title: Effects of dilated cardiomyopathy on the renin-angiotensin-aldosterone system, atrial natriuretic peptide activity, and thyroid hormone concentrations in dogs.
abstract: OBJECTIVE
  To evaluate the effect of dilated cardiomyopathy (DCM) on activity of the renin-angiotensin-aldosterone system (RAAS), the N-terminal fragment of proatrial natriuretic peptide (NT-proANP), and thyroid hormone concentrations in dogs.
  
  
  METHODS
  15 dogs with clinical signs of DCM, 15 dogs without clinical signs of DCM, and 15 age-, breed-, and sex-matched control dogs.
  
  
  METHODS
  Physical examinations, thoracic radiography, ECG, and echocardiography were performed on all dogs, and blood and urine samples were collected.
  
  
  RESULTS
  Plasma renin activity (PRA), plasma aldosterone concentration (PAC), urine aldosterone-to-creatinine ratio, and NT-proANP concentrations were significantly increased in dogs with clinical signs of DCM, compared with dogs without clinical signs and control dogs. Thyroid-stimulating hormone and total thyroxine concentrations did not differ significantly among groups; however, free thyroxine (FT4) concentrations were significantly decreased in dogs with clinical signs of DCM, compared with control dogs and DCM-dogs without clinical signs. Concentrations of PRA, PAC, FT4, and urine aldosterone-to-creatinine ratio were significantly correlated, whereas plasma concentrations of NT-proANP only correlated with FT4 concentration.
  
  
  CONCLUSIONS
  In dogs with clinical signs of DCM, increased concentrations of components of the RAAS were associated with increased concentrations of NT-proANP Analysis of the neurohormonal system may aid in identification of clinical stages of DCM for groups of dogs, but the range is too great and there are too many dogs that have neurohormonal concentrations within reference ranges to assess dogs on an individual basis.
authors.affiliation: Albano Animal Hospital of Stockholm, Danderyd, Sweden.
authors.forename: A
authors.initials: A
authors.lastname: Tidholm
authors.forename: J
authors.initials: J
authors.lastname: Häggström
authors.forename: K
authors.initials: K
authors.lastname: Hansson
mesh_terms: D000450:Aldosterone / Q000097:blood / Q000652:urine; D000818:Animals; D009320:Atrial Natriuretic Factor / Q000097:blood*; D002311:Cardiomyopathy, Dilated / Q000097:blood / Q000503:physiopathology / Q000662:veterinary*; D003404:Creatinine / Q000652:urine; D004283:Dog Diseases / Q000097:blood / Q000503:physiopathology*; D004285:Dogs; D004452:Echocardiography / Q000662:veterinary; D004562:Electrocardiography / Q000662:veterinary; D005260:Female; D008297:Male; D007703:Peptidyl-Dipeptidase A / Q000097:blood; D011498:Protein Precursors / Q000097:blood*; D013902:Radiography, Thoracic / Q000662:veterinary; D012083:Renin / Q000097:blood; D012084:Renin-Angiotensin System / Q000502:physiology*; D018709:Statistics, Nonparametric; D013963:Thyroid Hormones / Q000097:blood*
chemical_list: D011498:Protein Precursors; D013963:Thyroid Hormones; D000450:Aldosterone; D009320:Atrial Natriuretic Factor; D003404:Creatinine; D007703:Peptidyl-Dipeptidase A; D012083:Renin