Shinzō VetCardio, 27-2, Jalan PJU 5/4, Dataran Sunway, Petaling Jaya (2026)

06/08/2026

This 3-year-old Pomeranian presented with a persistently low resting heart rate. He also has an undescended testicle requiring surgery, prostatic enlargement, and an elevated ALKP liver enzyme, so his unexpectedly low heart rate was an important concern before anesthesia.

So, we performed atropine response test.

What is atropine response test❓

📝 https://shinzovet.com.my/2026/02/14/atropine-response-test/

Why did we perform the test while he was sitting⁉️

Because he really did not want to be held in lateral recumbency. 🥲

Placing 4–5 ECG clips on such a small, 3kg restless patient was also challenging. Therefore, we used , which requires only 2 clips.

💡For a complete diagnostic ECG assessment, this setup is not ideal. However, in this particular patient, it provided a practical way to monitor his heart rate and assess how it responded to atropine.

Before atropine, his heart rate was 69 bpm.

Following atropine administration, his heart rate increased dramatically to approximately 250 bpm.

This strong chronotropic response supports the possibility that his resting bradycardia is primarily vagally mediated (extracardiac) rather than being caused solely by an inability of the heart’s pacemaker to increase its rate.

That is encouraging news for his upcoming surgery. It suggests that atropine may be effective in increasing his heart rate if clinically significant bradycardia occurs during anesthesia.

🚨However, this does not mean that anesthesia is completely risk-free. His underlying conditions and baseline bradycardia still warrant careful anesthetic planning, continuous monitoring, and readiness to manage cardiovascular changes during surgery.

Sometimes, good clinical decision-making means adapting our diagnostic approach to the patient in front of us—balancing ideal methodology with what is practical, safe, and clinically meaningful.

04/08/2026

A 2 year-old Maine C**n was referred for an elevated NT-proBNP of 229.81 (normal

03/08/2026

Over the past two days, I found myself “undoing” diagnoses:

* MMVD in an 8-month-old puppy.
* HCM in an 11-month-old cat.
* DCM in both a dog and a cat.

With those diagnoses revised, the barriers to general anesthesia were lifted.

* The puppy can now undergo castration and patellar luxation repair.
* The cat, which has been in heat since months, can finally be spayed.
* The dog can proceed with the eye surgery it needs.
* The cat without DCM can now focus on the actual underlying problem.

As revising a diagnosis is often just as challenging for pet owners to accept as receiving one in the first place, whether they left feeling skeptical or delighted is another matter.

Sometimes, my job is to “undo” a diagnosis just as much as it is to make or confirm one.

过去两天，我一直在“推翻”诊断。

• 一只8个月大的幼犬，原本诊断为二尖瓣黏液样变性（MMVD）。
• 一只11个月大的猫，原本诊断为肥厚型心肌病（HCM）。
• 一只狗和一只猫，原本都诊断为扩张型心肌病（DCM）。

随着这些诊断被推翻，原先阻碍全身麻醉的顾虑也随之解除。

• 那只幼犬终于可以接受绝育手术及髌骨脱位矫正手术。
• 那只从几个月前起持续发情的母猫，终于可以进行绝育手术。
• 那只狗终于可以接受它需要的眼科手术。
• 而那只并没有患DCM的猫，也终于能够把治疗重点放回真正的病因上。

至于宠物主人离开时，是带着怀疑，还是带着欣喜，那就是另一回事了。毕竟，要接受一个既有诊断被推翻，有时候并不比接受一个新诊断来得容易。

有时候，我的工作不只是做出或确认诊断，更是在必要的时候，推翻原有的诊断。

30/07/2026

Abstract:

Cardiac Intervention for Companion Animals in Malaysia: Prospects, Challenges, and Early Clinical Experience

(Presented at GAVIS 2026)

“True sharing makes the sharer aware of their limitations.”

Passive doing creates completion.
Active sharing creates understanding.

When someone just does passively, they follow instructions without fully engaging, questioning, reflecting, or taking ownership.

21/07/2026

Had the opportunity to deliver an oral presentation at GAVIS 2026, humbly sharing our team’s experience in the minimally invasive treatment of cardiac diseases in companion animals.

These minimally invasive treatment options are now available locally, but reaching this point has taken years of dedication, collaboration, and countless hours of hard work from many people.

As I was about to conclude my presentation, I paused for a moment to hold back my emotions. Looking back on how far my team and I have come, I realized this journey has been anything but easy.

There were moments of denial and skepticism. Some cases were declined. I searched tirelessly for sponsorships to help pet owners who couldn’t afford treatment. I searched desperately for local contacts but some didn’t even bother to entertain a vet like me. I also took on debt to invest in equipment that has no ROI.

I hope this presentation has raised awareness among fellow veterinarians and that more pets will benefit from advanced cardiac care without the need to travel overseas.

很荣幸能在 GAVIS 2026 做口头报告。今天，我谨代表团队，以谦卑之心汇报我们在心脏微创介入领域的一点实践心得。

这些技术不再是遥不可及的文献数据——它们已在本地成为现实。我深知，技术的价值在于惠及生命。

就在我准备为这场演讲画上句号时，我停了一下，努力压制住翻涌的情绪。回望我和我的团队一路走来的这段路，我才意识到，这一切从来都不容易。

有过质疑，也有过否认的时刻。有些病例，我们不得不婉拒。我曾寻找赞助商，去帮助那些负担不起治疗费用的宠物主人。我曾拼命地寻找本地的供应商，也遇到一些不愿意理会身为兽医的我。我甚至背负债务去购置设备，心里却清楚，这些投入根本看不到任何回报。

因此，我恳切期望今天的交流能成为一颗种子，让更多同仁意识到：

“我们的宠物，值得且能够在本土享有与国际接轨的心脏诊疗服务。”

19/07/2026

Balloon catheters in veterinary cardiology

A balloon is not just used to “open” a narrowed area. Its main purpose is to reshape cardiac anatomy.

Valvuloplasty – the balloon is inflated across a stenotic valve to tear fused valve leaflets and create a larger opening (e.g. pulmonary stenosis).

Septostomy – a balloon can be used to create an artificial opening between cardiac chambers to allow blood flow between them and relieve pressure. For example, left atrial decompression can be achieved by creating an interatrial communication, reducing left atrial pressure and pulmonary congestion.

In interventional veterinary cardiology, the balloon is a tool to carefully modify anatomy and restore blood flow.

兽医心脏介入治疗中的球囊导管

球囊导管并不只是用来“扩张”狭窄的部位，它更重要的作用是重塑心脏结构，改善血流动力学。

瓣膜成形术（Valvuloplasty）
球囊在狭窄的瓣膜处扩张，通过撕开融合的瓣叶，扩大瓣膜开口。例如：肺动脉瓣狭窄的球囊扩张术。

房间隔造口术（Septostomy）
球囊可用于在心腔之间创造人工通道，使血液能够重新分流，并降低心腔压力。例如，通过建立房间隔交通进行左心房减压，降低左心房压力，改善肺静脉压力升高及肺充血。

在兽医介入心脏病学中，球囊是一项重要工具，用于精准改变心脏解剖结构，恢复血流并改善心脏功能。

19/07/2026

Last Saturday, members of the Malaysian College of Veterinary Specialists (MCVS) gathered for a Special General Meeting at the Faculty of Veterinary Medicine, Universiti Putra Malaysia.

The MCVS is committed to advancing the veterinary profession and specialty practice in Malaysia through collaboration, high standards, and continued professional development.

Did you know?

In Malaysia, veterinarians may only use the title of Veterinary Specialist if they are registered with the MCVS. Registration helps ensure that specialists meet recognized standards of training, expertise, and professional practice, giving pet owners and referring veterinarians confidence in the quality of specialist care.

上个星期六，马来西亚兽医专科医学院（Malaysian College of Veterinary Specialists，MCVS）成员齐聚马来西亚博特拉大学（Universiti Putra Malaysia）兽医学院，召开特别会员大会。

MCVS 致力于通过协作、维持高专业标准，以及持续专业发展，推动马来西亚兽医行业及专科兽医学的发展。

你知道吗？

在马来西亚，只有已注册于马来西亚兽医专科医学院（MCVS）的兽医，才能合法使用“兽医专科医师”这一专业头衔。

MCVS 的注册制度有助于确保专科医师具备公认的专业培训、临床能力和执业水平，让宠物主人及转诊兽医对专科医疗服务更有信心。

15/07/2026

When Should We Restrict Sodium in Dogs with Heart Disease?

At the Royal Canin Symposium last week, I had the opportunity to briefly discuss dietary sodium restriction in dogs with advanced heart failure.

Not all dogs with heart disease require a low-sodium diet. In fact, excessive sodium restriction may do more harm than good. The degree of sodium restriction should be tailored to the stage of heart disease.

For example, dogs in Stage B2 or early Stage C generally require only mild sodium restriction, whereas dogs in advanced Stage C or Stage D may benefit from more stringent sodium restriction.

Importantly, nutritional management is not just about sodium content. Overall nutrient composition, caloric intake, and palatability all play crucial roles in maintaining the health and quality of life of dogs with heart disease.

Your veterinarian or veterinary cardiologist can recommend the most appropriate diet for your dog based on the stage of its heart disease.

上周在 Royal Canin 研讨会上，我有机会简短分享关于晚期心力衰竭犬只饮食钠限制的课题。

并非所有患有心脏病的狗狗都需要低钠饮食。事实上，过度限制钠的摄入，可能反而对健康造成不良影响。钠摄入的限制程度，应根据心脏疾病所处的阶段进行调整。

例如，B2期或早期C期的狗狗通常只需要适度限制钠摄入；而晚期C期或D期的狗狗，则可能需要更严格的钠限制。

重要的是，心脏病的营养管理并不只是关注钠含量。整体营养组成、热量摄取以及食物适口性，都在维持狗狗健康和生活质量方面扮演重要角色。

您的兽医师或兽医心脏专科医生可以根据您爱犬心脏疾病的阶段，为它制定最合适的饮食方案。

12/07/2026

Back to the faculty yesterday, I had the privilege of meeting Prof. Saleha again, the person who played a pivotal role in making me the veterinarian I am today. Although she retired years ago, she continues to contribute to the faculty by teaching as an emeritus professor, inspiring generations of students.

In 2006, I did not get into vet school on my first attempt. Instead, I enrolled in Environmental Science. However, my dream of becoming a vet never faded, and I applied to transfer to the vet degree programme.

The journey was far from smooth. There were many obstacles along the way, but Prof. Saleha was the one who helped make it possible. In 2007, I finally enrolled in veterinary school.

Because of that, I never took the opportunity to study vet medicine for granted. I worked hard and was fortunate to graduate as the top student in both the Faculty of Veterinary Medicine and the entire university in 2012.

That journey then took me even further to Japan, where I pursued my PhD studies under the MEXT Scholarship, a fully funded scholarship by the Japanese government.

Looking back, my vet journey has been filled with ups and downs, and I remain deeply grateful to the mentors who opened doors for me. Sometimes, one person’s belief in you can change the entire course of your life.

Thank you, Prof. Saleha, for helping me when my dream seemed uncertain.

A journey that began with a setback in 2006 became a lifelong passion in veterinary medicine. Sometimes, the doors that open later lead us exactly where we are meant to be.

昨天，我重返母校兽医学院，很荣幸再次见到Saleha教授——她对我成为今天的兽医起到了至关重要的作用。尽管她多年前已经退休，但至今仍以荣誉退休教授的身份继续参与教学。

2006年，我第一次申请兽医学院时落榜了，后来进入了环境科学系就读。然而，成为兽医一直是我的梦想，我从未放弃，于是申请转读兽医学课程。

这条路并不平坦，途中遇到了许多困难和挑战。但正是在Saleha教授的帮助下，我终于在2007年成功进入兽医学院。

正因为这段经历，我从不把学习兽医学的机会视为理所当然。我有幸于2012年以兽医学院第一名以及全校总成绩第一名的成绩毕业。

之后，这段旅程把我带到了日本。我获得了日本政府文部科学省（MEXT）全额奖学金，继续深造并攻读博士学位。

回首自己的兽医生涯，虽然一路走来有起有落，但我始终感激那些曾为我打开一扇门的恩师们。有时候，一个人的信任与鼓励，足以改变另一个人的一生。

谢谢您，Saleha教授。在我的梦想还充满不确定的时候，您帮助了我。

如果没有当年的那次帮助，我的人生或许会是另一番光景。正因为有人愿意伸出援手，才让我有机会成为今天的自己。

08/07/2026

Thank you to Royal Canin Malaysia for inviting me to speak on “Top 3 Pitfalls in Managing Late-Stage Canine MMVD” at Vet Symposium 2026 – Empowering the Future of Veterinary Care, to an audience of approximately 400 veterinarians from across Peninsular Malaysia.

Being invited by one of the world’s most trusted pet nutrition companies is a privilege. I am truly grateful for the trust and confidence placed in me.

I hope my fellow colleagues found the session informative and took away a few practical insights that can help in the management of dogs with late-stage MMVD.

Besides, I’m glad to meet Dr Fukushima (DACVIM Internal Medicine) again, who is the main speaker for the symposium. Some colleagues said that we look alike 🤔

感谢 Royal Canin Malaysia 的邀请，让我有机会在 Vet Symposium 2026 – Empowering the Future of Veterinary Care 上，以《晚期犬二尖瓣黏液样变性（MMVD）管理中的三大常见误区》为题，与来自马来西亚半岛约400位兽医同仁分享我的临床经验与心得。

能够获得全球最受信赖的宠物营养品牌之一——Royal Canin 的邀请，我深感荣幸，并由衷感谢他们给予我的信任与肯定。

希望这次的分享能为各位同业带来一些启发，并提供实用的临床见解，帮助大家在晚期 MMVD 犬只的管理上作出更好的临床决策。

此外，我很高兴再次见到福岛医生，他是这次研讨会的主要讲者。有些同僚还说我们长得有点像 🤔

Shinzō VetCardio

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