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post #1 of 37 (permalink) Old 02-10-2012, 10:40 PM Thread Starter
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Niz'z Cardio Thread

Rather than have multiple threads on Niz's Cardio this will be the thread to check for updates



Paws and fingers crossed. His echo last year was relatively normal; LV systolic function was subjectively normal. LV size was normal. The LV systolic dimension was marginal and shortening fraction was low normal. The LA and RA were normal. All Doppler parameters were within normal limits. And his EKG had plenty of SVPCs (APCs), but no VPCs. His holter 6 months ago showed 0 VPCs, but 13,496 SVPCs in a 24 hour period. 11.7% of all his beats are abnormal. Although we don't have it that bad at all, I am so scared before every cardiologist visit. This is our first visit where we can directly compare his results to a previous test to see how he's progressed.

Just asking if you could put Niz in your thoughts and send some good luck our way! Mr. Princess and his minions (SO & I) thank you from the very bottoms of our hearts. Without DT I wouldn't have any idea what was going on; I didn't know what DCM was or even how to walk a dog when we first adopted Niz. I'm so lucky I found DT early on, and I'm so very grateful for every piece of advice I've received from DTers.

The Princess and his Cookie Baker.

Quote:
Originally Posted by dobermansrule View Post
what can you do.... love them and bake them cookies.

Last edited by Dobejazz; 02-15-2012 at 08:54 PM. Reason: add info
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post #2 of 37 (permalink) Old 02-10-2012, 10:45 PM
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Paws crossed for Nizzy Niz!!! Sending vibes for good results!

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post #3 of 37 (permalink) Old 02-10-2012, 11:02 PM
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Lots of positive thoughts heading your way!!

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post #4 of 37 (permalink) Old 02-10-2012, 11:55 PM
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Please know we are praying for your dog's echo/ekg to be ok!!Keep us posted!!
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post #5 of 37 (permalink) Old 02-11-2012, 12:17 AM
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Sending positive thoughts for good results!

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post #6 of 37 (permalink) Old 02-11-2012, 12:54 AM
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Positive thoughts coming to you and the princess!


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post #7 of 37 (permalink) Old 02-11-2012, 01:35 AM
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Niz will outlive you.
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post #8 of 37 (permalink) Old 02-11-2012, 01:40 AM Thread Starter
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Thanks everyone; it really does mean a lot to me.

Quote:
Originally Posted by EmilyB View Post
Niz will outlive you.
We joke that Niz will just get older and grumpier for many, many years. I really hope he does.

The Princess and his Cookie Baker.

Quote:
Originally Posted by dobermansrule View Post
what can you do.... love them and bake them cookies.
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post #9 of 37 (permalink) Old 02-11-2012, 01:55 AM
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Sending good vibes. To the princess who fooled me. LOL


What would I do without them?
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post #10 of 37 (permalink) Old 02-11-2012, 08:54 PM
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The Princess will have you baking cookies for a long, long time, I'm sure.

Niz is on the prayer list here!

It should be good to be Dog.
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post #11 of 37 (permalink) Old 02-12-2012, 01:52 PM
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Best wishes for a good report tomorrow. Kisses to Niz!

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post #12 of 37 (permalink) Old 02-12-2012, 02:00 PM
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Good luck Niz!
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post #13 of 37 (permalink) Old 02-12-2012, 03:40 PM
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Sending lots of good thoughts to Niz for his checkup!
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post #14 of 37 (permalink) Old 02-13-2012, 04:43 PM Thread Starter
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Once again, thank you for all your good vibes and thoughts. We really appreciate all the love and advice we've received over the years. I feel like so much better of a doberparent than I could have ever been without DT.

Good news first: If Niz decides his current minions (SO & I) are not fit for a Princess like him, the cardiologist loves Niz and told us that if Niz "became too much" for us, he'd gladly take him. Niz, spreading Princessy charm wherever he goes, with every lick and every fart.

Bad news: I will have the actual numbers when the cardio emails them over, but .... Niz is *technically* DCM now. While his EKG still shows APCs, there are no VPCs, so no worry there (and no need to treat for arrhythmia yet), but his echo numbers have slightly gone downhill since last time. Last year, his walls were 8.9mm and his shortening fraction was 27%. This visit, 9.1mm walls (slightly better, but these numbers can fluctuate within a small range, so we're taking it as not really a change) with 25% SF. Some beats, they were higher, some beats were as low as 21%. The cardiologist is on the fence about Niz's status and doesn't want to formally diagnose DCM and start on benezapril until we have some more numbers or any symptoms to tip the scale either way. In addition to the holter we do in September, we will be doing a BNP test. False positives are possible, but hopefully that can give us more insight into Niz's condition because although the overall SF itself put Niz into DCM category, the numbers that go into it actually hasn't changed much at all over the last year (by one or two numbers on each end of the scale, but I won't have the actual numbers in front of me until the vet writes it all up and sends it over). I trust our cardiologist to help us make the right choices and it gives me confidence that he likes to pick apart all the individual components of the echo and compare them to the previous echo. If he had just looked at the big picture, Niz would be occult DCM diagnosed and on meds, but while the numbers are worrying, we don't think that medication is warranted just yet until we have more findings and more numbers to really tip the scales confidently.

We did another MSU thyroid panel, and I hope that his thyroid is staying okay. His FT3 was barely low-normal last time, so hopefully that isn't on the decline.

The Princess and his Cookie Baker.

Quote:
Originally Posted by dobermansrule View Post
what can you do.... love them and bake them cookies.
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post #15 of 37 (permalink) Old 02-13-2012, 04:49 PM
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I'm sorry that Niz's results are not so good. Sounds like you have a good cardiologist who is looking out for him though.

Big Doberhugs and Doberkisses from me and Elke. She is glad you are taking good care of the Princess.
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post #16 of 37 (permalink) Old 02-13-2012, 05:13 PM
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it sounds like Niz is in good hands. what can you do.... love them and bake them cookies.
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post #17 of 37 (permalink) Old 02-13-2012, 08:15 PM
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Healthy thoughts Niz's way!


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post #18 of 37 (permalink) Old 02-13-2012, 09:47 PM
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Sending you and Niz hugs!

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post #19 of 37 (permalink) Old 02-13-2012, 11:03 PM
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Sending good thoughts for Niz!

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post #20 of 37 (permalink) Old 02-13-2012, 11:06 PM
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Quote:
Originally Posted by mangujowa View Post
Once again, thank you for all your good vibes and thoughts. We really appreciate all the love and advice we've received over the years. I feel like so much better of a doberparent than I could have ever been without DT.

Good news first: If Niz decides his current minions (SO & I) are not fit for a Princess like him, the cardiologist loves Niz and told us that if Niz "became too much" for us, he'd gladly take him. Niz, spreading Princessy charm wherever he goes, with every lick and every fart.

Bad news: I will have the actual numbers when the cardio emails them over, but .... Niz is *technically* DCM now. While his EKG still shows APCs, there are no VPCs, so no worry there (and no need to treat for arrhythmia yet), but his echo numbers have slightly gone downhill since last time. Last year, his walls were 8.9mm and his shortening fraction was 27%. This visit, 9.1mm walls (slightly better, but these numbers can fluctuate within a small range, so we're taking it as not really a change) with 25% SF. Some beats, they were higher, some beats were as low as 21%. The cardiologist is on the fence about Niz's status and doesn't want to formally diagnose DCM and start on benezapril until we have some more numbers or any symptoms to tip the scale either way. In addition to the holter we do in September, we will be doing a BNP test. False positives are possible, but hopefully that can give us more insight into Niz's condition because although the overall SF itself put Niz into DCM category, the numbers that go into it actually hasn't changed much at all over the last year (by one or two numbers on each end of the scale, but I won't have the actual numbers in front of me until the vet writes it all up and sends it over). I trust our cardiologist to help us make the right choices and it gives me confidence that he likes to pick apart all the individual components of the echo and compare them to the previous echo. If he had just looked at the big picture, Niz would be occult DCM diagnosed and on meds, but while the numbers are worrying, we don't think that medication is warranted just yet until we have more findings and more numbers to really tip the scales confidently.

We did another MSU thyroid panel, and I hope that his thyroid is staying okay. His FT3 was barely low-normal last time, so hopefully that isn't on the decline.
I'll say it again... Niz is the luckiest princess that ever was to have you and SO as Doberparents.


Erynn
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post #21 of 37 (permalink) Old 02-13-2012, 11:10 PM Thread Starter
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Quote:
Originally Posted by dobermansrule View Post
it sounds like Niz is in good hands. what can you do.... love them and bake them cookies.
Best quote ever; going in my sig!

Quote:
Originally Posted by workingk9s View Post
I'll say it again... Niz is the luckiest princess that ever was to have you and SO as Doberparents.
Thank you so much, Erynn. I think SO and I lucked out on having Niz. Best darn princess ever. He's taught me so much.

The Princess and his Cookie Baker.

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what can you do.... love them and bake them cookies.
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post #22 of 37 (permalink) Old 02-15-2012, 07:33 PM Thread Starter
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I'll be putting in Niz's echo numbers into an excel spreadsheet (the cardio mailed them over), but this is the assessment, diagnosis, recommendations, and comments sections. Time to save up our (already limited) pennies!



The Princess and his Cookie Baker.

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what can you do.... love them and bake them cookies.
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post #23 of 37 (permalink) Old 02-15-2012, 09:13 PM
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I'm sorry the news wasn't better, by the sounds of things if he has DCM it's really early, so there should be lots of quality time ahead for him and you. Sending out lots of positive vibes.

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post #24 of 37 (permalink) Old 02-16-2012, 01:20 AM
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Sending good thoughts for Niz, I'm sorry that you didn't get better news.

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post #25 of 37 (permalink) Old 02-16-2012, 03:55 AM
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My friends female Dobe Bren was part of the University of Illinois study on DCM I believe it was for Dobes only the study was run by Dr. Mark Oyama, Board Certified in Cardiology by the American College of Veterinary Internal Medicine He was an Assistant Professor at the U of I.

She was initially tested in 2003 and the results were that Bren should be retested in 6 mos. She was retested in 6 mos and once again said to retest in 6 mos. It was found that she was a candidate for the study after 4 months my friend found out Bren was on a placebo and was again asked to repeat the tests and this time she would get the drug.

The drug was the human Coreg ; however, the U of I used the generic form from Canada. At the time Carvedilol was not available here. Brens part in the study ended right before Xmas 2004

Bren was 6 1/2 years old when admittted into the study and died the end of May 2009 she was 4 months short of being on the drug for 5 years. She was born Sepember 18,1997 she died May 23, 2009 She was 4+months shy of her twelfth birthday.

The purpose of the test was to find a blood based test for heart disease in Dobes and to see how Dogs diagnosed with Cardio did on the drug Carvedilol.

The tests were Bloodwork, EKGs and Echo Cardiograms. I don't know if this will be helpful but I wanted to let you know about the study and my friends Dobe Bren.

My friend also fed her a raw food diet & she got daily exercise.

I am sorry about the diagnosis for Niz & am sending good thoughts & vibes to Niz and You
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