Comparative Evaluation of The Effect of Two drug combinations of Torsemide-Enalapril-Digoxin and Furosemide-Enalapril-Digoxin on Echocardiographic Findings of Treated Dogs

Document Type : Research Paper

Authors

1 PhD Student of Small Animal Internal Medicine, Faculty of Veterinary Medicine of Islamic Azad University, Science and Research Branch, Tehran, Iran

2 PhD Student of Veterinary Surgery, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

3 Expert of Surgery Department, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord, Iran

4 Associated Professor, Department of Clinical Sciences, Faculty of Veterinary Medicine of University of Shahrekord, Shahrekord, Iran

Abstract

    The aim of this study was to compare the effects of Two drug combinations of Torsemide-Enalapril-Digoxin and Furosemide-Enalapril-Digoxin on the cardiovascular system in the treated dogs. For this purpose, five 1.5-year-old mixed breed dogs were selected to undergo echocardiography at three times (The first time as the control group, the second time as the first group and the third time as the second group). No drugs were used in the control group. In the first group, 2.5 mg/kg of furosemide, 0.5 mg/kg of enalapril and 3 µg/kg of digoxin and in the second group, 0.3 mg/kg of Torsemide, 0.5 mg/kg of enalapril and 3 µg/kg of digoxin were administered orally. Echocardiography of the dogs was done after one hour of drug administration. Measured echocardiographic parameters included: Left ventricular size during systole, left ventricular size during diastole, heart rate and fractional shortening. The results of each group were evaluated using chi square analysis method. The results of this study showed that changes in heart rate and left the ventricular size changes during diastole were not significant between the control and other groups. Although left ventricular size during systole was significantly lower in the torsemide-enalapril-digoxin group than the other groups, in this study, it was found that the fractional shortening changes in the group receiving torsemide-enalapril-digoxin were significantly higher than the other two groups. The results of this study indicate better effects of torsemide than furosemide in improving heart function and increasing short fractional shortening, but both drugs have similar effects on other cardiac parameters.

Keywords

Main Subjects


Bakirel, U., Gunes, S., Meral, Y., & Bakirel, T. (2008). Subacute echocardiographic effects of ACE inhibitors in the dogs with severe mitral regurgitation. Bull Vet inst Pulawy, 52, 471-475.
Campbell, F. a., & Kittleson, M. D. (2007). The effect of hydration status on the echocardiographic measurements of normal cats. Journal of Veterinary Internal Medicine, 21(5), 1008-1015.
De Madron, E., Chetboul, V., & Bussadori, C. (2015). Clinical Echocardiography of the Dog and Cat-E-Book. Elsevier Health Sciences.
Di Segni, E., Preisman, S., Ohad, D. G., Battier, A., Boyko, V., Kaplinsky, E., . . . Vered, Z. (1997). Echocardiographic left ventricular remodeling and pseudohypertrophy as markers of hypovolemia. An experimental study on bleeding and volume repletion. Journal of the American Society of Echocardiography, 10(9), 926-936.
Franco, R. P., Pereira, G. T., & Camacho, A. A. (2011). Clinical evaluation of enalapril maleate and furosemide usage in dogs with degenerative myxomatous mitral valve, CHF functional class Ib. Pesquisa Veterinária Brasileira, 31(9), 791-797.
Kittieson, M. D., GE, E., & Knowlen, G. G. (1985). Efficacy of digoxin administration in dogs with idiopathic congestive cardiomyopathy. J Am Vet Med Assoc, 186, 162-165.
López, B., Querejeta, R., González, A., Sánchez, E., Larman, M., & Díez, J. (2004). Effects of loop diuretics on myocardial fibrosis and collagen type I turnover in chronic heart failure. Journal of the American College of Cardiology, 43(11), 2028-2035.
Murray, M. D., Deer, M. M., Ferguson, J. A., Dexter, P. R., Bennett, S. J., Perkins, S. M., . . . Tierney, W. M. (2001). Open-label randomized trial of torsemide compared with furosemide therapy for patients with heart failure. The American journal of medicine, 111(7), 513-52.
Prisant, L. M., Kleinman, D. J., Carr, A. A., Bottini, P. B., & Gross, C. M. (1994). Assessment of echocardiographic left ventricular mass before and after acute volume depletion. American Journal of Hypertension, 7(5), 425-428.
Ramsey, I. (2017). BSAVA Small Animal Formulary-Part A: Canine and Feline, ed. Ramsey, I, British Small Animal Veterinary Association, Gloucester, England, 149-150.
Rudy, D. W., Gehr, T. W., Matzke, G. R., Kramer, W. G., Sica, D. A., & Brater, D. C. (1994). The pharmacodynamics of intravenous and oral torsemide in patients with chronic renal insufficiency. Clinical Pharmacology & Therapeutics, 56(1), 39-47.
Tsutamoto, T., Sakai, H., Wada, A., Ishikawa, C., Ohno, K., Fujii, M., ... & Horie, M. (2004). Torasemide inhibits transcardiac extraction of aldosterone in patients with congestive heart failure. Journal of the American College of Cardiology44(11), 2252-2253.