Mike Holgate BVetMed, CertVC, MRCVS qualified from London in 1983 and after working in a number of mixed practices in Yorkshire, Lancashire and the Isle of Wight, became a small animal partner in Cheshire. He left mixed/general practice in 2000 to concentrate on cardiology gaining his certificate in 2002. Since then he has worked in referral and his own peripatetic cardio-respiratory practice covering Lancashire, Cheshire and Staffordshire. Mike’s interests are particularly echocardiography and cardiac arrhythmias.
Full Doppler echocardiography (Esaote Megas CVX) including colour flow, pulsed and continuous wave Doppler with both phased array and annular probes
ECG recording and interpretation, including Holter if required
Radiography and interpretation
Doppler blood pressure monitoring
ECG and X-ray reading by fax, post or email
Full cardiac investigation including murmur investigation, arrhythmias and monitoring and diagnosis of congenital and acquired disease
About The Facilities
In the investigation of cardiac disease a number of different modalities are employed to complete the ‘jigsaw’ which leads to a final diagnosis. The specific modalities may vary from case to case.
History & Physical Examination
A full history and examination are essential to quantify and document the nature of disease and provide a shortlist of probable diagnoses.
Essential for diagnosis and quantification of arrhythmias, ECGs may also provide some information regarding chamber size, drug toxicity and electrolyte imbalance.
remains the definitive diagnostic to define cardiac failure especially left sided failure. In addition evidence of chamber enlargement, pleural effusion and lung parenchymal changes may only be evident on X-ray.
Blood Pressure Monitoring
Increasingly identified as a cause of cardiac change, hypertension is especially seen in older cats, and some dogs, where specific hypotensive therapy may dramatically improve quality of life and prevent end-organ damage, for example renal damage, retinal haemorrhage and left ventrical hypertrophy.
Respiratory cases are investigated using an Olympus 5.5mm bronchoscope and light source.
Ultrasonography has revolutionised veterinary cardiology in the last 15 years. We are able to visualise cardiac and valvular motion, detect valvular abnormalities and abnormalities of the outflow tracts, and to visualise abnormal masses including vegetative endocarditis and intra-cardiac tumours.Doppler Echocardiography allows the detection and measurement of abnormal flow and is vital for the assessment of some congenital defects and their suitability or otherwise for surgery. Echocardiography allows us to measure wall thickness and wall motion to enable the definition of both the nature and severity of disease in feline and canine cardiomyopathies.
Haematology, Biochemistry & Other Laboratory Tests
may be indicated in both diagnosis e.g hyperthyroidism, electrolyte disturbances; and in monitoring disease e.g response to drug therapy, renal parameters affected by vasodilators, and monitoring serum drug levels. They are also indicated where drug responses or drug excretion can reasonably be expected to be altered by organ dysfunction. More recently atrial peptides and troponin I tests have come ‘on stream’.
Advantages To Your Patients And Your Clients
Client satisfaction is enhanced by the ease with which further diagnostics can be obtained. We know that patient’s quality of life and, according to increasing evidence, life expectancy, can be increased by accurate diagnosis, treatment and follow up.
Advantages To You
Patients can obtain a full cardiac work-up allowing accurate definition of disease processes and allowing optimal therapy rather than empirical treatment. With current therapy using both veterinary licenced and, where required, licenced human preparations, patient’s quality of life and therefore client satisfaction is enhanced. Reports are generated and sent by surface mail, fax oe e-mail, usually within 3 working days. Telephone advice regarding cases is available without obligation.