I've gone to Dr. Jacobs for heart clearances for many years and, yes, he
does advocate 3 years as the cut off instead of 5 years. The reason that he
gives, to keep from narrowing the gene pool, is a valid reason. However, I
have a different opinion and so do many other people.

I really like Dr. Jacobs and think that he is a great cardiologist. I don't
have to agree with him on this one point to be able to use him for heart
clearances.
All the best,
Susan Cochran

----- Original Message -----
From: "Patricia Powers" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, May 21, 2002 5:21 PM
Subject: Re: [CKCS-L] Latest stats from Cardiologists Gil Jacobs data for
cavalier breeders & others interested


> Based on Gil's tracking new cases (never seen before by cardiologist)
>
> In 1994, total number of dogs examined were 172. Of those 172 dogs, 35%
had
> a murmur by age 3.
>
> In 2001, total number of new dogs examined were 248. Of those dogs, 30%
had
> a murmur by age 3.
>
> Results of this study: 5% drop in murmur detection by age 3 from new cases
> examined in 1994 and in 2001
>
> In 1994, 20% of the new cases had a murmur by 5 to 5.5 years
> In 2001, 30% of the new cases had a murmur by 6 to 8 years
>
> Results are positive, stay the course. Not realistic to expect to
eliminate
> this complicated, polygenetic disease from cavaliers. However, we can
> continue to increase the age of early development.  His research already
> shows over the last 7 years that we had a 5% drop by age 3. That is
> progress!
>
> >From other foreign studies with larger samples over 10 year period, the
> average age a murmur is detected by a cardiologist is:
> 8% at 3 years, 24% by 5 years, 30 to 40% by 8 years, and 90% by 10 years.
>
> He also said if he had a dog clear at 3 but discovered a murmur at 3.5
years
> that he still should be a part of the breeders breeding program because to
> drop all dogs that have a murmur at 3.5 years of age would amplify too
many
> other negative traits and create new problems that don't exist now in our
> breed. In his opinion, you have a higher chance of reducing carriers of
MVD
> by breeding 4 year olds that are heart clear. However, he said 4 is too
old
> to breed for the first time. So continue what we are doing because it is
> making a difference in the age of early onset.
>
> Treatment suggestions:
> murmur, no signs, no treatment
> shows symptoms, use lasix
> moderate heart enlargement, use ace inhibitor
> severe, use all, every 12 hours - lasix, aldactone,plus "ace inhibitors" -
> enalapril & beneazepril & digoxin
> To sleep better, apply nitroglycerin ointment at night and wear a
protected
> glove when rubbing in on chest. Remove 12 hears later.
>
> Take incremental approach with food and exercise.
>
> Food: continue the same brand of dog food they enjoyed prior to diagnosis
> vs. salt restricted food , however, restrict salt from treats like no more
> peanut butter or chicken skin. Most important for them to keep eating.
>
> Exercise: no running at moderate enlargement
> severe enlargement,  must be very restrictive, pick up and take outside to
> potty
>
> I have given a summary from my notes since he gave no hand-outs and hope
you
> find this helpful.
>
> Patricia Powers Pratt Cavaliers
>
>
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