Skip to main content
Top
Published in: Comparative Clinical Pathology 6/2016

01-11-2016 | Original Article

Measurements of cardiac troponin I and creatine kinase myocardium isoform in dogs with diabetic ketoacidosis

Authors: Sirilak Disatian Surachetpong, Pleansaung Vichit, Vachira Hunprasit

Published in: Comparative Clinical Pathology | Issue 6/2016

Login to get access

Abstract

Diabetic ketoacidosis (DKA) is a complication of diabetes mellitus (DM) which may cause cardiac injury. The study aimed to compare concentrations of cardiac troponin I (cTnI) and creatine kinase myocardium isoform (CK-MB) in DKA and normal dogs and determine the relationship between cTnI and CK-MB concentrations and blood profile values, complications, and the risk of death. Plasma samples from 20 normal and 24 DKA dogs were collected. The cTnI concentration of DKA dogs (0.053 [0.034–0.200] ng/ml) was higher than those of normal dogs (0.020 [0.015–0.043] ng/ml) (p < 0.0001). Dogs with higher cTnI concentration had a higher risk of death than those with lower cTnI concentrations (HR 12.34; 95 % CI 1.66, 91.97). DKA dogs (203.5 [142.8–290.0] U/l) had higher CK-MB concentrations than normal dogs (90 [78–134.5] ng/ml) (p = 0.008). In conclusion, cTnI and CK-MB concentrations increase in DKA dogs. With higher cTnI concentrations, dogs have a higher risk of death.
Literature
go back to reference Aktas M, Auguste D, Lefebvre HP, Toutain PL, Braun JP (1993) Creatine kinase in the dog: a review. Vet Res Comm 17:353–369CrossRef Aktas M, Auguste D, Lefebvre HP, Toutain PL, Braun JP (1993) Creatine kinase in the dog: a review. Vet Res Comm 17:353–369CrossRef
go back to reference Ammann P, Maggiorini M, Bertel O, Haenseler E, Joller-Jemelka HI, Oechslin E, Minder EI, Rickli H, Fehr T (2003) Troponin as a risk factor for mortality in critically ill patients without acute coronary syndromes. J Am Coll Cardiol 41:2004–2009CrossRefPubMed Ammann P, Maggiorini M, Bertel O, Haenseler E, Joller-Jemelka HI, Oechslin E, Minder EI, Rickli H, Fehr T (2003) Troponin as a risk factor for mortality in critically ill patients without acute coronary syndromes. J Am Coll Cardiol 41:2004–2009CrossRefPubMed
go back to reference Atabek ME, Prigon O, Oran B, Erkul I, Kurtoglu S (2004) Increased cardiac troponin I concentration in diabetic ketoacidosis. J Pediatr Endocrinol Metab 17:1077–1082PubMed Atabek ME, Prigon O, Oran B, Erkul I, Kurtoglu S (2004) Increased cardiac troponin I concentration in diabetic ketoacidosis. J Pediatr Endocrinol Metab 17:1077–1082PubMed
go back to reference Auner HW, Tinchon C, Quehenberger F, Linkesch W, Sill H (2001) Troponins in prediction of cardiotoxic effects. Lancet 10:808CrossRef Auner HW, Tinchon C, Quehenberger F, Linkesch W, Sill H (2001) Troponins in prediction of cardiotoxic effects. Lancet 10:808CrossRef
go back to reference Boon J (2011) Evaluation of size, function, and hemodynamics. In: Veterinary echocardiography, 2nd edn. Blackwell Publishing, Ames, pp. 153–266 Boon J (2011) Evaluation of size, function, and hemodynamics. In: Veterinary echocardiography, 2nd edn. Blackwell Publishing, Ames, pp. 153–266
go back to reference Braunwald E, Antmann EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, Jones RH, Kereiakes D, Kupersmith J, Levin TN, Pepine CJ, Schaeffer JW, Smith EE III, Steward WE, Theroux P, Gibbons RJ, Alpert JS, Eagle KA, Faxon DP, Fuster V, Gardner TJ, Gregoratos G, Russell RO, Smith SC Jr (2000) ACC/AHA guidelines for the management of patients with unstable angina and non ST elevation myocardial infarction: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association task force on practice guidelines (committee on the management of unstable angina). Circulation 102:1193–1209CrossRefPubMed Braunwald E, Antmann EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, Jones RH, Kereiakes D, Kupersmith J, Levin TN, Pepine CJ, Schaeffer JW, Smith EE III, Steward WE, Theroux P, Gibbons RJ, Alpert JS, Eagle KA, Faxon DP, Fuster V, Gardner TJ, Gregoratos G, Russell RO, Smith SC Jr (2000) ACC/AHA guidelines for the management of patients with unstable angina and non ST elevation myocardial infarction: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association task force on practice guidelines (committee on the management of unstable angina). Circulation 102:1193–1209CrossRefPubMed
go back to reference Chiassen JL, Aris-Jilwan N, Belanger R, Bertrand S, Beauregard H, Ekoe JM, Fournier H, Havrankova J (2003) Diagnosis and treatment ketoacidosis and the hyperglycemic hyperosmolar state. Can Med Assoc J 168:859–866 Chiassen JL, Aris-Jilwan N, Belanger R, Bertrand S, Beauregard H, Ekoe JM, Fournier H, Havrankova J (2003) Diagnosis and treatment ketoacidosis and the hyperglycemic hyperosmolar state. Can Med Assoc J 168:859–866
go back to reference Christenson RH, Apple FS, Morgan DL, Alonsozana GL, Mascot K, Olson M, McCormack RT, Wians FH Jr, Keffer JH, Duh SH (1998) Cardiac troponin I measurement with the access immunoassay system: analytical and clinical performance characteristics. Clin Chem 44:52–60PubMed Christenson RH, Apple FS, Morgan DL, Alonsozana GL, Mascot K, Olson M, McCormack RT, Wians FH Jr, Keffer JH, Duh SH (1998) Cardiac troponin I measurement with the access immunoassay system: analytical and clinical performance characteristics. Clin Chem 44:52–60PubMed
go back to reference Efstathiou SP, Tsiakou AG, Tsioulos DI, Zacharos ID, Mitromaras AG, Mastorantonakis SE, Panagiotou TN, Mountokalakis TD (2002) A mortality prediction model in diabetic ketoacidosis. Clin Endocrinol 57:595–601CrossRef Efstathiou SP, Tsiakou AG, Tsioulos DI, Zacharos ID, Mitromaras AG, Mastorantonakis SE, Panagiotou TN, Mountokalakis TD (2002) A mortality prediction model in diabetic ketoacidosis. Clin Endocrinol 57:595–601CrossRef
go back to reference Eubanks A, Raza F, Alikhouli M, Glenn AN, Homko C, Kashem A, Bove A (2012) Clinical significance of troponin elevations in acute decompensated diabetes without clinical acute coronary syndrome. Cardiovasc Diabetol 11:154CrossRefPubMedPubMedCentral Eubanks A, Raza F, Alikhouli M, Glenn AN, Homko C, Kashem A, Bove A (2012) Clinical significance of troponin elevations in acute decompensated diabetes without clinical acute coronary syndrome. Cardiovasc Diabetol 11:154CrossRefPubMedPubMedCentral
go back to reference Feldman EC, Nelson RW (2004) Diabetic ketoacidosis. In: canine and feline endocrinology and reproduction, 3rd edn. Saunders, St. Louis, pp 580–615 Feldman EC, Nelson RW (2004) Diabetic ketoacidosis. In: canine and feline endocrinology and reproduction, 3rd edn. Saunders, St. Louis, pp 580–615
go back to reference Fredericks S, Merton GK, Lerena MJ, Heining P, Carter ND, Holt DW (2001) Cardiac troponins and creatine kinase content of striated muscle in common laboratory animals. Clin Chim Acta 304:65–74CrossRefPubMed Fredericks S, Merton GK, Lerena MJ, Heining P, Carter ND, Holt DW (2001) Cardiac troponins and creatine kinase content of striated muscle in common laboratory animals. Clin Chim Acta 304:65–74CrossRefPubMed
go back to reference Geddes J, Deans KA, Cormack A, Motherwell D, Paterson K, O’Reilly DSJ, Fisher BM (2007) Cardiac troponin I concentrations in people presenting with diabetic ketoacidosis. Ann Clin Biochem 44:391–393CrossRefPubMed Geddes J, Deans KA, Cormack A, Motherwell D, Paterson K, O’Reilly DSJ, Fisher BM (2007) Cardiac troponin I concentrations in people presenting with diabetic ketoacidosis. Ann Clin Biochem 44:391–393CrossRefPubMed
go back to reference Hess RS, Saunders HM, Van Winkle TJ, Ward CR (2000) Concurrent disorders in dogs with diabetes mellitus: 221 cases (1993-1998). J Am Vet Med Assoc 217:1166–1173CrossRefPubMed Hess RS, Saunders HM, Van Winkle TJ, Ward CR (2000) Concurrent disorders in dogs with diabetes mellitus: 221 cases (1993-1998). J Am Vet Med Assoc 217:1166–1173CrossRefPubMed
go back to reference Hume DZ, Drobatz KJ, Hess RS (2006) Outcome of dogs with diabetic ketoacidosis: 127 dogs (1993-2003). J Vet Intern Med 20:547–555PubMed Hume DZ, Drobatz KJ, Hess RS (2006) Outcome of dogs with diabetic ketoacidosis: 127 dogs (1993-2003). J Vet Intern Med 20:547–555PubMed
go back to reference Kerl ME (2001) Diabetic ketoacidosis: pathophysiology and clinical laboratory presentation. Compendium 23:220–228 Kerl ME (2001) Diabetic ketoacidosis: pathophysiology and clinical laboratory presentation. Compendium 23:220–228
go back to reference Moller N, Foss AC, Gravhot CH, Mortensen UM, Poulsen SH, Mogensen CE (2005) Myocardial injury with biomarker elevation in diabetic ketoacidosis. J Diabetes Complicat 19:361–363CrossRefPubMed Moller N, Foss AC, Gravhot CH, Mortensen UM, Poulsen SH, Mogensen CE (2005) Myocardial injury with biomarker elevation in diabetic ketoacidosis. J Diabetes Complicat 19:361–363CrossRefPubMed
go back to reference Oyama MA, Phillip FS (2004) Validation of an immunoassay for measurement of canine cardiac troponin-I. J Vet Cardiol 6:17–24CrossRefPubMed Oyama MA, Phillip FS (2004) Validation of an immunoassay for measurement of canine cardiac troponin-I. J Vet Cardiol 6:17–24CrossRefPubMed
go back to reference Oyama MA, Sisson DD (2004) Cardiac troponin I concentration in dogs with cardiac disease. J Vet Intern Med 18:332–341 Oyama MA, Sisson DD (2004) Cardiac troponin I concentration in dogs with cardiac disease. J Vet Intern Med 18:332–341
go back to reference Porciello F, Rishniw M, Herndon WE, Birettoni F, Antognoni MT, Simpson KW (2008) Cardiac troponin I is elevated in dogs and cats with azotaemia renal failure and in dogs with non-cardiac systemic disease. Aust Vet J 86:390–394CrossRefPubMed Porciello F, Rishniw M, Herndon WE, Birettoni F, Antognoni MT, Simpson KW (2008) Cardiac troponin I is elevated in dogs and cats with azotaemia renal failure and in dogs with non-cardiac systemic disease. Aust Vet J 86:390–394CrossRefPubMed
go back to reference Puleo PR, Meyer D, Wathen C, Tawa CB, Wheeler S, Hamburg RJ, Ali N, Obermueller SD, Triana FJ, Zimmerman JL, Perryman MB, Roberts R (1994) Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. N Engl J Med 331:561–566CrossRefPubMed Puleo PR, Meyer D, Wathen C, Tawa CB, Wheeler S, Hamburg RJ, Ali N, Obermueller SD, Triana FJ, Zimmerman JL, Perryman MB, Roberts R (1994) Use of a rapid assay of subforms of creatine kinase-MB to diagnose or rule out acute myocardial infarction. N Engl J Med 331:561–566CrossRefPubMed
go back to reference Regan TJ, Ettinger PO, Kham MU (1974) Altered myocardial function and metabolism in chronic diabetes mellitus without ischemia in dogs. Circ Res 35:222–237CrossRef Regan TJ, Ettinger PO, Kham MU (1974) Altered myocardial function and metabolism in chronic diabetes mellitus without ischemia in dogs. Circ Res 35:222–237CrossRef
go back to reference Serra M, Papakonstantinou A, Adamcova M, O’Brien PJ (2010) Veterinary and toxicological applications for the detection of cardiac injury using cardiac troponin. Vet J 185:50–57CrossRefPubMed Serra M, Papakonstantinou A, Adamcova M, O’Brien PJ (2010) Veterinary and toxicological applications for the detection of cardiac injury using cardiac troponin. Vet J 185:50–57CrossRefPubMed
go back to reference Sharkey LC, Berzina I, Ferasin L, Tobias AH, Lulich JP, Hegstad-Davies RL (2009) Evaluation of serum cardiac troponin I concentrations in dogs with renal failure. J Am Vet Med Assoc 234:767–770CrossRefPubMed Sharkey LC, Berzina I, Ferasin L, Tobias AH, Lulich JP, Hegstad-Davies RL (2009) Evaluation of serum cardiac troponin I concentrations in dogs with renal failure. J Am Vet Med Assoc 234:767–770CrossRefPubMed
go back to reference Sleeper MM, Clifford CA, Laster LL (2001) Cardiac troponin I in the normal dog and cat. J Am Vet Med 15:501–503 Sleeper MM, Clifford CA, Laster LL (2001) Cardiac troponin I in the normal dog and cat. J Am Vet Med 15:501–503
go back to reference Smith FWK Jr, Schrope DP, Sammmarco CD (2016) Cardiovascular effects of systemic diseases. In: Smith Jr FWK, Tilley LP, manual of canine and feline cardiology, 5th edn. Elsevier, St. Louis, pp. 239–274 Smith FWK Jr, Schrope DP, Sammmarco CD (2016) Cardiovascular effects of systemic diseases. In: Smith Jr FWK, Tilley LP, manual of canine and feline cardiology, 5th edn. Elsevier, St. Louis, pp. 239–274
go back to reference Thomas WP, Gaber CE, Jacobs GJ, Kaplan PM, Lombard CW, Moise NS, Mosses BL (1993) Recommendations for standards in transthoracic two-dimensional echocardiography in the dog and cat. Echocardiography Committee of Veterinary Internal Medicine J Vet Intern Med 7:247–252CrossRefPubMed Thomas WP, Gaber CE, Jacobs GJ, Kaplan PM, Lombard CW, Moise NS, Mosses BL (1993) Recommendations for standards in transthoracic two-dimensional echocardiography in the dog and cat. Echocardiography Committee of Veterinary Internal Medicine J Vet Intern Med 7:247–252CrossRefPubMed
go back to reference Undhad VV, Fefar DT, Jivani BM, Gupta H, Ghodasara DJ, Joshi BP, Prajapati KS (2012) Cardiac troponin: an emerging cardiac biomarker in animal health. Vet World 5:508–511CrossRef Undhad VV, Fefar DT, Jivani BM, Gupta H, Ghodasara DJ, Joshi BP, Prajapati KS (2012) Cardiac troponin: an emerging cardiac biomarker in animal health. Vet World 5:508–511CrossRef
go back to reference Willerson JT, Armstrong PW (2015) Coronary heart disease syndrome: pathophysiology and clinical recognition. In: Willerson JT, Holmes Jr DR (eds) Coronary artery disease, cardiovascular medicine. Springer, London, pp. 365–407 Willerson JT, Armstrong PW (2015) Coronary heart disease syndrome: pathophysiology and clinical recognition. In: Willerson JT, Holmes Jr DR (eds) Coronary artery disease, cardiovascular medicine. Springer, London, pp. 365–407
go back to reference Zheng J, Ye P, Luo L, Xiao W, Xu R, Wu H (2012) Association between blood glucose levels and high sensitivity cardiac troponin T in an overt cardiovascular disease-free community-based study. Diabetes Res Clin Pract 97:139–145CrossRefPubMed Zheng J, Ye P, Luo L, Xiao W, Xu R, Wu H (2012) Association between blood glucose levels and high sensitivity cardiac troponin T in an overt cardiovascular disease-free community-based study. Diabetes Res Clin Pract 97:139–145CrossRefPubMed
Metadata
Title
Measurements of cardiac troponin I and creatine kinase myocardium isoform in dogs with diabetic ketoacidosis
Authors
Sirilak Disatian Surachetpong
Pleansaung Vichit
Vachira Hunprasit
Publication date
01-11-2016
Publisher
Springer London
Published in
Comparative Clinical Pathology / Issue 6/2016
Print ISSN: 1618-5641
Electronic ISSN: 1618-565X
DOI
https://doi.org/10.1007/s00580-016-2326-x

Other articles of this Issue 6/2016

Comparative Clinical Pathology 6/2016 Go to the issue