Principais métodos de diagnóstico para degeneração valvular mixomatosa em cães: revisão sistemática

• Autor(a) principal: Santos, Jady Franciele da Silva [UNESP]
• Data de Publicação: 2017
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/156718; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2018-07-04/000901785.pdf
• topic: Cardiologia veterinaria; Coração - Válvulas - Doenças; Ecocardiografia; Auscultação; Cães; Myxomatous valvular degeneration

The myxomatous valvular degeneration is a common disorder in small-breed old dogs, and is characterized by several structural changes in the heart valves. Numerous tests can demonstrate these changes, nonetheless, there is disagreement about its final diagnosis. The main goal of this paper was to describe the foremost methods of diagnosis of myxomatous valvular degeneration in dogs, as well as to evaluate their effectiveness. A systematic review was made by using 10 selected articles from Scielo databases, Periódicos CAPES, PubMed and Google Scholar. The search strategy was as follows: (degenerative valve disease) OR (chronic valvular disease) OR (myxomatous valve degeneration) OR (chronic valvular fibrosis) OR (chronic degenerative valve disease) OR (endocardiosis) AND (dogs). The articles included were written in Portuguese and English, with no publication year restriction and were classified according to the quality scale of Jadad et al. (1996) and the Degree of Recommendation and Level of Scientific Evidence. The diagnostic methods were analyzed for their efficacy, and the author's opinion and conclusion were compared. The echocardiogram was considered a gold standard for diagnosis. Radiography and cardiac auscultation were considerable viable as an auxiliary diagnostic method. Electrocardiography showed questionable efficacy. The quantification of inflammatory mediators and cardiac biomarkers have shown promising results, although additional studies are needed.