Hipertensão arterial sistémica em cães e gatos
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2016
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Devido à sua natureza silenciosa, estima-se que a hipertensão arterial sistémica seja bastante subdiagnosticada em medicina veterinária. Contudo, as suas consequências para a saúde e bem-estar dos pacientes são preocupantes, tornando cada vez maior a necessidade de determinar a pressão arterial sanguínea nos animais de companhia, sobretudo nos que apresentem doenças ou condições associadas ao desenvolvimento de hipertensão.
O principal objetivo deste estudo foi a avaliação da necessidade de instituir a medição da pressão arterial como procedimento de rotina, não só no hospital onde foi realizado o estágio curricular como na prática clínica de pequenos animais em geral, procurando simultaneamente determinar valores de referência, passíveis de ser utilizados como representativos da normalidade clínica, e comparar os valores obtidos para os diferentes pacientes e condições clínicas com os referidos na bibliografia, culminando na implementação de um protocolo de medição da pressão arterial em canídeos e felídeos no Hospital Veterinário do Baixo Alentejo (HVBA).
Para tal, e de forma a testar a sua viabilidade, foram realizadas medições da pressão arterial a um total de 68 animais, canídeos e felídeos que se apresentaram para consulta, utilizando um aparelho oscilométrico (petMAP graphic II). Os pacientes rastreados foram agrupados de acordo com a idade e condição clínica e os valores obtidos foram utilizados para determinar a normalidade e para comparação com valores referidos na bibliografia consultada. Os valores de pressão arterial sistólica, média e diastólica obtidos de canídeos saudáveis não geriátricos foram de 174.88 (± 34.051), 125.57 (±24.779) e 99.78 (± 22.591),respetivamente. Relativamente ao grupo de felídeos, foram de 162.27 (± 31.805), 127.4 (±27.201) e 106.30 (±27.864), respetivamente. O protocolo foi implementado com sucesso, passando a ser utilizado por toda a equipa.
Concluiu-se assim que a implementação de um protocolo adaptado a cada instituição é imprescindível para a obtenção de resultados fidedignos.
Because of its silent nature, its estimated that systemic arterial hypertension is quite underdiagnosed in veterinary medicine. However, its consequences for patient’s health and well-being are worrisome, making even greater the need of arterial blood pressure determination in companion animals, especially in those who present diseases or conditions associated to hypertension development. The main objective of this project was to assess the need to establish the blood pressure measurement as a routine procedure, not only in the hospital where the traineeship was performed as in general small animal’s clinical practice, while simultaneously trying to determine reference values, to be used as representative of normal conditions, and compare values obtained from diferente patients and clinical conditions with those in the literature, culminating in the implementation of a blood pressure measurement protocol, in dogs and cats, at the veterinary hospital (HVBA). To that end, to test its viability, blood pressure measurements were made to 68 animals, dogs and cats, who presented for consultation, using an oscilometric device (petMAP graphic II). The screened patients were grouped according to age and clinical condition and the values obtained were used to determine the normality and for comparison with values reported in bibliography. The systolic, mean and diastolic blood pressure values obtained from young healthy dogs were 174.88 (± 34.051), 125.57 (±24.779) and 99.78 (± 22.591), respectively. For young healthy cats were 162.27 (± 31.805), 127.4 (±27.201) and 106.30 (±27.864), respectively. The protocol was successfully implemented and started to be used by the entire team. As a conclusion, the implementation of a protocol adapted to each institution is essential to obtain reliable results.
Because of its silent nature, its estimated that systemic arterial hypertension is quite underdiagnosed in veterinary medicine. However, its consequences for patient’s health and well-being are worrisome, making even greater the need of arterial blood pressure determination in companion animals, especially in those who present diseases or conditions associated to hypertension development. The main objective of this project was to assess the need to establish the blood pressure measurement as a routine procedure, not only in the hospital where the traineeship was performed as in general small animal’s clinical practice, while simultaneously trying to determine reference values, to be used as representative of normal conditions, and compare values obtained from diferente patients and clinical conditions with those in the literature, culminating in the implementation of a blood pressure measurement protocol, in dogs and cats, at the veterinary hospital (HVBA). To that end, to test its viability, blood pressure measurements were made to 68 animals, dogs and cats, who presented for consultation, using an oscilometric device (petMAP graphic II). The screened patients were grouped according to age and clinical condition and the values obtained were used to determine the normality and for comparison with values reported in bibliography. The systolic, mean and diastolic blood pressure values obtained from young healthy dogs were 174.88 (± 34.051), 125.57 (±24.779) and 99.78 (± 22.591), respectively. For young healthy cats were 162.27 (± 31.805), 127.4 (±27.201) and 106.30 (±27.864), respectively. The protocol was successfully implemented and started to be used by the entire team. As a conclusion, the implementation of a protocol adapted to each institution is essential to obtain reliable results.
Descrição
Orientação : Joana Oliveira ; co-orientação : Inês Viegas
Palavras-chave
MESTRADO INTEGRADO EM MEDICINA VETERINÁRIA, VETERINÁRIA, MEDICINA VETERINÁRIA, HIPERTENSÃO, CÃES, GATOS, VETERINARY MEDICINE, HYPERTENSION, DOGS, CATS, CANÍDEOS, FELÍDEOS, CANIDS, FELIDS