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Management of Feline Idiopathic Hypertension with Target Organ Damage: A Case Report

  • Lee, Ji-Hye (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Jihee (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Yoonji (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Soomin (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Hyeon-Jin (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University) ;
  • Kim, Ha-Jung (Department of Veterinary Internal Medicine, College of Veterinary Medicine, Chonnam National University)
  • Received : 2021.03.15
  • Accepted : 2021.07.16
  • Published : 2021.08.31

Abstract

An 11-years old spayed female Persian chinchilla cat presented with acute onset of blindness from bilateral retinal detachment and systemic hypertension. On physical examination, the cat was tachycardic (240 beats/min) with a systolic blood pressure of around 250 mmHg. Clinical findings, blood works, urinalysis, thyroid function test, radiography, echocardiogram, and ultrasonography were performed to rule out underlying diseases. Organ injury induced by systemic hypertension including bilateral retinal detachment and left ventricular hypertrophy were confirmed by ultrasound. Based on these results, it was diagnosed as feline idiopathic hypertension with target organ damage (TOD). The cat was treated with a combination therapy using high doses of amlodipine, telmisartan, and atenolol. After the treatment, its hypertension and TOD were improved. This case showed that appropriate therapeutic management can help prevent TOD associated with feline hypertension.

Keywords

Acknowledgement

We thank Chonnam Veterinary Teaching Hospital for its support and the dog's owner.

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