K N Cameron1, W E Monroe, D L Panciera, G C Magnin-Bissel. 1. Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, VA 24061, USA. kcameron@vt.edu
Abstract
BACKGROUND: Urinary catecholamines and metanephrines have been proposed as a diagnostic tool for identifying canine pheochromocytomas, but the effects of critical illness on urine concentrations of catecholamines and metanephrines currently are unknown. OBJECTIVES: To examine the effects of illness on urine concentrations of catecholamines and metanephrines in dogs. ANIMALS: Twenty-five critically ill dogs and 25 healthy age- and sex-matched control dogs. METHODS: Prospective observational study. Urine was collected from healthy and critically ill dogs, and urine concentrations of epinephrine, norepinephrine, metanephrine, and normetanephrine were measured by high-performance liquid chromatography with electrochemical detection. Urinary catecholamine and metanephrine:creatinine ratios were calculated and compared between groups. RESULTS: Urinary epinephrine, norepinephrine, metanephrine, and normetanephrine:creatinine ratios were higher in critically ill dogs when compared with a healthy control population (P=.0009, P<0.0001, P<0.0001, and P<0.0001, respectively). CONCLUSIONS AND CLINICAL IMPORTANCE: Illness has a significant impact on urinary catecholamines and their metabolites in dogs. Further investigation of catecholamine and metanephrine concentrations in dogs with pheochromocytomas is warranted to fully evaluate this test as a diagnostic tool; however, the findings of this study suggest that the results may be difficult to interpret in dogs with concurrent illness.
BACKGROUND: Urinary catecholamines and metanephrines have been proposed as a diagnostic tool for identifying caninepheochromocytomas, but the effects of critical illness on urine concentrations of catecholamines and metanephrines currently are unknown. OBJECTIVES: To examine the effects of illness on urine concentrations of catecholamines and metanephrines in dogs. ANIMALS: Twenty-five critically ill dogs and 25 healthy age- and sex-matched control dogs. METHODS: Prospective observational study. Urine was collected from healthy and critically ill dogs, and urine concentrations of epinephrine, norepinephrine, metanephrine, and normetanephrine were measured by high-performance liquid chromatography with electrochemical detection. Urinary catecholamine and metanephrine:creatinine ratios were calculated and compared between groups. RESULTS: Urinary epinephrine, norepinephrine, metanephrine, and normetanephrine:creatinine ratios were higher in critically ill dogs when compared with a healthy control population (P=.0009, P<0.0001, P<0.0001, and P<0.0001, respectively). CONCLUSIONS AND CLINICAL IMPORTANCE: Illness has a significant impact on urinary catecholamines and their metabolites in dogs. Further investigation of catecholamine and metanephrine concentrations in dogs with pheochromocytomas is warranted to fully evaluate this test as a diagnostic tool; however, the findings of this study suggest that the results may be difficult to interpret in dogs with concurrent illness.
Authors: E Salesov; F S Boretti; N S Sieber-Ruckstuhl; K M Rentsch; B Riond; R Hofmann-Lehmann; P R Kircher; E Grouzmann; C E Reusch Journal: J Vet Intern Med Date: 2015 Mar-Apr Impact factor: 3.333