News You Can Use – Feline Arterial Thromboembolism (FATE)
Feline Arterial Thromboembolism (FATE) can be devastating in cats with Cardiomyopathy. Often, they are euthanized on presentation due to poor prognosis and severe pain. However, when given good pain management and supportive treatment, many will improve and become non-painful in a few days. On admit, FATE patients should be given 18.75 mg of clopidogrel and 20.25 mg of aspirin. Opiods such as buprenorphine, oxymorphone, or fentanyl, or even gabapentin can be used for pain. It is important to keep the patient warm and to treat Congestive Heart Failure if also present. If pain is well managed and there is trending improvement within the first 48-72 hours, the outcome is more hopeful, especially if only one limb is affected. Prognosis is poor in cats with hypothermia or abdominal involvement. The real goal is to identify cats at risk before embolism, and use preventative anticoagulation (ideally clopidogrel 18.75 mg daily, or aspirin 20.25 mg twice weekly). Once FATE occurs, both drugs are given for life at the above doses. Recurrence is very common but not inevitable.
Did You Know?
… Cardiology Northwest shares a space with Lake Oswego Pet ER and works closely with all emergency clinics in the Portland area. Unstable cardiac patients can be cared for overnight or over the weekend at LOPetER, or any ER, and can be transferred to Cardiology Northwest the next business day. And with the addition of Dr. Bryan Bottorff, we have even more availability to see critical patients!