PMID- 34994485 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20220406 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 36 IP - 2 DP - 2022 Mar TI - Changes in renin-angiotensin-aldosterone system during cardiac remodeling after mitral valvuloplasty in dogs. PG - 397-405 LID - 10.1111/jvim.16346 [doi] AB - BACKGROUND: Information regarding changes in renin-angiotensin-aldosterone system (RAAS) during cardiac remodeling after mitral valvuloplasty (MVP) in dogs remains lacking. HYPOTHESIS/OBJECTIVES: To assess the longitudinal effects of MVP on circulating RAAS activity. ANIMALS: Eight client-owned dogs receiving MVP for myxomatous mitral valve disease (MMVD). METHODS: This is a cohort study. Plasma renin activity (PRA), angiotensin II (AT2), aldosterone (PAC), blood urea nitrogen (BUN), and creatinine concentrations, were measured in these dogs before (baseline) and at 3 consecutive monthly follow-ups (Post-1M, Post-2M, Post-3M). Echocardiography was concomitantly used to assess the process of cardiac recovery after MVP. RESULTS: The echocardiography revealed a significant decrease in LVIDDN, LA/Ao, FS, E velocity, E/A, E' sep, S' lat, E' lat, and A' lat after MVP compared with baseline (P < .05). There was a significant reduction in the PRA (2.45, 3.05, 2.74 vs 8.8 ng/mL/h; P = .002), AT2 (466, 315, 235 vs 1200 pg/mL; P = .009), and PAC (39.88, 47, 54.62 vs 179.5 pg/mL; P = .01), respectively at Post-1M, Post-2M, Post-3M compared to the baseline. Additionally, BUN and creatinine concentrations decreased from Post-1M. The RAAS variables showed significant, weak to moderate, relationship with selected echocardiographic variables. CONCLUSIONS AND CLINICAL IMPORTANCE: Mitral valvuloplasty contributes to decreased RAAS activity in MMVD dogs, which paralleled the process of cardiac reverse remodeling up to Post-3M. This information facilitates formulating strategies to optimize clinical outcomes for dogs after MVP. CI - (c) 2022 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Cheng, Chieh-Jen AU - Cheng CJ AUID- ORCID: 0000-0003-3376-5440 AD - Laboratory of Veterinary Internal Medicine, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, Kanagawa, Japan. AD - Laboratory of Veterinary Surgery, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan. AD - VCA Japan Shiraishi Animal Hospital, Sayama, Saitama, Japan. FAU - Mandour, Ahmed S AU - Mandour AS AUID- ORCID: 0000-0001-6256-4539 AD - Laboratory of Veterinary Surgery, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan. AD - Department of Animal Medicine (Internal Medicine), Faculty of Veterinary Medicine, Suez Canal University, Ismailia, Egypt. FAU - Yoshida, Tomohiko AU - Yoshida T AD - Laboratory of Veterinary Surgery, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan. AD - VCA Japan Shiraishi Animal Hospital, Sayama, Saitama, Japan. FAU - Watari, Toshihiro AU - Watari T AUID- ORCID: 0000-0002-7076-3682 AD - Laboratory of Veterinary Internal Medicine, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, Kanagawa, Japan. FAU - Tanaka, Ryou AU - Tanaka R AUID- ORCID: 0000-0001-9948-6490 AD - Laboratory of Veterinary Surgery, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan. FAU - Matsuura, Katsuhiro AU - Matsuura K AUID- ORCID: 0000-0002-6047-2865 AD - Laboratory of Veterinary Surgery, Tokyo University of Agriculture and Technology, Fuchu, Tokyo, Japan. AD - VCA Japan Shiraishi Animal Hospital, Sayama, Saitama, Japan. LA - eng PT - Journal Article DEP - 20220107 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 4964P6T9RB (Aldosterone) SB - IM MH - Aldosterone MH - Animals MH - Cohort Studies MH - *Dog Diseases/diagnostic imaging/therapy MH - Dogs MH - Humans MH - Mitral Valve MH - *Renin-Angiotensin System MH - Ventricular Remodeling PMC - PMC8965262 OTO - NOTNLM OT - angiotensin II OT - biomarker OT - cardiac recovery OT - cardiac reverse remodeling OT - mitral valve repair OT - plasma renin activity COIS- Authors declare no conflict of interest. EDAT- 2022/01/08 06:00 MHDA- 2022/04/01 06:00 PMCR- 2022/03/01 CRDT- 2022/01/07 08:52 PHST- 2021/12/07 00:00 [revised] PHST- 2021/05/20 00:00 [received] PHST- 2021/12/13 00:00 [accepted] PHST- 2022/01/08 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2022/01/07 08:52 [entrez] PHST- 2022/03/01 00:00 [pmc-release] AID - JVIM16346 [pii] AID - 10.1111/jvim.16346 [doi] PST - ppublish SO - J Vet Intern Med. 2022 Mar;36(2):397-405. doi: 10.1111/jvim.16346. Epub 2022 Jan 7.