In today's VETgirl veterinary continuing education podcast, we review echocardiographic findings in dogs with hyperadrenocorticism. Hyperadrenocorticism (e.g., "Cushing's disease") is common in middle to older aged dogs and results in a state of chronic hypercortisolemia. Resultant systemic sequelae of this disease state include renal/urinary disease, diabetes mellitus, pulmonary thrombembolism (due to hypercoagulability), and systemic hypertension, among others. (Hence, one of the reasons why it's so important that we treat this endocrine disease in dogs!). In humans with hyperadrenocorticism, increases in left ventricular wall thickness have been detected echocardiographically. So, Takano et al out of Japan wanted to evaluate myocardial structure and function in dogs with hyperadrenocorticism.