Tussive Syncope (Cough-Drop Syndrome)
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Questions and Answers

What is the recommended treatment for pulmonary arterial hypertension related to idiopathic PAH?

  • Sildenafil, treat the underlying disease
  • Careful use of sildenafil, weight loss (correct)
  • Close the shunt, exercise restriction
  • Treat the L sided heart disease

    • Which type of pulmonary hypertension is associated with COPD and primary parenchymal disease?

  • Pulmonary emboli/thrombi/thromboemboli
  • PH due to left heart disease
  • Parasitic disease
  • PH due to respiratory disease, hypoxia, or both (correct)

    • What is the recommended treatment for pulmonary emboli/thrombi/thromboemboli (PE/PT/PTE)?

  • Anti-coagulant therapy, weight loss (correct)
  • Sildenafil, treat the underlying disease
  • Treat the L sided heart disease
  • Close the shunt, exercise restriction

    • Which type of pulmonary hypertension requires treating the underlying left-sided heart disease?

    <p>PH due to left heart disease</p> Signup and view all the answers

    What is the appropriate approach for addressing pulmonary hypertension with multifactorial or unclear mechanisms?

    <p>Need to address local disease</p> Signup and view all the answers

    Which term refers to a sudden loss of postural tone due to lack of cerebral oxygenation with spontaneous recovery?

    <p>Syncope</p> Signup and view all the answers

    Which category of syncope is characterized by a burst of uncontrolled electrical activity between neurons?

    <p>Arrhythmogenic</p> Signup and view all the answers

    What should be addressed in cases of arrhythmogenic syncope after establishing the rhythm diagnosis?

    <p>Primary heart disease</p> Signup and view all the answers

    Which factor should not be overlooked when considering the significance of syncope?

    <p>Drug exposure</p> Signup and view all the answers

    What is the main limitation of using troponin concentration alone in diagnosing congestive heart failure?

    <p>It is only helpful in combination with other tests.</p> Signup and view all the answers

    What can echocardiogram assess in animals with heart disease?

    <p>Intercardiac shunting</p> Signup and view all the answers

    Why is it important to differentiate between syncope and seizure in collapsing events?

    <p>To provide accurate treatment and prognosis based on the underlying cause.</p> Signup and view all the answers

    What is a common challenge in diagnosing arrhythmias in animals with syncope?

    <p>Intermittent nature of arrhythmias.</p> Signup and view all the answers

    Why are boxers mentioned as being at risk in the context of the text?

    <p>For exhibiting arrhythmias related to ARVC.</p> Signup and view all the answers

    What key diagnostic method should be considered for assessing heart rhythm in animals that present with collapsing or 'seizure-like' events?

    <p><strong>ECG</strong>/Holter/event monitor</p> Signup and view all the answers

    Which condition is characterized by inappropriate pauses due to disease of the SA node?

    <p>Sick sinus syndrome (SSS)</p> Signup and view all the answers

    What is the definitive treatment for atropine-responsive sinus node dysfunction?

    <p>Medical management with atropine</p> Signup and view all the answers

    Which of the following characteristics is associated with cardiogenic syncope due to left-sided heart disease?

    <p>Decreased systemic cardiac output</p> Signup and view all the answers

    What is the primary pharmacological approach for treating cardiogenic syncope related to right-sided heart disease?

    <p>Pimobendan</p> Signup and view all the answers

    Which type of lesion requires pericardiocentesis if tamponade is present?

    <p>LA tear</p> Signup and view all the answers

    What physiological response results from reduced oxygen content to RBCs bypassing the lungs?

    <p>Increased PCV without affecting TS</p> Signup and view all the answers

    Which condition involves a decrease in the pressure within the pulmonary vascular tree?

    <p>Pulmonary hypertension</p> Signup and view all the answers

    What is the gold standard for diagnosing pulmonary hypertension?

    <p>(Right heart catheterization)</p> Signup and view all the answers

    What is characteristic of cardiogenic syncope due to right-sided heart disease and could potentially lead to decreased systemic cardiac output?

    <p>Valve disease (tricuspid or pulmonic insufficiency)</p> Signup and view all the answers

    What is considered as a primary treatment for reverse PDA?

    <p>Phlebotomy if PCV &gt; 70%</p> Signup and view all the answers

    What is the underlying mechanism of syncope triggered by coughing?

    <p>Coughing increases intrathoracic pressure reducing venous return</p> Signup and view all the answers

    Which breed of dogs is more likely to experience vasovagal syncope?

    <p>Brachycephalic breeds</p> Signup and view all the answers

    How does vasovagal syncope differ from tussive syncope?

    <p>Vasovagal syncope involves increased sympathetic tone, while tussive syncope involves parasympathetic surge.</p> Signup and view all the answers

    What is the key management approach for situational syncope?

    <p>Avoiding instances that incite the events</p> Signup and view all the answers

    What is a characteristic feature of vasovagal syncope in dogs?

    <p>Potential need for an event monitor to document relative bradycardia</p> Signup and view all the answers

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