Objective-To design a diagnostic protocol that uses appropriate techni
ques, including ultrasonography, to assess cardiovascular health and d
etect primary cardiac diseases in gorillas and to establish a database
of reference values for cardiac measurements in clinically normal gor
illas. Design-Prospective study. Animals-5 adult male lowland gorillas
from 11 to 18 years old. Procedure-A complete cardiac evaluation was
performed on anesthetized gorillas, including physical examination, th
oracic radiography, electrocardiography, echocardiography, blood press
ure determination, CBC, serum biochemical analyses, and serologic assa
y for viral diseases. Standard cardiac measurements were made from ima
ges collected during ultrasonography. Results-Cardiac measurements der
ived from ultrasonographic images were consistent with those considere
d normal in human beings. Results of other diagnostic tests were also
considered normal. Clinical Implications-Cardiac disease is the primar
y cause of mortality in old captive gorillas. The technique used here
provided excellent evaluation of cardiac function. Use of these techni
ques will allow early detection of cardiac disease, making treatment o
r medical management possible.