QUARTERLY BEAT / JULY 2022 ///
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THE ROLE OF CARDIAC NUTRITION IN MMVD MANAGEMENT, TOMORROW AND TODAY While recent research has uncovered what may be a powerful nutritional strategy in the management of canine MMVD, I would like to further build on this approach in the future. For example, I would like to see research on Cavalier King Charles Spaniels. Because the prevalence of MMVD in this breed is greater than 90% in animals older than 10 years of age, 2 it would be helpful to learn if it is beneficial to start feeding the CPB to these dogs at a young age without waiting until we first hear a murmur. I’d also like to see if a similar nutritional approach could be beneficial for cats, since we have limited options for feline patients with hypertrophic cardiomyopathy. To date, we’ve primarily focused on medications and reducing sodium to manage dogs with heart disease. Now, instead of the “watch and wait” approach we have historically employed, we have a nutritional tool in CardioCare that has been shown to slow the progression of mitral valve disease in early stages. Put nutrition high on your list of management options for dogs in the early stages of mitral valve disease. Keene BW, Atkins CE, Bonagura JD, et al. ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs, 2019. J Vet Intern Med. 33(3),1127-1140. 2. Borgarelli M, Häggström J. Canine degenerative myxomatous mitral valve disease: natural history, clinical presentation and therapy. Vet Clin North Am Small Anim Pract. 2010;40:651–663. 3. Laflamme DP. Nutrition for aging cats and dogs and the importance of body condition. Vet Clin North Am Small Anim Pract. 2005 May;35(3):713- References: 1.
42. https://doi.org/10.1016/j.cvsm.2004.12.011. PMID: 15833567. 4. Ames MK, Atkins CE, Pitt B. The renin-angiotensin-aldosterone system and its suppression. J Vet Intern Med. 2019;33:363–382. https://doi. org/10.1111/jvim.15454 5. Li Q, Heaney A, Langenfeld-McCoy N, et al. Dietary intervention reduces left atrial enlargement in dogs with early stage myxomatous mitral valve disease: a blinded randomized controlled study in 36 dogs, 2019. BMC Vet Res. 15(1), 425. 6. Li Q, Laflamme DP, Bauer JE. Serum untargeted metabolomic changes in response to diet intervention in dogs with preclinical myxomatous mitral valve disease, 2020. PLoS ONE 15(6): e0234404. https://doi.org/10.1371/ journal.pone.0234404
YOU COULD SLOW THE PROGRESSION OF EARLY STAGE MITRAL VALVE DISEASE? WHAT IF…
CC CardioCare ™ is a revolutionary diet that helps protect a dog’s heart at the first signs of mitral valve disease.
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Contains a Cardiac Protection Blend composed of amino acids and fatty acids (omega-3 and medium-chain triglycerides), magnesium and vitamin E
Slows the progression of mitral valve disease in dogs at early stages *
Helps reduce left atrial enlargement associated with early stage mitral valve disease
Sherry Sanderson, BS, DVM, PhD, Dipl ACVIM (SAIM and Nutrition), is an associate professor in the Department of Biomedical Sciences at the University of Georgia College of Veterinary Medicine.
*Li, Q., Heaney, A., Langenfeld-McCoy, N., Boler, B. V., & Laflamme, D. P. (2019). Dietary intervention reduces left atrial enlargement in dogs with early stage myxomatous mitral valve disease: a blinded randomized controlled study in 36 dogs. BMC Veterinary Research , 15(1), 425. Purina trademarks are owned by Société des Produits Nestlé S.A. LEARN MORE AT PURINAPROPLANVETS.COM/CARDIOCARE.
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