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Serial measurements of cardiac troponin I in heart failure secondary to canine mitral valve disease
  1. I-Ping Chan1,2,
  2. San-Yu Wu2,
  3. Chao-Chin Chang3 and
  4. Wen-Ying Chen1,2
  1. 1 Veterinary Medical Teaching Hospital, College of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan
  2. 2 Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan
  3. 3 Graduate Institute of Microbiology and Public Health, National Chung Hsing University, Taichung, Taiwan
  1. Correspondence to Wen-Ying Chen; wychen{at}


Serial measurements of cardiac troponin I (cTnI) levels are considered to be better predictors of cardiac death than single-time-point analyses in human medicine. We hypothesised that cTnI levels could reflect the severity of myxomatous mitral valve disease (MMVD), and that serial changes in the cTnI level had a prognostic value in dogs with congestive heart failure (CHF) secondary to MMVD. Seventy-six dogs were initially enrolled and classified by the American College of Veterinary Internal Medicine (ACVIM) staging system. The single-timepoint cTnI concentration in these dogs significantly increased with the ACVIM stage. Twenty-seven dogs with CHF subsequently underwent serial measurement of cTnI levels, and the results showed that those who demonstrated a decrease in cTnI levels from the first to the third visit exhibited a higher risk of cardiac death than did those without such changes (P=0.012). We suspect that the downward trend in cTnI levels may be affected by medical treatment for CHF. In conclusion, although cTnI levels could reflect the severity of MMVD to a certain extent, the serial changes may be affected by medical treatment. Therefore, caution should be exercised when cTnI is used for assessment of the prognosis of CHF secondary to MMVD in dogs.

  • cardiac biomarkers
  • degenerative mitral valve disease
  • tracking measurements
  • clinical outcomes
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  • Presented at This study was performed at the Veterinary Medical Teaching Hospital, National Chung Hsing University, Taiwan.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Ethics approval This study was certified by the Institutional Animal Care and Use Committee of National Chung Hsing University, which is a local ethical approval committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data relevant to the study are included in the article.

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