Il Circolo Italiano Bulldog accetterà e riconoscerà come valide soltanto le certificazioni di esame Ecocardio-Doppler riportanti i seguenti dati:

Nome del Cane

Razza

Sesso

Età

Peso (kg)

Microchip (o tatuaggio)

Nome e Cognome del Proprietario

Medico Veterinario Curante

REFERTO ESAME ECOCARDIOGRAFICO

ECOCARDIOGRAMMA  :     VD diastole (cm) :                        IPP% :

                                         SI diastole (cm) :                         ESV-I (ml/m2):

                                         SI sistole (cm) :                           EDV-I (ml/m2):

                                         Vs diastole (cm) :                        % Massa VS :

                                         VS sistole (cm) :                          EPPS (cm) :

                                         PP diastole (cm) :                        Atrio sx diam (cm) :

                                         PP sistole (cm) :                          Aorta diam (cm) :

                                         SF% :                                          Atrio sx/Ao :

                                         FE% :                                       

                                         ISIV % :                                      altro:

ECODOPPLER AORTA :      Ao v max (m/sec)                       RR msec:        

                                         Ao FVI m :                                  PPE msec:

                                         Grad picco Ao mmHg:                 TEV msec

                                         Grad medio Ao mmHg:               PPE/TEV :

                                         PHT (insuff Ao) s :              

ECODOPPLER POLMONARE :   Polm v max (m/sec):                  Grad Picco (mmHg):

                                               Polm FVI m :                               Grad Medio (mmHg):

                                               R-R msec:

ECODOPPLER MITRALE :        V mitr (E) msec                         Vmax rigurgito msec:

                                              V mitr (A) msec                         Acc. Rigurgito m/s2:

                                              Rapporto E/A                            Dp/dT VS mmHg/s:

                                              Decelerazione E msec:             R-R msec:

ECODOPPLER TRICUSPIDE :   V tric (E) msec :                   V max rigurgito m/sec:

                                               V tric (A) msec :                   Telesistolica V Dx:

Altre osservazioni :

DIAGNOSI :                                   

                                                                       Veterinario Dott. (firma)