Dutton Referrals - Peripatetic veterinary cardiology

Dutton Referrals - Peripatetic veterinary cardiology We provide specialist-level veterinary cardiology support directly within primary care practices.

Offering a friendly, approachable and convenient in-house referral option, allowing you to deliver expert cardiology care without external referral.

💛 An anxious pet? A little preparation can make a big difference.For some pets, even a familiar veterinary practice can ...
01/09/2026

💛 An anxious pet? A little preparation can make a big difference.

For some pets, even a familiar veterinary practice can feel overwhelming... particularly when they need to stay still for investigations such as an echocardiogram or ECG.

For patients we know are likely to be particularly anxious, pre-appointment medication may be recommended to help them feel calmer and more comfortable before they even arrive.

Two medications commonly used for this purpose are trazodone and gabapentin.

💊 Why might we use them?

These medications can help reduce anxiety, fear and stress, making the experience more comfortable for your pet and allowing Luke and Kitt to perform the necessary cardiac investigations as calmly and gently as possible.

Reducing anxiety can also be particularly helpful during a cardiac assessment, where stress and excitement can influence heart rate and other measurements.

Importantly, this isn’t a one size fits all approach.

🫀 Every patient is assessed individually before their appointment. Where pre-appointment medication is being considered, this will be discussed with your general practice veterinary surgeon to ensure that the protocol is appropriate and safe for your individual pet.

For many patients, no additional medication is required at all. For others, a carefully planned dose of anti-anxiety medication before their visit can make an enormous difference to their experience.

Our priority isn’t simply getting the investigations done... it’s making sure we do them in the kindest, calmest and safest way possible for the patient in front of us. 🐾

If you know your pet finds veterinary visits particularly stressful, please let your veterinary team know ahead of their cardiology appointment.

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

🫀 Behind the Scenes at Dutton Referrals: Meet the team behind the careThere’s a lot that happens behind the scenes of ev...
27/08/2026

🫀 Behind the Scenes at Dutton Referrals: Meet the team behind the care

There’s a lot that happens behind the scenes of every cardiology appointment to make sure our patients, their owners and our partnering practices receive the very best possible service.

And a huge part of that is down to Kitt, our Cardiology Technician. 💛

When Kitt isn’t assisting Dr Luke Dutton, Specialist in Veterinary Cardiology, with patients and investigations, she’s busy making sure everything around those appointments runs smoothly.

From responding to emails and communicating with owners, to liaising with veterinary practices, organising appointments, supporting follow-up queries and carrying out quality assurance... there’s plenty happening before and after each patient walks through the door.

All of this allows Luke to concentrate on what he does best: providing specialist-level cardiology investigations, advice and care, while Kitt helps ensure the experience surrounding that care is organised, supportive and seamless.

Of course, Kitt does have some additional administrative support...

Meet Arthur, Administrative Assistant, pictured here providing some very important assistance with the emails. 🐾😂

It really is a team effort behind every Dutton Referrals patient.

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

🫀 Did you get this month’s cardiology question right?The correct answer is… B. The v-wave ✅The v-wave represents the ris...
21/08/2026

🫀 Did you get this month’s cardiology question right?

The correct answer is… B. The v-wave ✅

The v-wave represents the rise in atrial pressure caused by continued venous filling while the atrioventricular (AV) valve is closed during ventricular systole.

It peaks towards the end of systole, just before the AV valve opens, and is followed by the y-descent, as blood rapidly empties into the ventricle.

So, why not the others?

🔹 c-wave – occurs earlier, during early ventricular systole, as the closed AV valve bulges into the atrium.
🔹 x-descent – reflects atrial relaxation and downward displacement of the AV valve during systole.
🔹 y-descent – follows the v-wave and represents rapid ventricular filling after the AV valve opens.

Therefore, the arrow indicates the v-wave. 🫀

How did you get on this month?

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

Follow Dutton Referrals for more specialist veterinary cardiology cases, education and our next Monthly Cardiology Question.

🫀 Time for our Monthly Cardiology Question!One for the cardiology residents, vets and anyone with a keen interest in vet...
19/08/2026

🫀 Time for our Monthly Cardiology Question!

One for the cardiology residents, vets and anyone with a keen interest in veterinary cardiology...

Take a look at the pressure tracing above, showing normal atrial pressures.

What does the arrow indicate? 👀

A. x-descent
B. v-wave
C. y-descent
D. c-wave

Think you know it? Drop your answer in the comments below. 👇

We’ll be back in a few days with the correct answer and a full explanation!

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk (
📧 [email protected]
📞 07356 009 313

🫀Thank you for 500 Cases... Today, we’re celebrating a milestone that means so much to the entire Dutton Referrals team....
11/08/2026

🫀Thank you for 500 Cases...

Today, we’re celebrating a milestone that means so much to the entire Dutton Referrals team...

500 cardiology cases. 💛

That’s 500 patients who have received specialist cardiac investigations, including heart scans, ECGs, Holter monitoring and comprehensive cardiology work-ups.

It’s 500 detailed reports, hundreds of conversations with veterinary teams, countless collaborative treatment plans, and most importantly, 500 pets whose care has been at the heart of everything we do.

This milestone wouldn’t have been possible without the incredible support of our partnering veterinary practices. Thank you for trusting us with your patients, welcoming us into your clinics and embracing a collaborative approach to specialist cardiology care.

To the wonderful pet owners who have placed their trust in us during what can often be an anxious time, thank you. It has been a privilege to be part of your pet’s journey and to support you every step of the way.

And finally, to our amazing patients... You are the reason we do what we do every single day. 🐶🐱❤️

We’re incredibly proud of how far Dutton Referrals has come, but we’re even more excited for what’s ahead as we continue to make specialist cardiology more accessible, collaborative and convenient for practices and pet owners alike.

Here’s to the next 500. 🫀

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

💛 Kind words like these mean the world to us.We’re so grateful to Maggie’s owner, Claire, for taking the time to share h...
11/08/2026

💛 Kind words like these mean the world to us.

We’re so grateful to Maggie’s owner, Claire, for taking the time to share her experience following Maggie’s cardiology appointment. Our aim is always to provide not only specialist cardiac care, but also reassurance, clear communication and a calm, compassionate experience for every patient and their family.

Thank you, Claire, for trusting us with Maggie’s care. We’re delighted to hear she had such a positive experience, and we wish Maggie many more happy, healthy adventures ahead. 🐾❤️

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

🫀 Monthly Cardiology Question – Answer & DiscussionThe correct answer was:✅ Vacuolar degeneration (hydropic degeneration...
01/08/2026

🫀 Monthly Cardiology Question – Answer & Discussion

The correct answer was:

✅ Vacuolar degeneration (hydropic degeneration) of cardiomyocytes
✅ Most likely caused by doxorubicin (Adriamycin) toxicity

While vacuolar degeneration is a non-specific histopathological change that can occur with a variety of myocardial injuries, in the appropriate clinical context this appearance is highly characteristic of **anthracycline-induced cardiotoxicity.

Anthracyclines, such as doxorubicin, can cause progressive injury to cardiac myocytes, leading to:

🔹 Extensive sarcoplasmic vacuolisation (initially due to distension of the sarcoplasmic reticulum)
🔹 Myocytolysis
🔹 Interstitial oedema
🔹 Progressive loss of contractile elements

The vacuolated cardiomyocytes seen in this setting are classically known as “Adria cells.”

Historically, in human medicine, serial right ventricular endomyocardial biopsies have been regarded as the gold standard for diagnosing anthracycline-induced myocardial injury.

Thank you to everyone who took part in this month’s discussion - we’re looking forward to bringing you another cardiology challenge soon!

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

🫀 Monthly Cardiology QuestionFor cardiology residents and those with a keen interest in veterinary cardiology...Study th...
29/07/2026

🫀 Monthly Cardiology Question

For cardiology residents and those with a keen interest in veterinary cardiology...
Study the following cardiac histopathology image.

What pathological process is shown, and what is the potential cause?
💬 Share your answers in the comments below.

The answer and discussion will be revealed in a few days...

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

🫀 What to Expect at Your Dutton Referrals Cardiology AppointmentWe understand that a referral appointment can feel overw...
24/07/2026

🫀 What to Expect at Your Dutton Referrals Cardiology Appointment

We understand that a referral appointment can feel overwhelming, so we aim to make every visit as calm, informative and reassuring as possible for both you and your pet.

✨ Before your appointment
Please fast your pet from the night before (unless we’ve advised otherwise), as some patients may require sedation for additional investigations.

✨ Helping your pet feel at ease
If your pet is likely to be anxious, let us know before your appointment. We may recommend calming medication to help make their visit as relaxed and stress-free as possible.

✨ Specialist care at your own veterinary practice
One of the benefits of Dutton Referrals is that we bring specialist cardiology directly to your local practice. Your pet can remain in a familiar environment while your own veterinary team stays closely involved in their care.

✨ Your consultation
Your appointment begins with Kitt, our Veterinary Technician, who will take a detailed history and discuss your pet’s symptoms and medical background.

✨ Your pet’s cardiac assessment
Dr Luke Dutton, Specialist in Veterinary Cardiology, will then perform a comprehensive cardiology assessment, assisted by Kitt.

This usually includes:
🩺 A thorough physical examination
🫀 An echocardiogram (heart ultrasound)
📈 An electrocardiogram (ECG)

These investigations are painless, and most pets remain calm and comfortable throughout without needing sedation.

✨ Results and treatment plan
Once the assessment is complete, Luke will explain the findings, discuss the diagnosis and recommend the most appropriate treatment plan for your pet.

❤️ Ongoing support
Our care doesn’t end after your appointment. We’re available for ongoing advice and support by phone, email and WhatsApp, working alongside your primary care vet to provide the very best care for your pet.

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

19/07/2026

💛 Patient of the Month – Meet Maggie! 🐾

This is the lovely Maggie, an 8 year 7 month old Golden Retriever.

Maggie’s owners describe her as their “once in a lifetime” dog. Having rescued her, she’s become a much loved member of the family, sharing her home with two other dogs.

Maggie came to see Luke at Abington Park Referrals after experiencing an episode of collapse. To investigate the cause, she underwent a comprehensive cardiac assessment, including:

🫀 A full cardiology consultation
🩺 Physical examination
🩻 Echocardiogram, which showed her heart was structurally normal
📈 A 24-hour ECG Holter monitor to continuously assess her heart rate and rhythm throughout the day

In this reel, you can see Maggie enjoying one of her normal walks while wearing her Holter monitor. 🐕💙

Holter monitors are lightweight and comfortable, allowing most dogs to carry on with their usual routine while we collect valuable information about how their heart is performing during everyday life.

The best news? None of Maggie’s investigations showed any concerning cardiac abnormalities, meaning she’s been given the all clear from a cardiology perspective and can get back to being her wonderful self.

Thank you to Maggie’s family for trusting us with her care and allowing us to share a little of her journey. We hope she has many more happy walks ahead! 💙

📩 Interested in offering on-site cardiology at your practice?
🌐 www.duttonreferrals.co.uk
📧 [email protected]
📞 07356 009 313

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