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犬的顺向性无休止房室折返性心动过速

Orthodromic incessant atrioventricular reciprocating tachycardia in a dog.

作者信息

Santilli R A, Bussadori C

机构信息

Clinica Veterinaria Malpensa, Via Verdi, 49 - Samarate - Varese - (Italy).

出版信息

J Vet Cardiol. 2000 May;2(1):25-9. doi: 10.1016/S1760-2734(06)70004-2.

DOI:10.1016/S1760-2734(06)70004-2
PMID:19081327
Abstract

A diagnosis of orthodromic atrioventricular reciprocating tachycardia (OAVRT) was made in a 6-year-old male Boxer based on electrocardiographic and Holter-ECG findings. The surface electrocardiogram showed a narrow-complex tachycardia, with a regular ventricular rhythm ranging from 280 to 300 bpm, QRS alternans, and retrograde P waves present in the late part of ST segment, with a RP'/P'R ratio < 1. The dog was successfully treated short-term with intravenous verapamil, and long-term with procainamide and diltiazem. This report shows the utility of the surface electrocardiogram in the diagnosis of OAVRT with a concealed accessory pathway in the dog, as it was previously reported in human literature.

摘要

根据心电图和动态心电图检查结果,对一只6岁雄性拳师犬诊断为顺向型房室折返性心动过速(OAVRT)。体表心电图显示为窄QRS波心动过速,心室节律规整,心率在280至300次/分钟之间,存在QRS波交替现象,ST段晚期可见逆行P波,RP'/P'R比值<1。该犬经静脉注射维拉帕米进行短期成功治疗,并长期使用普鲁卡因胺和地尔硫䓬治疗。本报告显示了体表心电图在诊断犬隐匿性旁路所致OAVRT中的作用,正如之前人类文献中所报道的那样。

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