All Cats Considered – Episode 317
In this episode of All Cats Considered, host Kelly St. Denis, DVM, DABVP (Feline) is joined by Amanda E Coleman, DVM, DACVIM (Cardiology) and Bianca N Lourenço, DVM, MSc, PhD, DACVIM (SAIM) to discuss their JFMS Clinical Spotlight article on feline cardiovascular and kidney diseases. The conversation introduces the concept of the cardiorenal axis, emphasizing the complex, bidirectional relationship between the heart and kidneys in both health and disease. The guests explore key mechanisms linking these systems—including systemic arterial hypertension, neurohormonal activation, and inflammatory pathways—and highlight why recognizing this interplay is essential for accurate diagnosis and effective case management in feline patients.
Drs. Coleman and Lourenço also share practical guidance for clinicians, including when and how to measure blood pressure, how to approach screening for concurrent disease, and the challenges of managing cats with both cardiac and renal conditions. The discussion addresses real-world decision-making around diagnostics, fluid therapy, and medication use, underscoring the importance of careful monitoring and individualized treatment plans. Together, they provide a thoughtful framework for navigating the delicate balance required to support both organ systems while prioritizing patient stability and quality of life.
Additional Resources:
JFMS Clinical Spotlight article: Feline comorbidities: cardiovascular and kidney diseases