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心肌衰竭严重程度对患有和未患有扩张型心肌病超声心动图证据的杜宾犬心率变异性的影响。

Effect of severity of myocardial failure on heart rate variability in Doberman pinschers with and without echocardiographic evidence of dilated cardiomyopathy.

作者信息

Calvert C A, Wall M

机构信息

Department of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens 30602, USA.

出版信息

J Am Vet Med Assoc. 2001 Oct 15;219(8):1084-8. doi: 10.2460/javma.2001.219.1084.

Abstract

OBJECTIVE

To determine whether heart rate variability (HRV) is reduced in Doberman Pinschers with dilated cardiomyopathy.

DESIGN

Case series.

ANIMALS

62 overtly healthy Doberman pinschers.

PROCEDURE

Heart rate variability was analyzed in time and frequency domains from data obtained during 24-hour ambulatory electrocardiographic Holter recordings in 41 overtly healthy Doberman pinschers with normal echocardiograms and 21 overtly healthy Doberman pinschers with abnormal echocardiograms.

RESULTS

Heart rate variability usually was greater during night versus day, and 2 dogs with the most severe myocardial failure had reduced HRV.

CONCLUSIONS AND CLINICAL RELEVANCE

Reduced HRV was detected only in Doberman Pinschers with the most severe myocardial failure. Thus, HRV in less severely affected dogs is not reduced, or the normal sinus arrhythmia of dogs renders HRV relatively insensitive. Analysis of HRV did not provide additional information relative to the severity of left ventricular dysfunction or risk of sudden death from that which could be derived from echocardiography, analysis of Holter recordings, and signal-averaged electrocardiography.

摘要

目的

确定患有扩张型心肌病的杜宾犬的心率变异性(HRV)是否降低。

设计

病例系列。

动物

62只外表健康的杜宾犬。

方法

对41只超声心动图正常的外表健康杜宾犬和21只超声心动图异常的外表健康杜宾犬进行24小时动态心电图Holter记录,从记录数据中在时域和频域分析心率变异性。

结果

心率变异性通常夜间高于白天,2只心肌衰竭最严重的犬HRV降低。

结论及临床意义

仅在心肌衰竭最严重的杜宾犬中检测到HRV降低。因此,病情较轻的犬HRV未降低,或者犬的正常窦性心律失常使HRV相对不敏感。HRV分析相对于左心室功能障碍的严重程度或猝死风险,并未提供比超声心动图、Holter记录分析和信号平均心电图更多的信息。

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