Thromboelastography in dogs with idiopathic epilepsy treated with phenobarbital monotherapy

© 2024 The Author(s). Veterinary Clinical Pathology published by Wiley Periodicals LLC on behalf of American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - (2024) vom: 22. Sept.
1. Verfasser: García, R (VerfasserIn)
Weitere Verfasser: Pastor, J, de la Fuente, C, Añor, S
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Journal Article antiepileptic drug coagulation dog fibrinolysis thromboelastographic hemostasis analyzer
LEADER 01000naa a22002652 4500
001 NLM377947180
003 DE-627
005 20240923235719.0
007 cr uuu---uuuuu
008 240923s2024 xx |||||o 00| ||eng c
024 7 |a 10.1111/vcp.13380  |2 doi 
028 5 2 |a pubmed24n1546.xml 
035 |a (DE-627)NLM377947180 
035 |a (NLM)39307760 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a García, R  |e verfasserin  |4 aut 
245 1 0 |a Thromboelastography in dogs with idiopathic epilepsy treated with phenobarbital monotherapy 
264 1 |c 2024 
336 |a Text  |b txt  |2 rdacontent 
337 |a ƒaComputermedien  |b c  |2 rdamedia 
338 |a ƒa Online-Ressource  |b cr  |2 rdacarrier 
500 |a Date Revised 22.09.2024 
500 |a published: Print-Electronic 
500 |a Citation Status Publisher 
520 |a © 2024 The Author(s). Veterinary Clinical Pathology published by Wiley Periodicals LLC on behalf of American Society for Veterinary Clinical Pathology. 
520 |a BACKGROUND: Thromboelastography (TEG) is an effective technique to assess the efficiency of coagulation. Phenobarbital (PB) can induce hematological and coagulation disorders in both animals and humans, but its effects on hemostasis have been little investigated and are poorly understood in dogs 
520 |a OBJECTIVES: The aim of this article was to assess coagulation using TEG in a population of dogs with idiopathic epilepsy treated with PB 
520 |a MATERIAL AND METHODS: Prospective observational study. TEG was performed in blood samples from dogs with idiopathic epilepsy that were divided in three groups: Two groups of treated dogs that were on phenobarbital treatment for less or more than 6 months, and a control group of healthy dogs. Duration of treatment, dose, phenobarbital serum concentration and selected hematological and biochemical parameters were evaluated and correlated with the TEG results 
520 |a RESULTS: No statistically significant differences were found between groups. None of the animals appeared to be in a hypo- or hypercoagulable state, however 9/19 (47,4%) dogs were classified as hyper-fibrinolytic. A statistically significant negative relationship between MA and G values and increased fibrinolytic activity (LY30) were found. No statistically significant relationship was found between PB dose or PB blood levels and TEG parameters in either group. No bleeding complications were observed 
520 |a DISCUSSION: The rise in fibrinolysis might be due to hepatic damage from PB, as indicated by elevated liver enzymes in many dogs with abnormal fibrinolytic patterns. Although TEG showed hyperfibrinolysis in some dogs, the presence of primary or secondary hyperfibrinolysis could not be confirmed due to the lack of D-dimer measurements and liver biopsy. TEG's sensitivity compared to other fibrinolysis biomarkers like PAP might also affect results 
520 |a CONCLUSIONS: TThe cause of hyperfibrinolysis in epileptic dogs treated with phenobarbital remains unclear, with potential links to hepatic effects or handling, and further research is needed to assess its clinical significance 
650 4 |a Journal Article 
650 4 |a antiepileptic drug 
650 4 |a coagulation 
650 4 |a dog 
650 4 |a fibrinolysis 
650 4 |a thromboelastographic hemostasis analyzer 
700 1 |a Pastor, J  |e verfasserin  |4 aut 
700 1 |a de la Fuente, C  |e verfasserin  |4 aut 
700 1 |a Añor, S  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Veterinary clinical pathology  |d 1975  |g (2024) vom: 22. Sept.  |w (DE-627)NLM098159984  |x 1939-165X  |7 nnns 
773 1 8 |g year:2024  |g day:22  |g month:09 
856 4 0 |u http://dx.doi.org/10.1111/vcp.13380  |3 Volltext 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_350 
951 |a AR 
952 |j 2024  |b 22  |c 09