Nakamura Reid K, Zuckerman Ilana C, Yuhas Danielle L, Fenty Renee K, Bianco Domenico
Advanced Veterinary Care Center, Lawndale, CA 90260, USA.
J Vet Emerg Crit Care (San Antonio). 2012 Dec;22(6):710-5. doi: 10.1111/j.1476-4431.2012.00821.x.
To describe a clinical case of postresuscitation myocardial dysfunction in a dog.
An 11-month-old, 2.37 kg female spayed Chihuahua was referred for management post CPR after suffering cardiopulmonary arrest. Postresuscitation a gallop rhythm was identified and an echocardiogram revealed severe left ventricular dilation and severely impaired myocardial contractility with a mild eccentric jet of mitral regurgitation on color Doppler interrogation. The primary differentials were idiopathic or nutritional dilated cardiomyopathy, end-stage myocarditis, or postresuscitation myocardial dysfunction. Echocardiogram was repeated 48 hours later and showed normal left ventricular dimensions and contractility assessed as consistent with postresuscitation myocardial dysfunction.
Postresuscitation myocardial dysfunction is a common complication of CPR in human medicine and is associated with a worse outcome. This is the first clinical report of postresuscitation myocardial dysfunction in a dog.
描述一例犬复苏后心肌功能障碍的临床病例。
一只11月龄、体重2.37千克的雌性绝育吉娃娃犬在发生心肺骤停后接受心肺复苏(CPR),之后被转诊进行后续治疗。复苏后发现奔马律,超声心动图显示左心室严重扩张,心肌收缩力严重受损,彩色多普勒检查发现轻度二尖瓣反流偏心射流。主要鉴别诊断为特发性或营养性扩张型心肌病、终末期心肌炎或复苏后心肌功能障碍。48小时后重复超声心动图检查,结果显示左心室大小和收缩力正常,评估结果与复苏后心肌功能障碍相符。
复苏后心肌功能障碍是人类医学中心肺复苏的常见并发症,且与较差的预后相关。这是犬复苏后心肌功能障碍 的首例临床报告。