Manual of Canine and Feline Cardiology by Larry P. Tilley, DVM, Francis W.K. Smith, Jr., DVM, Mark A.

By Larry P. Tilley, DVM, Francis W.K. Smith, Jr., DVM, Mark A. Oyama, DVM, and Meg M. Sleeper, VMD (Eds.)

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Evaluate the position, course, and diameter of the trachea and mainstem bifurcations. • Evaluate the position of the cardiac apex and caudal mediastinum. • Evaluate the size, shape, and course of the main pulmonary artery and peripheral pulmonary arteries and veins. • Evaluate the lung fields for hyperinflation or underinflation and for distribution and pattern of i­ncreased or decreased opacity. • Evaluate the cardiac margin (cranial, ­caudal, right, left, “clock position” segmentation) for enlargement, abnormal position, or conformation.

Although the VHS concept is more precise, clinical judgment is still necessary to avoid over diagnosing or under diagnosing heart disease. s0130 Vessel Parameters p0120 The main pulmonary artery (pulmonary trunk) can- not be seen on the lateral projection owing to a positive-silhouette sign with the craniodorsal base of the heart. The left pulmonary artery can sometimes be seen extending dorsal and caudal to the tracheal bifurcation (carina). The right pulmonary artery is frequently seen end-on as it leaves the main pulmonary artery immediately ventral to the carina (Figure 2-10).

Lead I is isoelectric. The lead perpendicular to lead I is aVF (see axis chart on top). Lead aVF is positive, making the axis +90. If lead aVF had been negative, the axis would have been −90. (From Tilley LP: Essentials of canine and feline electrocardiography. ) • A lead II rhythm strip should then be recorded at 25 mm/s or 50 mm/s. Key Point The 1 mV standardization marker should be re­ corded at the onset of the electrocardiogram and any time the sensitivity is changed. Cardiac Conduction and Genesis of Waveforms • The function of the cardiac conduction system is to coordinate the contraction and relaxation of the four cardiac chambers (Figures 3-6 and 3-7).

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