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                            Case Report
                            
                            
                            8. 
                            
                            Hypertrophic cardiomyopathy and their therapeutic 
                            management in a Lhasa apso dog -
                            
                            
                            Deepak K. Kashyap, Shailendra K. Tiwari, Govina 
                            Dewangan, Devesh K. Giri
                            Vet World. 2012; 5(8): 493-494
              
               
              
              doi: 
              10.5455/vetworld.2012.
493-494
              
              
               
              
              
              
   
 
              
               
               
               
              
              
              Abstract
              
              
                            Case 
                            history and observation: A male, 3 years old 
                            Lhasa Apso dog was presented with the history of 
                            haematemesis, dehydration, exercise intolerance, 
                            poor appetite, lethargy, cough, seizures and syncope 
                            for more than 3 weeks. Lateral roentgenogram 
                            revealed enlarged heart. Based on radiographic 
                            examination alongwith history of seizures and 
                            syncope the condition was diagnosed as hypertrophic 
                            cardiomyopathy. Treatment: The dog was 
                            treated with oral diltiazem @ 1.5 mg/kg body weight, 
                            ramipril @ 0.5 mg/kg body weight and frusemide @ 2 
                            mg/kg body weight orally along with fluid therapy. 
                            Clinical improvement was noticed from third day. 
                            Improvement in appetite and physical activity with 
                            complete alleviation of clinical signs was observed 
                            by continued diltiazem (1.5 mg/kg, orally) and 
                            ramipril (0.5 mg/kg). 
              
                            
                             Result: It was reported 
                            that the dog continued to improve and became much 
                            brighter and active over next 25 days. Post 
                            treatment radiograph showed nearly normal size of 
                            the heart suggestive of clinical recovery. 
                            Conclusion: Thus it is conclude that 
                            hypertrophic cardiomyopathy can be comfortably 
                            managed by medicinal therapy in canines.
                            Keywords: Hypertrophic Cardiomyopathy, Haematemesis, Seizures, 
                            Syncope.