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 (A)</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 (A)</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 (B)</p> Signup and view all the answers

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

<p>Arrhythmogenic (C)</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 (A)</p> Signup and view all the answers

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

<p>Drug exposure (D)</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. (C)</p> Signup and view all the answers

What can echocardiogram assess in animals with heart disease?

<p>Intercardiac shunting (D)</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. (D)</p> Signup and view all the answers

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

<p>Intermittent nature of arrhythmias. (B)</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. (D)</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 (B)</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) (A)</p> Signup and view all the answers

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

<p>Medical management with atropine (B)</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 (A)</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 (D)</p> Signup and view all the answers

Which type of lesion requires pericardiocentesis if tamponade is present?

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

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

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

What is the gold standard for diagnosing pulmonary hypertension?

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

What is considered as a primary treatment for reverse PDA?

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

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

<p>Brachycephalic breeds (C)</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. (C)</p> Signup and view all the answers

What is the key management approach for situational syncope?

<p>Avoiding instances that incite the events (A)</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 (B)</p> Signup and view all the answers

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