (according to the owner but we are reasonably sure the
cat doesn't actually eat the commercial cat food). |
|4.4 kg. T 100.2, HR 150, RR 36. BAR Hydrated by turgor. Very active.
Pupils dilated slight response to light. Anterior chamber, cornea and
conjunctiva clear OU. BS 5/9 excellent body condition. MM pink, CRT 1 sec,
occasional soft gallop rhythm, no murmurs auscultable, pulses strong no pulse
deficits. Rest of physical exam unremarkable. |
|Echocardiography: IVSd 0.5 cm, IVSs 0.6 cm,
LVEDD 1.8 cm, LVESD 1.1cm,
SF 39%. LVFWd 0.4cm, LVFWs 0.7cm. |
|Assessment: Mickey is responding very well. The shortening fraction has
improved to 39% and the end-systolic diameter is 11 mm,
which are both almost normal.
The thoracic radiographs are normal. The eyes are
not likely to improve much but the animal does appear to have some vision.
|Plan: Continue with taurine supplementation. Owner will return in six
weeks for a recheck ultrasound.|
Comment: The M-mode echocardiogram and thoracic radiographs
have almost normalized. Mickey is well on his way to being cured!