Dr Ranko Georgiev
Ranko Georgiev1, DVM, Central Veterinary Clinic, Sofia, Bulgaria
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Akira is a German shepherd dog, first presented with an ascites and exercise intolerance 4 years ago. A diagnosis of a tricuspid valve dysplasia (TVD) was made after X-rays and echocardiography. Standard therapy for a patient with a TVD and CHF was initiated and kept since. The prognosis given in 2012 was ‘guarded to poor’ concerning the severe generalized cardiomegaly, but four years later the patient is still alive and doing great with a full therapy (attached). The size of the heart is bigger at any of the control X-rays done annually; the size of the right atrium contributing with 75% to the whole heart volume!
Akira, FI GSD, 5yoa, 30kg, TVD – therapy (the patient is with an atrial fibrillation as well)
Furosemide 60mg BID
Spironolacton 25mg SID
Hydrochlorthiazide 25mg SID
Enalapril 10mg BID
Pimobendan 10mg BID
Digoxin 0.2mg BID
Cardiovet 1tabl BID (Taurin, L-Carnitin, Vit. E, Coenzim Q)
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