Cardiorespiratory Effects of Combined Midazolam and Butorphanol in Isoflurane-anesthetized Cats

The cardiorespiratory effects of midazolam (0.1 mg/kg) and butorphanol (0.4 mg/kg) were evaluated in seven cats. Cats were induced in a chamber, removed and intubated, and maintained with isoflurane in 100% oxygen. Cardiorespiratory data were recorded before and 3, 10,20,30,40,50, and 60 minutes after intravenous injection of midazolam-butorphanol. Heart rate, mean arterial pressure, and respiration rate were significantly (p < .05) decreased below baseline at various times throughout the study. Tidal volume and minute ventilation were unchanged. End-tidal carbon dioxide was significantly (p < .05) increased above baseline for 30 minutes. Midazolam-butorphanol administered intravenously induced significant alterations in several cardiorespiratory parameters in isoflurane-anesthetized cats.     

Early Evidence of the Anticipatory Response of Plasma Catecholamine in Equine Exercise

Catecholamines seem to play a role in equine exercise physiology that is somewhat different from their role in human beings. In sport horses, a greater increase in plasma adrenaline (ADR) levels occurs in response to strenuous exercise as compared with human beings. However, it is not known whether this is true for breeds not specifically bred for sport. The aim of this study was to gather data on plasma catecholamine kinetics during exercise in a nonracing breed. We also attempted to evaluate the influence of the phases preceding the start of the exercise on the kinetics of these molecules. Four 2-year-old female Esperia ponies were made to perform a four-step exercise test on a treadmill. Blood samples were collected in the box (basal 1), in the treadmill room (basal 2), and at the conclusion of each step, using an automatic system. ADR and noradrenaline (NOR) levels were determined by high-pressure liquid chromatography. Results were analyzed using analysis of variance and the Student-Newman-Keuls test. As compared with basal 1, basal 2 showed a significant 19.6-fold increase for ADR and a 6.7-fold increase for NOR. The highest concentration was observed for both molecules at the end of the fourth step, with a significant 1.2-fold increase as compared with blood samples collected at basal 2 for ADR and a 2.4-fold increase for NOR. Therefore, in Esperia ponies, catecholamine showed a trend similar to that of Standardbreds and Thoroughbreds. The results reported in this study also revealed a marked increase in ADR in the phases preceding the beginning of physical activity. Therefore, the greater adrenergic activity in horses in response to exercise could be because of an anticipatory response.     

Effect of Weight Gain and Subsequent Weight Loss on Glucose Tolerance and Insulin Response in Healthy Cats

The effects of weight gain and subsequent weight loss on glucose tolerance and insulin response were evaluated in 12 healthy cats. Intravenous glucose tolerance tests (IVGTT) were performed at entry into the study, after a significant gain of body weight induced by feeding palatable commercial cat food ad libitum, after a significant loss of body weight induced by feeding a poorly palatable purified diet to discourage eating and promote fasting, and after recovery from fasting when body weight had returned to pre-study values and cats were eating commercial foods. A complete physical examination with measurement of body weight was performed weekly, a CBC and serum biochemistry panel were evaluated at the time of each IVGTT, and a liver biopsy specimen obtained 2 to 4 days after each IVGTT was evaluated histologically for each cat. Mean serum glucose and insulin concentrations after glucose infusion and total amount of insulin secreted during the second 60 minutes and entire 120 minutes after glucose infusion were significantly (P > .05) increased after weight gain, as compared with baseline. At the end of weight loss, cats had hepatic lipidosis and serum biochemical abnormalities consistent with feline hepatic lipidosis. There was a significant (P > .05) increase in mean serum glucose concentration and t_1/2, and a significant (P > .05) decrease in mean serum insulin concentration and the glucose disappearance coefficient (K) after glucose infusion for measurements obtained after weight loss, compared with those obtained after weight gain and at baseline. Insulin peak response, insulino-genic index, and total amount of insulin secreted during the initial 10 minutes, 20 minutes, and 60 minutes after glucose infusion were decreased markedly (P > .05), compared with measurements obtained after weight gain and at baseline. In addition, the total amount of insulin secreted for 120 minutes after glucose infusion was decreased markedly (P > .05) in measurements obtained after weight loss, compared with those obtained after weight gain. At the end of recovery, all cats were voluntarily consuming food, serum biochemical abnormalities identified after weight loss had resolved, the number and size of lipid vacuoles in hepatocytes had decreased, and results of IVGTT were similar to those obtained at baseline. These findings confirmed the reversibility of obesity-induced insulin resistance in cats, and documented initial deterioration in glucose tolerance and insulin response to glucose infusion when weight loss was caused by severe restriction of caloric intake.     

维他昔布片对猫血液学指标的影响研究

为评价维他昔布片对猫的安全性,将本地24只健康家猫随机分为4组,分别为空白组（2 mg/kg）、罗贝考昔对照组（2 mg/kg）、维他昔布1倍推荐剂量组（2 mg/kg）、维他昔布3倍推荐剂量组（6 mg/kg）,每组6只,连续给药14 d。于给药前及给药后7、14 d测定猫的体温、体重、血常规及血生化指标。试验结果表明,给药前后猫的体温、体重和临床表现正常,各试验组间的血常规及血生化指标无显著差异性。说明维他昔布片对猫的血液学变化无显著性影响,用药安全。     

Response to Insulin Treatment and Survival in 104 Cats with Diabetes Mellitus (1985–1995)

Medical records of 104 cats with diabetes mellitus were reviewed. Information from 54 cats that had multiple blood glucose concentrations evaluated at least 5 times over a minimum of 3 months, beginning at the time insulin treatment was initiated, was used to evaluate the efficacy of insulin in treating diabetes mellitus. Fourteen of 54 cats were treated with protamine zinc insulin (PZI), 26 with ultralente insulin, and 14 with lente insulin. Six, 29, and 19 cats had good, mediocre, and poor glycemic control, respectively, based on mean blood glucose concentrations, whereas 31, 21, and 2 owners thought clinical response was good, mediocre, and poor, respectively. No significant difference was found in glycemic control among cats treated with PZI, ultralente, or lente insulin. Glycemic control was significantly (P < .05) better in 33 cats without than in 21 cats with concurrent disease. All 104 cats were used to calculate survival data. Fifty-one of 104 cats were alive at the time of the study. Mean (± standard deviation [SD]) and median survival times were 24 (± 16) and 20 months, respectively, in the 51 cats still alive at the end of the evaluation, and 25 (± 4) and 17 months, respectively, in the 53 cats that had died during the period of evaluation. Pancreatic abnormalities identified in 37 cats that underwent necropsy included chronic pancreatitis (n = 17), acute to subacute pancreatitis (n = 2), exocrine pancreatic adenocarcinoma (n = 7) and adenoma (n = 1), islet cell atrophy and vacuolar degeneration (n = 27), and islet amyloidosis (n = 8). No association was found between glycemic control and islet amyloidosis or exocrine pancreatic neoplasia, or between survival time and chronic pancreatitis, islet amyloidosis, or exocrine pancreatic neoplasia. In conclusion, diabetic cats evaluated in this study showed a variable response to exogenously administered insulin, ranging from excellent to poor. By maintaining mean blood glucose concentrations under 300 mg/dL, clinical signs were improved, and owners were satisfied with insulin treatment. Concurrent potentially insulin-antagonistic diseases were common and deleteriously affected glycemic control and survival time.     

Computed Tomographic Angiography of the Pancreas in Cats with Chronic Diabetes Mellitus Compared to Normal Cats

Background

Diabetes mellitus (DM) is a common endocrinopathy in cats. No known diagnostic test or patient characteristic at the time of diagnosis can predict likely disease course, unlike in people in whom computed tomographic angiography (CTA) is used. No published data exist regarding the CTA appearance of the pancreas in cats with DM, and thus, it is unknown what if any CTA variables should be further assessed for associations with pancreatic endocrine function.

Hypothesis/Objectives

A significant difference in pancreatic attenuation, volume, and size will be identified between normal cats and those with chronic DM on CTA.

Animals

Ten healthy control cats and 15 cats with naturally occurring DM present for >12 months.

Methods

Prospective cross‐sectional study comparing pancreatic attenuation, enhancement pattern, size, volume, pancreatic volume‐to‐body weight ratio (V:BW), pancreatic arterial: portal phase ratio (A:P), time‐to‐arterial enhancement, and time‐to‐peak portal enhancement on CTA between sedated healthy control cats and those with chronic DM.

Results

The pancreas in cats with chronic DM was significantly larger, had higher volume, higher V:BW, and shorter time‐to‐peak portal enhancement on CTA when compared to normal cats.

Conclusions and Clinical Importance

Peak portal enhancement time, pancreatic size, pancreatic volume, and V:BW can be used to differentiate normal sedated cats from those with chronic DM by CTA. These variables warrant further investigation to identify possible associations with endocrine function.     

Effect of Therapy on Susceptibility to Urinary Tract Infection in Male Cats with Indwelling Urethral Catheters

Indwelling urinary catheters with a closed urine collection system were maintained in 30 male cats for 3 days after induction of irritant cystitis. All cats received subcutaneous fluids during the 3 days the catheters were in place. The effects of four different treatment regimens on urinary tract infection rates, incidence of urethral obstruction, and development of urinary tract lesions over a 10-day period were compared with results in a nontreated group. Treatments were 1) amoxicillin for 5 days PO; 2) prednisolone for 5 days PO; 3) both amoxicillin and prednisolone for 5 days PO; and 4) dimethylsulfoxide (DMSO) for 3 days intravesicularly. Euthanasia was done before the end of the 10-day experimental period if the cats had two bouts of urethral obstruction or if the cats became uremic for causes unrelated to urethral obstruction. Seven cats were euthanatized before the conclusion of the experiment. These cats had been treated with prednisolone, prednisolone and amoxicillin, or DMSO. All cats that received amoxicillin alone or no therapy survived the 10-day period. Mortality was due to repeated urethral obstruction or to uremia associated with pyelonephritis or papillitis. Urinary tract infection rate was similar in all groups. The group treated with prednisolone alone had the highest incidence of renal infection. Inflammatory lesions in the lower urinary tract were similar in all groups. In conclusion, persistent urinary tract infection often develops in cats with cystitis after indwelling urethral catheterization even when closed systems of urine drainage are used.(ABSTRACT TRUNCATED AT 250 WORDS)     

Plasma Renin Activity and Aldosterone Concentrations in Hypertensive Cats with and without Azotemia and in Response to Treatment with Amlodipine Besylate

Background

Role of renin‐angiotensin aldosterone system (RAAS) in feline systemic hypertension is poorly understood.

Objectives

Examine plasma renin activity (PRA) and plasma aldosterone concentrations (PAC) in normotensive and hypertensive cats with variable renal function and in response to antihypertensive therapy.

Animals

One hundred and ninety‐six cats >9 years from first opinion practice.

Methods

PRA, PAC, and aldosterone‐to‐renin ratio (ARR) were evaluated in cats recruited prospectively and grouped according to systolic blood pressure (SBP) and renal function (nonazotemic normotensive [Non‐Azo‐NT], nonazotemic hypertensive [Non‐Azo‐HT], azotemic normotensive [Azo‐NT], azotemic hypertensive [Azo‐HT]). Changes in PRA and PAC were evaluated with antihypertensive therapy (amlodipine besylate).

Results

Plasma renin activity (ng/mL/h; P = .0013), PAC (pg/mL; P < .001), and ARR (P = 0.0062) differed significantly among groups. PRA (ng/mL/h) was significantly lower in hypertensive (Non‐Azo‐HT; n = 25, median 0.22 [25th percentile 0.09, 75th percentile 0.39], Azo‐HT; n = 44, 0.33 [0.15, 0.48]) compared with Non‐Azo‐NT cats (n = 57, 0.52 [0.28, 1.02]). Azo‐HT cats had significantly higher PAC (n = 22, 149.8 [103.1, 228.7]) than normotensive cats (Non‐Azo‐NT; n = 26, 45.4 [19.6, 65.0], Azo‐NT; n = 18, 84.1 [38.6, 137.8]). ARR was significantly higher in Azo‐HT (n = 20, 503.8 [298.8, 1511]) than Azo‐NT cats (n = 16, 97.8 [77.0, 496.4]). Significant increase in PRA was documented with antihypertensive therapy (pretreatment [n = 20] 0.32 [0.15–0.46], posttreatment 0.54 [0.28, 1.51]), but PAC did not change.

Conclusions and Clinical Importance

Hypertensive cats demonstrate significantly increased PAC with decreased PRA. PRA significantly increases with antihypertensive therapy. Additional work is required to determine the role of plasma aldosterone concentration in the pathogenesis of hypertension and whether this relates to autonomous production or activation of RAAS without demonstrable increase in PRA.     

Catecholamine and cortisol responses of horses to incremental exertion

The responses of the plasma concentrations of catecholamines and cortisol in horses to varied relative intensities of exertion were examined. The plasma concentrations of cortisol, epinephrine and norepinephrine increased significantly (p<0.05) with exertion. The plasma cortisol concentrations at relative work intensities of 48.3%±1.4%, 82.3%±2.0% and 99.6%±0.4% of VO_2max were 114%, 124%, and 126%, respectively, of those at rest, whereas the plasma epinephrine concentrations were 239%, 772% and 3483%, and the norepinephrine concentrations were 138%, 255%, and 1121% of the values at rest. There was a significant (p<0.0001) relationship between the plasma epinephrine and norepinephrine concentrations. The blood lactate concentration and the plasma epinephrine and norepinephrine concentrations were significantly (p<0.0001) related, as were the relative work intensity (%VO_2max) and the plasma epinephrine and norepinephrine concentrations. The relationships between the plasma cortisol concentration and work intensity or blood lactate concentration were not significant (p>0.05). This study demonstrates a relationship between relative work intensity and indicators of adrenal medullary and sympathetic activity during brief exertion in horses.     

Effect of acute stress on Catecholamine content in the hypothalamic nuclei of Japanese quail

1. Concentration of noradrenaline, adrenaline and dopamine in eight hypothalamic nuclei or areas (nucleus hypothalamicus medialis anterior, n. periventricularis magnocellularis, n. hypothalamicus lateralis anterior, n. hypothalamicus medialis posterior, n. hypothalamicus lateralis posterior, eminentia medialis, n. tuberis, area hypothalamica posterior) have been determined by a sensitive radioenzymatic micromethod in male Japanese quail restrained for 30 min.

2. In control quail the highest concentrations were found in the a. hypothalamica posterior, n. periventricularis magnocellularis and n. hypothalamicus medialis anterior; the lowest was in the n. hypothalamicus medialis posterior.

3. After restraint, noradrenaline concentrations decreased in the n. periventricularis magnocellularis and n. hypothalamicus medialis posterior. However, the concentration of adrenaline increased in the n. tuberis under the same conditions. In stressed animals the dopamine concentration was lower than in controls in the n. periventicularis and higher in the n. tuberis.     

~(60)Co-γ射线外照射对猫血液学的影响

猫受~(60)Co—γ射线外照射后,导致血象、骨髓象及细胞化学明显改变。此变化与照射剂量有一定的依存关系,且有很强的时间性。3Gy以上剂量照射,导致造血系统的严重损伤,7～10d即发生正细胞正色素性贫血;1～2 Gy剂量照射,导致造血系统中等度损伤。血细胞对射线的敏感性,依次为淋巴细胞、粒细胞、血小饭、红细胞;骨髓细胞对射线的敏感性,依次为红细胞系统、粒细胞系统、巨核细胞系统,非造血系统细胞对射线不敏感。细胞化学中,DNA变化明显,而PAS、POX、NAP变化不明显,由此认为,DNA可作为放射损伤早期诊断的参照指标。