In this episode of Diagnostic Tails, hosts Dr. Amy Armentrout and Dr. Lon Hays are joined by board-certified cardiologist Dr. Christian Weder. They dive deep into the world of veterinary cardiology. The discussion covers everything from the basics of echocardiograms—described as “an ultrasound of the heart in the most simplistic terms”—to the nuances of diagnosing heart disease in dogs and cats. Listeners gain insights into the value of advanced imaging, how breed predispositions affect screening decisions, and what practical tips can help primary practitioners feel confident in managing cardiac cases. Real-life case studies, illustrate how precision in imaging not only rules in but also rules out heart failure, ultimately shaping better patient care.

Timestamps

[00:00:00] – Introduction

Welcome to Diagnostic Tales, outlining the focus on real-life diagnostic stories in veterinary imaging.

[00:01:00] – Guest Introductions

Dr. Lon Hayes and Dr. Christian Weder join the discussion. Dr. Weder introduces his background and experience in veterinary cardiology and telemedicine.

[00:02:00] – What is an Echocardiogram?

Explanation of echocardiography in simple terms and its role in pinpointing heart conditions.

[00:03:00] – Human vs. Veterinary Echocardiography

Discussion on the similarities between human and veterinary echo procedures, including the use of advanced imaging technology.

[00:04:00] – Indications for an Echocardiogram

How primary veterinarians decide when to refer patients for an echo, including considerations of heart murmurs and clinical signs.

[00:05:00] – Establishing Baselines and Diagnostic Accuracy

The importance of baseline imaging and the sensitivity of echocardiograms in detecting heart disease.

[00:07:00] – Breed Predispositions

Screening recommendations for breeds at risk for cardiomyopathy and mitral valve disease.

[00:08:00] – Echocardiography in Cats

Unique challenges in diagnosing feline heart conditions, including stress-induced murmurs and systemic illnesses.

[00:10:00] – Monitoring Disease Progression

How recheck echoes (typically every 6–12 months) help track disease progression and inform treatment decisions.

[00:11:00] – The Cough Conundrum

Clarifying misconceptions around coughing in dogs and the risk of attributing all coughs to heart disease.

[00:12:00] – Sedation and Imaging Techniques

Discussion on patient management during echocardiograms, including when sedation is used.

[00:16:00] – Case Study: Effusion and Emergency Imaging

A case where an echo helped rule out heart failure in a dog with both chest and abdominal effusions.

[00:18:00] – Case Study 1

[00:20:00] – Case Study 2

[00:22:00] – Tail End Tip for Practitioners

Final advice for primary practitioners on using fundamentals of cardiology to build diagnostic confidence.

[00:23:00] – Closing Remarks

A wrap-up of the episode and acknowledgment of the collaborative efforts that improve patient outcomes.

Notable Quote

"Try not to get intimidated as a primary practitioner. Use your stethoscope well and remember the fundamentals of cardiology—you can do a lot with a good physical exam and a thorough auscultation." Dr Weder.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180