Cardiology telemedicine service

Available services

Consultation

  • A review of the patient's record
  • Thoracic radiograph interpretation
  • ECG analysis (if available)
  • Clinical recommendations including cardiac treatment plan

Basic radiograph interpretation

radiographie thoracique

If you are uncertain if your patient would benefit from an in-depth cardiac evaluation, Dr. Boileau can simply give you his clinical impression after reviewing the patient's thoracic radiographs.
However, because this consultation does not include a complete review of the patient's record, clinical recommendations cannot be given. In any case, the interpretation will help guide your diagnostic plan (is there significant heart disease or not).


Electrocardiography (ECG)

Electrocardiography

An ECG is recommended in the following circumstances:

  • An arrhythmia is detected upon cardiac auscultation
  • Syncope/collapse of unknown origin
  • Cardiac monitoring during anesthesia

An ECG is usually recorded on paper. The more leads you can record (I, II, III, aVR, aVF, aVL), the more accurate the interpretation. However, in some cases it is not possible. Interpretation of a single lead can sometimes provide a lot of information. You can also take a picture of the ECG and send it be email or text message.


Ambulatory ECG monitors

24-hour Holter monitor

An ECG is continuously recorded during a 24-hour period.
Dogs can wear the monitor at home for 24 hours while going about their normal routine.
However, cats and some small dogs may need to stay the night at the clinic to ensure a quality recording.

The Holter monitor is recommended in the following circumstances:

  • To determine the origin of an episode of syncope/collapse
  • To assess the need for antiarrhythmic treatment
  • To assess the response to treatment of arrhythmia
  • As a screening procedure for genetic heart disease (dilated cardiomyopathy in Dobermans, right ventricle arrythmogenic cardiomyopathy in Boxers)
electrocardiography
electrocardiography (ECG)
electrocardiography (ECG)
***We will mail our equipment to you so you can do the test yourself.

Event monitor
event monitor

An ECG is continuously recorded during a prolonged period (1 month).
Animals can wear the monitor at home during this period while going about their normal routine.
The event monitor is used to determine whether a syncope/collapse is due to dysrhythmia. The owner starts the cardiac recording the moment the event is witnessed.

***We will mail our equipment to you so you can do the test yourself.

Blood pressure

blood pressure petMAP

Systemic hypertension can have adverse effects on cardiac function such as concentric left ventricle hypertrophy and increased mitral valve regurgitation.
In clinic, blood pressure measurements are usually taken indirectly using a pet MAP or Doppler.

***We can mail our equipment to you.

Which patients benefit from a cardiology consultation?

Asymptomatic canine patient: what diagnostic tests are recommended if echocardiography is not an option?

Congenital heart murmur Radiographies thoraciques
Acquired heart murmur large breed Thoracic radiographs
Acquired heart murmur small breed Thoracic radiographs
Arrhythmia ECG, +/- Thoracic radiographs
Preanesthetic evaluation Thoracic radiographs
Elevated NT-proBNP levels Thoracic radiographs
Screening for dilated cardiomyopathy (DCM - Doberman) 24-hour Holter monitor
Screening for arrhythmogenic right ventricle cardiomyopathy (ARVC - Boxer) 24-hour Holter monitor

Symptomatic canine patient: what diagnostic tests are recommended if echocardiography is not an option?

Exercise intolerance Thoracic radiographs, NT-proBNP
Cough Thoracic radiographs, NT-proBNP
Tachypnea / Dyspnea Thoracic radiographs, NT-proBNP
Syncope / Collapse Blood work, Blood pressure, ECG, Thoracic radiographs, +/- NT-proBNP, +/- Ambulatory ECG monitor

Asymptomatic feline patient: what diagnostic tests are recommended if echocardiography is not an option?

Congenital heart murmur Thoracic radiographs
Acquired heart murmur Thoracic radiographs, Hct, T4, Blood pressure
Gallop rhythm Thoracic radiographs, Hct, T4, Blood pressure
Arrhythmia ECG, +/- Thoracic radiographs
Preanesthetic evaluation Preanesthetic evaluation
Elevated NT-pro-BNP levels Preanesthetic evaluation
Screening for hypertrophic cardiomyopathy (HCM) Echocardiography

Symptomatic feline patient: what diagnostic tests are recommended if echocardiography is not an option?

Thromboembolism Thoracic radiographs, NT-proBNP, Blood work, Blood pressure
Pleural effusion Thoracic radiographs, NT-proBNP
Tachypnea / Dyspnea Thoracic radiographs, NT-proBNP
Syncope / Collapse Blood work, Blood pressure, ECG, Thoracic radiographs, +/- NT-proBNP, +/- Ambulatory ECG monitor

To make an appointment, please contact Sherry Pouw at 514-973-3895 or by email at evetmobile1@gmail.com.

Please fill out the requisition form and send it by fax to 450-202-3456 or by email at evetmobile1@gmail.com.

Our offices are open Monday through Thursday from 8am to 6pm, on Friday from 9am to 5pm and on Saturday from 9am to 12am.
For emergencies, call 514-441-3895.

Medical records can be sent by one of the following methods:

Thoracic radiographs can be sent by one of the following methods:

  • Thoracic radiographs can be sent by one of the following methods:
  • Send the films by mail to our offices at 20, Place Madison, Hudson, Qc, J0P 1H0
  • Sent in JPEG format by email to the following address: evetmobile1@gmail.com

The ECG can be sent by the following methods: