Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Veterinary Medicine |
Texto Completo: | https://rbmv.org/BJVM/article/view/411 |
Resumo: | ABSTRACT. Moura M.P., Corgozinho K.B., Cavalcanti J.V.J., Souza H.J.M., Castro M.C.N. & Ferreira A.M.R. [Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats.] Avaliação da pressão arterial sistólica não invasiva e do grau de proteinúria em gatos domésticos diabéticos. Revista Brasileira de Medicina Veterinária 37(4):334-338, 2015. Setor de Clínica e Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Fluminense, Rua Vital Brasil, 64, Niterói, RJ 24230-340, Brazil. E-mail: marivuff@yahoo.com.br Diabetes mellitus is the second most common endocrinopathy in cats. Hypertension is a common finding in human diabetic patients, but it has not been properly studied in diabetic animals. It is known that early diagnosis of hypertension in human diabetic patients can provide longer survival time, better disease control and decrease in nephropathy frequency. The objective of this study was to evaluate systolic blood pressure and proteinuria in diabetic cats, independently of disease control state or treatment. Seventeen diabetic cats without concurrent disease were studied, regardless of age, breed, sex. Diagnostic tests included determination of complete blood count, biochemistry profile, serum total thyroxine and serum fructosamine. Urine samples were collected by cystocentesis from all the cats in the study. The same urine sample was used for the urinalysis, urine culture and urine protein-creatinine (UPC) ratio. Systolic blood pressure (SBP) was measured indirectly using Ultrasonic Doppler. The final SBP values used in this study were the mean of five successive measurements over a five to ten minutes period. The overweight and obesity were the most frequent scores in these cats. Proteinuria defined by a UPC > 0.4 was present in five diabetic cats (35.7%). The fructosamine had significant and positive correlation (r = 0.53, p = 0.02) with systolic blood pressure, indicating that higher systolic blood pressures occur when there is a poor glycemic control. Diabetic patients had mild (58,4%) to moderate (23,5%) risk of target organ damage development. Based on these results, it is recommended that systolic blood pressure must be early assessed in feline diabetic patients, in order to prevent target organ damage such as eyes, heart, brain and kidneys due to proteinuria and hypertension. |
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Systolic blood pressure measurement and prevalence of proteinuria in diabetic catsAvaliação da pressão arterial sistólica não invasiva e do grau de proteinúria em gatos domésticos diabéticosDiabetes melitofelinospressão arterialproteinúriahipertensãoDiabetes mellitusfelineblood pressureproteinuriahypertensionABSTRACT. Moura M.P., Corgozinho K.B., Cavalcanti J.V.J., Souza H.J.M., Castro M.C.N. & Ferreira A.M.R. [Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats.] Avaliação da pressão arterial sistólica não invasiva e do grau de proteinúria em gatos domésticos diabéticos. Revista Brasileira de Medicina Veterinária 37(4):334-338, 2015. Setor de Clínica e Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Fluminense, Rua Vital Brasil, 64, Niterói, RJ 24230-340, Brazil. E-mail: marivuff@yahoo.com.br Diabetes mellitus is the second most common endocrinopathy in cats. Hypertension is a common finding in human diabetic patients, but it has not been properly studied in diabetic animals. It is known that early diagnosis of hypertension in human diabetic patients can provide longer survival time, better disease control and decrease in nephropathy frequency. The objective of this study was to evaluate systolic blood pressure and proteinuria in diabetic cats, independently of disease control state or treatment. Seventeen diabetic cats without concurrent disease were studied, regardless of age, breed, sex. Diagnostic tests included determination of complete blood count, biochemistry profile, serum total thyroxine and serum fructosamine. Urine samples were collected by cystocentesis from all the cats in the study. The same urine sample was used for the urinalysis, urine culture and urine protein-creatinine (UPC) ratio. Systolic blood pressure (SBP) was measured indirectly using Ultrasonic Doppler. The final SBP values used in this study were the mean of five successive measurements over a five to ten minutes period. The overweight and obesity were the most frequent scores in these cats. Proteinuria defined by a UPC > 0.4 was present in five diabetic cats (35.7%). The fructosamine had significant and positive correlation (r = 0.53, p = 0.02) with systolic blood pressure, indicating that higher systolic blood pressures occur when there is a poor glycemic control. Diabetic patients had mild (58,4%) to moderate (23,5%) risk of target organ damage development. Based on these results, it is recommended that systolic blood pressure must be early assessed in feline diabetic patients, in order to prevent target organ damage such as eyes, heart, brain and kidneys due to proteinuria and hypertension.A diabetes melito é a segunda endocrinopatia mais comumente diagnosticada em felinos. A hipertensão é um achado frequente no paciente humano diabético e pouco estudado na medicina veterinária. Sabe-se que na medicina humana, quando diagnosticada, o seu tratamento possibilita ao paciente maior sobrevida, melhor controle da doença e diminuição na frequência de nefropatias. O objetivo deste estudo foi avaliar a pressão arterial sistólica (PAS) e o grau de proteinúria em felinos diabéticos independente do estado de controle da doença e tempo ou tipo de tratamento. Foram avaliados 17 gatos diabéticos sem doença concomitante. A seleção dos animais foi realizada através do diagnóstico prévio de diabetes melito independente do estágio de tratamento e da idade, raça ou sexo. Avaliação laboratorial completa foi realizada, incluindo hemograma, ureia, creatinina, alanino aminotransferase, fosfatase alcalina, glicemia, frutosamina, potássio e fósforo, como também a avaliação sérica de tiroxina total. Urina foi coletada por cistocentese para urinálise, cultura e antibiograma e relação proteína e creatinina (RPC). A pressão arterial foi mensurada por método indireto e determinada pela média de cinco avaliações consecutivas com intervalo de cinco a dez minutos. Os escores de sobrepeso e obesidade foram os escores mais observados em pacientes felinos diabéticos e a proteinúria, considerada quando os valores de RPC foram maiores que 0,4, foi encontrada em cinco pacientes. A frutosamina teve correlação positiva e significante (r=0,53, p=0,02) com a PAS, indicando que quanto maior o descontrole glicêmico, maior a PAS. Os pacientes diabéticos apresentaram risco leve (58,4%) a moderado (23,5%) de desenvolvimento de lesões em órgãos alvo. Com base nesses resultados, é recomendada a avaliação da pressão arterial sistólica em felinos diabéticos para que o diagnóstico precoce das alterações relacionadas à proteinúria e hipertensão sejam identificadas antes do acometimento de órgãos como olhos, coração, cérebro e rins.Sociedade de Medicina Veterinária do Estado do Rio de Janeiro.2015-12-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionpeer reviewedAvaliado pelos paresapplication/pdfhttps://rbmv.org/BJVM/article/view/411Brazilian Journal of Veterinary Medicine; Vol. 37 No. 4 (2015); 334-338Revista Brasileira de Medicina Veterinária; v. 37 n. 4 (2015); 334-3382527-21790100-2430reponame:Brazilian Journal of Veterinary Medicineinstname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)instacron:SBMVporhttps://rbmv.org/BJVM/article/view/411/301de Moura, Mariana PereiraCorgozinho, Katia B.Cavalcanti, Jacqueline Vallim J.de Souza, Heloisa Justen M.Castro, Maria Cristina N.Ferreira, Ana Maria Reisinfo:eu-repo/semantics/openAccess2020-12-23T17:33:38Zoai:ojs.rbmv.org:article/411Revistahttps://rbmv.org/BJVMONGhttps://rbmv.org/BJVM/oaicontato.rbmv@gmail.com2527-21790100-2430opendoar:2020-12-23T17:33:38Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ)false |
dc.title.none.fl_str_mv |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats Avaliação da pressão arterial sistólica não invasiva e do grau de proteinúria em gatos domésticos diabéticos |
title |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
spellingShingle |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats de Moura, Mariana Pereira Diabetes melito felinos pressão arterial proteinúria hipertensão Diabetes mellitus feline blood pressure proteinuria hypertension |
title_short |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
title_full |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
title_fullStr |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
title_full_unstemmed |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
title_sort |
Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats |
author |
de Moura, Mariana Pereira |
author_facet |
de Moura, Mariana Pereira Corgozinho, Katia B. Cavalcanti, Jacqueline Vallim J. de Souza, Heloisa Justen M. Castro, Maria Cristina N. Ferreira, Ana Maria Reis |
author_role |
author |
author2 |
Corgozinho, Katia B. Cavalcanti, Jacqueline Vallim J. de Souza, Heloisa Justen M. Castro, Maria Cristina N. Ferreira, Ana Maria Reis |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
de Moura, Mariana Pereira Corgozinho, Katia B. Cavalcanti, Jacqueline Vallim J. de Souza, Heloisa Justen M. Castro, Maria Cristina N. Ferreira, Ana Maria Reis |
dc.subject.por.fl_str_mv |
Diabetes melito felinos pressão arterial proteinúria hipertensão Diabetes mellitus feline blood pressure proteinuria hypertension |
topic |
Diabetes melito felinos pressão arterial proteinúria hipertensão Diabetes mellitus feline blood pressure proteinuria hypertension |
description |
ABSTRACT. Moura M.P., Corgozinho K.B., Cavalcanti J.V.J., Souza H.J.M., Castro M.C.N. & Ferreira A.M.R. [Systolic blood pressure measurement and prevalence of proteinuria in diabetic cats.] Avaliação da pressão arterial sistólica não invasiva e do grau de proteinúria em gatos domésticos diabéticos. Revista Brasileira de Medicina Veterinária 37(4):334-338, 2015. Setor de Clínica e Patologia Veterinária, Faculdade de Veterinária, Universidade Federal Fluminense, Rua Vital Brasil, 64, Niterói, RJ 24230-340, Brazil. E-mail: marivuff@yahoo.com.br Diabetes mellitus is the second most common endocrinopathy in cats. Hypertension is a common finding in human diabetic patients, but it has not been properly studied in diabetic animals. It is known that early diagnosis of hypertension in human diabetic patients can provide longer survival time, better disease control and decrease in nephropathy frequency. The objective of this study was to evaluate systolic blood pressure and proteinuria in diabetic cats, independently of disease control state or treatment. Seventeen diabetic cats without concurrent disease were studied, regardless of age, breed, sex. Diagnostic tests included determination of complete blood count, biochemistry profile, serum total thyroxine and serum fructosamine. Urine samples were collected by cystocentesis from all the cats in the study. The same urine sample was used for the urinalysis, urine culture and urine protein-creatinine (UPC) ratio. Systolic blood pressure (SBP) was measured indirectly using Ultrasonic Doppler. The final SBP values used in this study were the mean of five successive measurements over a five to ten minutes period. The overweight and obesity were the most frequent scores in these cats. Proteinuria defined by a UPC > 0.4 was present in five diabetic cats (35.7%). The fructosamine had significant and positive correlation (r = 0.53, p = 0.02) with systolic blood pressure, indicating that higher systolic blood pressures occur when there is a poor glycemic control. Diabetic patients had mild (58,4%) to moderate (23,5%) risk of target organ damage development. Based on these results, it is recommended that systolic blood pressure must be early assessed in feline diabetic patients, in order to prevent target organ damage such as eyes, heart, brain and kidneys due to proteinuria and hypertension. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-12-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion peer reviewed Avaliado pelos pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbmv.org/BJVM/article/view/411 |
url |
https://rbmv.org/BJVM/article/view/411 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbmv.org/BJVM/article/view/411/301 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro. |
publisher.none.fl_str_mv |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro. |
dc.source.none.fl_str_mv |
Brazilian Journal of Veterinary Medicine; Vol. 37 No. 4 (2015); 334-338 Revista Brasileira de Medicina Veterinária; v. 37 n. 4 (2015); 334-338 2527-2179 0100-2430 reponame:Brazilian Journal of Veterinary Medicine instname:Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) instacron:SBMV |
instname_str |
Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) |
instacron_str |
SBMV |
institution |
SBMV |
reponame_str |
Brazilian Journal of Veterinary Medicine |
collection |
Brazilian Journal of Veterinary Medicine |
repository.name.fl_str_mv |
Brazilian Journal of Veterinary Medicine - Sociedade de Medicina Veterinária do Estado do Rio de Janeiro (SOMVERJ) |
repository.mail.fl_str_mv |
contato.rbmv@gmail.com |
_version_ |
1798313107662045184 |