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Increased serum C-reactive protein concentrations in dogs with congestive heart failure due to myxomatous mitral valve disease

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Authors:
  • Reimann, M. J. ;
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    University of Copenhagen
  • Ljungvall, I. ;
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    Swedish University of Agricultural Sciences
  • Hillstrom, Ann ;
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    Swedish University of Agricultural Sciences
  • Moller, J. E. ;
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    Cardiology, Department of Clinical Research, Faculty of Health Sciences, SDU
  • Hagman, R. ;
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    Swedish University of Agricultural Sciences
  • Falk, Roni T ;
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    unknown
  • Hoglund, K. ;
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    Swedish University of Agricultural Sciences
  • Haggstrom, J. ;
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    Swedish University of Agricultural Sciences
  • Olsen, L. H.
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    University of Copenhagen
DOI:
10.1016/j.tvjl.2015.12.006
Abstract:
Cardiovascular disease in humans and dogs is associated with mildly increased circulating concentrations of C-reactive protein (CRP). Few studies have evaluated associations between circulating CRP and canine myxomatous mitral valve disease (MMVD) and the results reported have been divergent. The aim of this study was to investigate whether serum concentrations of CRP, determined using a novel automated canine-specific high -sensitivity CRP assay (Gentian hsCRP), were associated with severity of MMVD and selected clinical variables in dogs. The study included 188 client-owned dogs with different severities of MMVD. Dogs were classified based on ACVIM consensus statement guidelines (group A, n = 58; group BI, n = 56; group B2, n = 38; group C, n = 36). Data were analysed using descriptive statistics and multiple regression analysis. Dogs with congestive heart failure (CHF; group C) had significantly higher CRP concentrations (median, 2.65 mg/L; quartile 1 -quartile 3, 1.09-5.09) compared to dogs in groups A (median, 0.97 mg/L; quartile 1-quartile 3, <0.50-1.97; P = 0.001), B1 (median, 0.78 mg/L; quartile 1 -quartile 3, <0.50-1.73, P < 0.0001) and B2 (median, 0.60 mg/L; quartile 1-quartile 3, <0.50-1.23; P <0.0001). Other variables reflecting disease severity, including left atrial to aortic root ratio (P= 0.0002, adjusted r(2) = 0.07) and left ventricular end diastolic diameter normalised for bodyweight (P = 0.0005, adjusted r(2) = 0.06), were positively associated with CRP concentration, but the association disappeared if dogs with CHF were excluded from analysis. In conclusion, slightly higher CRP concentrations were found in dogs with CHF whereas severity of asymptomatic MMVD showed no association with CRP concentrations. (C) 2016 Elsevier Ltd. All rights reserved.
Type:
Journal article
Language:
English
Published in:
Veterinary Journal, 2016, Vol 209, p. 113-118
Keywords:
CRP; Mitral regurgitation; Dog; Inflammation; Valvular disease; Journal Article; Research Support, Non-U.S. Gov't; CRP Mitral regurgitation Dog Inflammation Valvular disease chronic valvular disease king-charles-spaniels flow-mediated vasodilation plasma-concentration risk-factors regurgitation severity echocardiography expression inflammation Veterinary Sciences
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2016
Scientific Level:
Scientific
ID:
2289974240

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