Labrador Retriever Forum

General Forum
Start a New Topic 
Author
Comment
Echo or Doppler - confused

I have been reading all of the posts on hearts and am planning on having echo's done on two dogs next month at our clinic (a dog and a bitch - littermates) in order to finally take the next step from auscultation which they both have had and were clear. These will be the first echo's done on my dogs (no flames here please - just trying to do the right thing and move forward)

Over the weekend I was informed that the echo is not the way to go but that a color doppler (sp?)is really the only accurate test (of course, those are more $$ and are not offered at the clinic).

I was always under the impression that they were one and the same but now from my understanding they are like comparing an x-ray to an MRI.

Help me please understand the difference and why/when you would do an echo and not the doppler or vice/versa.

TIA for any information.

Re: Echo or Doppler - confused

An echocardiogram (often called "echo") is a graphic outline of the heart's movement. During an echocardiogram test, ultrasound (high-frequency sound waves) that comes from a hand-held wand placed on the chest, is used to provide pictures of the heart's valves and chambers and help the sonographer evaluate the pumping action of the heart. Echo is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across the heart’s valves. I don't know of any canine cardiologists who do not do an echo/color doppler.

Re: Echo or Doppler - confused

If you see a board certified cardiologist, they will perform a Echo color doppler, standard procedure.That is why it is such a great test - using the ultrasound of the heart, PLUS the color doppler. I would not do one without the other, never heard of any specialist doing just one. You want the echo with the color doppler. They do this in human heart tests too. Very thourough.

Re: Echo or Doppler - confused

Echocardiography creates an image of the heart using ultra-high-frequency sound waves-sound waves that are too high in frequency to be heard by the human ear. The technique is very similar to ultrasound scanning commonly used to visualize the fetus during pregnancy.

An echocardiography examination generally lasts between 15-30 minutes. The patient lies bare-chested on an examination table. A special gel is spread over the chest to help the transducer make good contact and slide smoothly over the skin. The transducer, a small hand-held device at the end of a flexible cable, is placed against the chest. Essentially a modified microphone, the transducer directs ultrasound waves into the chest. Some of the waves get echoed (or reflected) back to the transducer. Since different tissues and blood all reflect ultrasound waves differently, these sound waves can be translated into a meaningful image of the heart, which can be displayed on a monitor or recorded on paper or tape. The patient does not feel the sound waves, and the entire procedure is painless. In fact, there are no known side effects.

Occasionally, variations of the echocardiography test are used. For example, Doppler echocardiography employs a special microphone that allows technicians to measure and analyze the direction and speed of blood flow through blood vessels and heart valves. This makes it especially useful for detecting and evaluating regurgitation through the heart valves. By assessing the speed of blood flow at different locations around an obstruction, it can also help to precisely locate the obstruction.

An exercise echocardiogram is an echocardiogram performed during exercise, when the heart muscle must work harder to supply blood to the body. This allows doctors to detect heart problems that might not be evident when the body is at rest and needs less blood. For patients who are unable to exercise, certain drugs can be used to mimic the effects of exercise by dilating the blood vessels and making the heart beat faster.

Re: Echo or Doppler - confused

Breeder
If you see a board certified cardiologist, they will perform a Echo color doppler, standard procedure.That is why it is such a great test - using the ultrasound of the heart, PLUS the color doppler. I would not do one without the other, never heard of any specialist doing just one. You want the echo with the color doppler. They do this in human heart tests too. Very thourough.


Thank you. I was given the impression that they were totally separate and had to be done separately as well at a higher cost. We do have a cardiologist at the clinic and I will confirm what is being done. This is the first year the club is offering this procedure.

Re: Echo or Doppler - confused

Even if its offered at a clinic for just an "Echo" I would personally go to the cardiologist's office and have the echo with color doppler done, if the clinic cardiologist is not doing both the echo with color doppler, but I cannot imagine a cardiologist would do a echo without doing a color doppler with it. The color doppler shows things that just a echo does not, that is why they do both the echo (ultrasound of the heart) and then the color doppler. You will be able to see it on the screen and once you see it, it might make more sense their differences and why each is important. If you have ever had a ultrasound done of your heart, they always do a color doppler with it, standard procedure. Doing only one, is like only getting one part of examining the heart done. There could be things that show in the color doppler that do not show on the echo (ultrasound). I am sure you can check to see which cardiologist is doing the clinic and then call their office to inquire and confirm. Good for you for doing both - very important tests, after all our heart and its health is what keeps us alive each day, right? Same with our dogs.

Re: Echo or Doppler - confused

A color doppler can't be done if they don't have the equipment that's capable of doing a color doppler.

Re: Echo or Doppler - confused

If I see that a dog is listed on his web site as echo cleared by a cardiolist and then see on the OFA aite that he has a echo number/clearance is this enough?

Re: Echo or Doppler - confused

technician
Echocardiography creates an image of the heart using ultra-high-frequency sound waves-sound waves that are too high in frequency to be heard by the human ear. The technique is very similar to ultrasound scanning commonly used to visualize the fetus during pregnancy.

An echocardiography examination generally lasts between 15-30 minutes. The patient lies bare-chested on an examination table. A special gel is spread over the chest to help the transducer make good contact and slide smoothly over the skin. The transducer, a small hand-held device at the end of a flexible cable, is placed against the chest. Essentially a modified microphone, the transducer directs ultrasound waves into the chest. Some of the waves get echoed (or reflected) back to the transducer. Since different tissues and blood all reflect ultrasound waves differently, these sound waves can be translated into a meaningful image of the heart, which can be displayed on a monitor or recorded on paper or tape. The patient does not feel the sound waves, and the entire procedure is painless. In fact, there are no known side effects.

Occasionally, variations of the echocardiography test are used. For example, Doppler echocardiography employs a special microphone that allows technicians to measure and analyze the direction and speed of blood flow through blood vessels and heart valves. This makes it especially useful for detecting and evaluating regurgitation through the heart valves. By assessing the speed of blood flow at different locations around an obstruction, it can also help to precisely locate the obstruction.

An exercise echocardiogram is an echocardiogram performed during exercise, when the heart muscle must work harder to supply blood to the body. This allows doctors to detect heart problems that might not be evident when the body is at rest and needs less blood. For patients who are unable to exercise, certain drugs can be used to mimic the effects of exercise by dilating the blood vessels and making the heart beat faster.


Part of this was from this site?

http://www.surgeryencyclopedia.com/Ce-Fi/Echocardiography.html

OP, the color echo dopplers done today for a clearance at 12 mo. of age or over is just that. Some shorten the name to *echo* *doppler* *echo doppler* *color doppler* or *echocardiogram*.

As long as it is 2D and a color echo doppler you're fine. There's no difference unless someone has for example, a 20 year old machine which I doubt even exisits.

You're fine but call and check so you feel better about it. Costs range between $150 & $250 at clinics. It includes auscultation which is listening to the dog's heart.

Only a cardiologist should be doing this test in my humble opinion. I don't like the idea of a General Practitioner or Internal Medicine Specialist. A cardiologist that is board certified is best.

As for *bare chested* as stated in the above cut & pasted, a dog lies on each side, not on their back or standing up for this type of exam.

May I ask where the clinic is being held? Is it at a show? It's always good to share the clinics with others. Many are announced on Labrador breeder boards. If all is fine, get booked early so you don't get shut out.

Good luck with your dog's testing. You're doing the smartest thing besides pedigree research. All breeding Labradors should have this *clearance* done and it's not a clearance unless done at 12 mo. or older although others might argue that point. Be sure to have it done at the right age, 12-18 mo. or older. If it's before, it is *not* a proper clearance. That's a screening or *kind of prelim* done prior with no OFA recognition. The dog should be close to or full grown.

Re: Echo or Doppler - confused

Thanks to everyone for your responses. I did contact the clinic organizer and it is a echo color doppler so I am thrilled. The clinic is in Woodinville, Washington and is being put on by PSLRA and is not in conjunction with a show. This clinic always has an excellent turnout and this will be the first year for the echo at the price of $150 (including auscultation)

The two I am taking will be 2 in September and I am excited/nervous about getting the final hips/elbows done as well as the echo. I have done EIC (both carriers), they are Optigen clear by parentage and have CERF numbers. I am keeping fingers/toes, etc crossed for good results.

Re: Echo or Doppler - confused

Forgot to add - the test is being done by a respected cardiologist in the area.

Re: Echo or Doppler - confused

OFA clear?? what does that mean?
If I see that a dog is listed on his web site as echo cleared by a cardiolist and then see on the OFA aite that he has a echo number/clearance is this enough?


From what you say, it does indicate an echo was done. If it was performed by a cardiologist, then the OFA number will also indicate that.

The OFA will include information on a dog's cardiac # as to the particular cardiac screening, i.e.: was it auscultation or echo, performed by a regular vet, specialist or (the gold standard) a cardiologist.

"Cardiac
Example: LR-CA250/18M/C-PI

LR = Breed Code, in this case a Labrador Retriever

CA = OFA Database, in this case Cardiac (CA)

250 = Ascending numerical identifier given to each animal with a breed evaluated as normal and given a number, in this case the 250 th Labrador to be given a cardiac number

18 = The age in months when the testing was done, in this case 18 months

M = Sex

C = Suffix indicating the area of specialty of the attending veterinarian.
P = General Practitioner
S = Specialist
C = Board Certified Cardiologist

PI or VPI = Indicates that the animal has been permanently identified in the form of tattoo or microchip. If the dog is permanently identified AND the id has been verified and signed off by the attending veterinarian, a suffix of VPI is applied. If the animals lacks permanent identification, a suffix of NOPI is applied.

Hope this helps.
Then when you see any cardiac information on a website and they indicate a "clearance" done at 9 months, you know that it cannot be anything more than a preliminary exam. (It could merely be a regular vet listening with a stethoscope) If a dog has an OFA clearance you can look up all this info, the type of exam, plus what sort of vet did the exam, on OFA.

Re: Echo or Doppler - confused

This example given wasn't a full cardiac exam. A full one with echo/color doppler will indicate that. After the LR # at the end after PI will have PI-ECHO.

This(ECHO) is what you want to see on the OFA heart # report. If it doesn't say ECHO then you don't have a true report of the dog's heart.

Re: Echo or Doppler - age

Is this test still beneficial on an older dog that is breeding age. I did the cardiac exam OFA at 2 years old but not this test. Thanks to all the posters with good information; it is very helpful.

Re: Echo or Doppler - age

I had a well respected cardiologist tell me (when I asked when would be the best time to do an echo doppler on a dog) that the absolute "best" time to echo your dog to evaluate cardiac health was just before he died...so the older the better. Realistically, he recommends doing an echo at 18 months when the dog has reached his mature size. There can be significant changes if an exam is done before the dog has finished growing. He also recommends doing echos on retired older dogs (if they have not been done) so you can see what you have in your line and can be in a better position to make informed breeding choices on their younger dogs.

People should have the ARCH screening done when they take their dog to the cardiologist for an OFA cardiac echo exam.
The more data the cardiologists can collect the better off all of us Labradors breeders will be.

The oldest dog I have heard of getting an echo exam for OFA is 12 years. Good for those conscientious breeders.

Re: Echo or Doppler - confused

Echo
This example given wasn't a full cardiac exam. A full one with echo/color doppler will indicate that. After the LR # at the end after PI will have PI-ECHO.

This(ECHO) is what you want to see on the OFA heart # report. If it doesn't say ECHO then you don't have a true report of the dog's heart.


You are right.
It would look something like this:

LR-SN8294/58M/C-VPI-ECHO CARDIAC

Re: Echo or Doppler - confused

I don't know what the "SN" database is testing for as these letters are not explained on the OFA website. CA is cardiac. So the clearance you are looking for will look like this actual example from the database:

LR-CA3821/52F/C-VPI-ECHO

Re: Echo or Doppler - confused

My mistake...it was a cut & paste gone awry.