12 research outputs found

    Longitudinal Analysis of Quality of Life, Clinical, Radiographic, Echocardiographic, and Laboratory Variables in Dogs with Preclinical Myxomatous Mitral Valve Disease Receiving Pimobendan or Placebo: The EPIC Study

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    Background: Changes in clinical variables associated with the administration of pimobendan to dogs with preclinical myxomatous mitral valve disease (MMVD) and cardiomegaly have not been described. Objectives: To investigate the effect of pimobendan on clinical variables and the relationship between a change in heart size and the time to congestive heart failure (CHF) or cardiac-related death (CRD) in dogs with MMVD and cardiomegaly. To determine whether pimobendan-treated dogs differ from dogs receiving placebo at onset of CHF. Animals: Three hundred and fifty-four dogs with MMVD and cardiomegaly. Materials and Methods: Prospective, blinded study with dogs randomized (ratio 1:1) to pimobendan (0.4-0.6 mg/kg/d) or placebo. Clinical, laboratory, and heart-size variables in both groups were measured and compared at different time points (day 35 and onset of CHF) and over the study duration. Relationships between short-term changes in echocardiographic variables and time to CHF or CRD were explored. Results: At day 35, heart size had reduced in the pimobendan group:median change in (Delta) LVIDDN -0.06 (IQR:-0.15 to + 0.02), P < 0.0001, and LA:Ao -0.08 (IQR:-0.23 to + 0.03), P < 0.0001. Reduction in heart size was associated with increased time to CHF or CRD. Hazard ratio for a 0.1 increase in Delta LVIDDN was 1.26, P = 0.0003. Hazard ratio for a 0.1 increase in Delta LA:Ao was 1.14, P = 0.0002. At onset of CHF, groups were similar. Conclusions and Clinical Importance: Pimobendan treatment reduces heart size. Reduced heart size is associated with improved outcome. At the onset of CHF, dogs treated with pimobendan were indistinguishable from those receiving placebo

    Effect of Pimobendan in Dogs with Preclinical Myxomatous Mitral Valve Disease and Cardiomegaly: The EPIC Study - A Randomized Clinical Trial

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    Background: Pimobendan is effective in treatment of dogs with congestive heart failure (CHF) secondary to myxomatous mitral valve disease (MMVD). Its effect on dogs before the onset of CHF is unknown. Hypothesis/Objectives: Administration of pimobendan (0.4-0.6 mg/kg/d in divided doses) to dogs with increased heart size secondary to preclinical MMVD, not receiving other cardiovascular medications, will delay the onset of signs of CHF, cardiac-related death, or euthanasia. Animals: 360 client-owned dogs with MMVD with left atrial-to-aortic ratio >= 1.6, normalized left ventricular internal diameter in diastole >= 1.7, and vertebral heart sum >10.5. Methods: Prospective, randomized, placebo-controlled, blinded, multicenter clinical trial. Primary outcome variable was time to a composite of the onset of CHF, cardiac-related death, or euthanasia. Results: Median time to primary endpoint was 1228 days (95% CI: 856-NA) in the pimobendan group and 766 days (95% CI: 667-875) in the placebo group (P = .0038). Hazard ratio for the pimobendan group was 0.64 (95% CI: 0.47-0.87) compared with the placebo group. The benefit persisted after adjustment for other variables. Adverse events were not different between treatment groups. Dogs in the pimobendan group lived longer (median survival time was 1059 days (95% CI: 952-NA) in the pimobendan group and 902 days (95% CI: 747-1061) in the placebo group) (P = .012). Conclusions and Clinical Importance: Administration of pimobendan to dogs with MMVD and echocardiographic and radiographic evidence of cardiomegaly results in prolongation of preclinical period and is safe and well tolerated. Prolongation of preclinical period by approximately 15 months represents substantial clinical benefit

    Amélioration des conditions de capture printaniÚre et de stabulation de saumons adultes pour la reproduction artificielle

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    Le pourcentage de Saumons parvenant jusqu'Ă  leurs meilleures zones de frayĂšres sur le Haut-Allier est souvent faible, du fait de la longueur du parcours (800 Ă  860 km) et des nombreux obstacles. Pour ne pas affecter directement ce potentiel de reproduction naturelle, les sujets destinĂ©s Ă  la ponte artificielle sont prĂ©levĂ©s loin en aval et longtemps avant la saison de reproduction, c'est-Ă -dire au barrage de Vichy (03) en avril et plus rĂ©cemment en mai. Malheureusement, les mortalitĂ©s sur les Saumons en captivitĂ© Ă©taient trĂšs Ă©levĂ©es (surtout dans les six semaines suivant la capture) lors des premiĂšres campagnes (1970 Ă  1973) : 80 Ă  100 %. Elles ont pu ĂȘtre progressivement rĂ©duites dans les campagnes suivantes et sont descendues Ă  15 % en 1978 (34 sujets capturĂ©s) et 7 % en 1979 (44 sujets). Cette amĂ©lioration est liĂ©e essentiellement : a) au perfectionnement du matĂ©riel et des techniques de piĂ©geage, manipulation et transport des Saumons, de façon Ă  limiter au maximum fatigue, traumatisme ou stress ; b) Ă  la stabulation dans un bassin de trĂšs grandes surface (8 000 m2) et profondeur (moyenne : 2 m, maximum : 4 m), avec fort dĂ©bit (environ 100 l/sec), oĂč l'eau ne dĂ©passe pas 18° C. Divers perfectionnements sont encore nĂ©cessaires. Mais le fait de mieux maĂźtriser l'approvisionnement en Ɠufs permet maintenant d'envisager une intensification des repeuplements sur ce bassin, en rĂ©duisant ou supprimant les importations d'Ɠufs (Grande-Bretagne ou Scandinavie) ; nos marquages ont, en effet, montrĂ© que les retours d'adultes Ă©taient deux Ă  trois fois supĂ©rieurs Ă  partir d'Ɠufs de souche Allier

    Use of Radiotracking in France for Recent Studies Concerning the E.D.F. Fishways Program

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    Radiotracking studies have been carried out since 1985 on three species of migratory fish - Atlantic salmon (Salmo salar, sea trout (Salmo trutta trutta), shad (Alosa alosa) - in relation to surveys carried out before and after the construction of fishways on ElectricitĂ© de France dams. Three sites were investigated: — Poutes-Monistrol hydropower project on the Allier river: determination of the possibility for Salmon to reach the new fishlift entry located at the Poutes dam; the effect of Monistrol powerhouse discharge on migration was particularly analysed, — st-Laurent-des-eaux weir on the Loire river: determination of the projected fishway's characteristics for shad, — Mauzac.dam on the Dordogne river: determination of the attractivity, for shad and sea trout, of a new fishway located close to the powerhouse. American radiotracking equipment was used (Advanced Telemetry System and Smith Root) with frequency ranges 40-41 MHz and 48-49 MHz. Fishes were tagged with transmitters of various sizes implanted in the stomach. A total of 28 shad, 43 salmon and 18 sea trout were tagged. Various techniques of tracking have been employed according to each site and fish species: — for manual tracking (by foot, car, boat or plane), we employed various antennas: loop, adcock, whip or underwater. Precise location was made by biangulation or trian-gulation with receivers or by use of underwater antennas; — automatic tracking with graphic recorders was used for continuous observations.Transports upstream by truck have been tested. They give good results only under specifc conditions. The duration of studies varied from 2 months to 8 months. The accuracy of results is directly dependent on the number of personnel assigned to the study. Use of radiotracking to survey or to design fishways appears to be a lumbersome but irreplaceable technique for the obtention of results concerning fish behaviour

    La détermination de l'ùge par scalimétrie chez le saumon atlantique (Salmo salar) dans son aire de répartition méridionale : utilisation pratique et difficultés de la méthode

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    Ce rapport confirme les critÚres d'interprétation scalimétrique utilisés pour ùger le saumon atlantique en eau douce et en mer à l'aide d'exemples typiques. Il synthétise également les difficultés rencontrées pour la détermination d'ùge des populations naturelles et d'élevage en les illustrant à l'aide d'exemples atypiques. Enfin, il propose un certain nombre de recommandations pour permettre une meilleure connaissance des populations de saumon atlantique dans son aire de répartition méridionale

    Evaluation of benazepril in cats with heart disease in a prospective, randomized, blinded, placebo‐controlled clinical trial

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    International audienceBackground:Heart disease is an important cause of morbidity and mortality in cats,but there is limited evidence of the benefit of any medication. Hypothesis:The angiotensin-converting enzyme inhibitor benazepril would delaythe time to treatment failure in cats with heart disease of various etiologies. Animals:One hundred fifty-one client-owned cats. Methods:Cats with heart disease, confirmed by echocardiography, with or withoutclinical signs of congestive heart failure, were recruited between 2002 and 2005and randomized to benazepril or placebo in a prospective, multicenter, parallel-group, blinded clinical trial. Benazepril (0.5-1.0 mg/kg) or placebo was administeredPO once daily for up to 2 years. The primary endpoint was treatment failure. Ana-lyses were conducted separately for all-cause treatment failure (main analysis) andheart disease-related treatment failure (supportive analysis). Results:No benefit of benazepril versus placebo was detected for time to all-causetreatment failure (P= .42) or time to treatment failure related to heart disease(P= .21). Hazard ratios (95% confidence interval [CI]) from multivariate analysis forbenazepril compared with placebo were 1.00 (0.57-1.74) for all-cause failure, and0.99 (0.50-1.94) for forward selection and 0.93 (0.48-1.81) for bidirectional selec-tion models for heart disease-related failure. There were no significant differencesbetween groups over time after administration of the test articles in left atriumdiameter, left ventricle wall thickness, quality of life scores, adverse events, orplasma biochemistry or hematology variables. Conclusions and Clinical Relevance:Benazepril was tolerated well in cats withheart disease, but no evidence of benefit was detecte
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