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Mia's Memoirs

Discharge notes

October 6th 2012 10:26 am
[ View A Comments (9) ]

We got the discharge notes from the University of Minnesota. Here is a portion that explains what happened -

The echocardiogram allows the cardiologist to look directly at the heart with an ultrasound probe and assess
the function of the different chambers and valves within the heart. The echocardiogram was performed in the
afternoon with the cardiology service. The echocardiogram confirmed our suspicion that Mia was suffering
from congestive heart failure. Both her mitral and tricuspid valves were abnormal, displaying degenerative
changes known as valvular endocardiosis. This condition is not uncommon in small breed dogs and over
time leads to congestive heart failure. Mia's valvular disease is relatively severe and therefore likely to be the
cause of her seizure-like episodes.
Episodes, like the ones that Mia has experienced, can be caused either by neurologic disease (seizures) or
heart disease/failure (syncope). Syncope refers to a period of unconsciousness (which can last seconds to
minutes) due to lack of oxygen to the brain. Disorders of the heart and vessels (cardiovascular system) are a
common cause of syncope in the dog.
A consultation with cardiology in the morning confirmed that she had a Grade 5 out of 6 heart murmur, and
she was then scheduled for an echocardiogram and repeat chest x-rays in the afternoon. The results of the
these tests (as described above) were consistent with relatively severe congestive heart failure and
cardiogenic edema.
Congestive heart failure is when the function of the heart is not able to keep up with the needs of the body,
meaning that the heart is not able to pump the appropriate amount of blood to circulate through the body.
The end result is a build up of excessive amounts of blood in veins of certain parts of the body. In Mia's case,
since the left side of her heart is more severely effected, we are seeing the fluid build up and leak out of the
veins of her lungs. The body is often able to compensate for months to years for the heart's inability to keep
up with demand. The signs of congestive heart failure may appear to come on suddenly and unexpectedly,
which seems to be the case with Mia. Her body was likely able to compensate for her heart for a very long
time and is now no longer able to do so.
We are sending Mia with two medications that will make her more comfortable at home. Furosemide is the
same diuretic that Mia was placed on here in the hospital, to decrease the fluid load on the heart and lungs.
Pimobendan is a medication that will help Mia's heart pump stronger. Please follow the instructions below for
the medications. We would like for Mia to come back to be seen with the cardiology department in 10 days
for further evaluation of her heart failure.

Barked by: PEEK A BOO (Dogster Member)

October 6th 2012 at 11:13 am

Our thoughts and prayers are with you Mia
God be by your side and help your heart pump for life
special hugs from all of us
Peek a Boo and family
Barked by: Mia Muah! Kisses from Heaven (Dogster Member)

October 6th 2012 at 11:34 am

Thank you Peek A Boo! The next hurdle is the re-check. If it shows the meds are working I am hoping for some time off from hospitals.

Barked by: Luna (Dogster Member)

October 6th 2012 at 11:36 am

We are thinking about you every day. Just know how much we love you and are hoping that you get 100% better.

Luna, Hobo, Milo and Jenny
Barked by: Mia Muah! Kisses from Heaven (Dogster Member)

October 6th 2012 at 11:53 am

Thanks Momma Cindy and family. You guys have always been pawsome furiends.

Barked by: Abbie (Dogster Member)

October 6th 2012 at 4:57 pm

Keeping you in our prayers.
Barked by: Mia Muah! Kisses from Heaven (Dogster Member)

October 6th 2012 at 7:18 pm

Thank you Abbie. Ohhh you looks so scary in that Halloween mask. :)

Barked by: JAKIE, FOREVER LOVED (Dogster Member)

October 7th 2012 at 9:29 am

You're in our thoughts and prayers Mia. Sprinkling Angel Dust on you to help you heal precious.

Barked by: Abbie (Dogster Member)

October 7th 2012 at 4:43 pm

Sorry I look so scary.
Barked by: Hailey (Dogster Member)

October 8th 2012 at 10:32 pm

Our thoughts are with you Mia!! We hope you feel much better soon!!

Hailey & Gracie


Mia Muah! Kisses from Heaven


Family Pets

Teddy CGC
Tara -Forever
Chester, A
Springer Angel
Bruno -In
loving memory
Angel Yuki
Sandi (heart
The MN Gang
Heaven's Angel
Mei Li
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