Faculty of Veterinary Medicine, Medicina y Cirugía Animal, University Complutense of Madrid, Madrid, Spain.
Vet Rec. 2013 Mar 9;172(10):268. doi: 10.1136/vr.100937. Epub 2013 Jan 12.
The aim of the present study was to retrospectively evaluate survival in a population of 62 boxer dogs with arrhythmogenic right ventricular cardiomyopathy (ARVC), without left ventricular systolic failure, based on the following factors: age at diagnosis, presence of syncopal episodes, Holter arrhythmia classification and administered treatment. Medical records of boxer dogs with a diagnosis of ARVC between 2000 and 2010 were reviewed. Results showed that median survival time (MST) was longer in younger ARVC dogs than in the older ones P<0.001). MST was statistically different (P=0.012) between dogs with syncope (365 days) and dogs without syncope episodes (693 days), the probability of death within a year being 4.8 times greater in dogs with syncope (95% CI 1.48 to 15.99) than in dogs without syncope. Regarding Holter classification results, MST was 547.5 days in Holter class-2 dogs and 365 days in Holter class-4 dogs (P=0.030). There were no differences regarding treatment options; MST was 365 days (95% CI 193.615 to 536.4) in the sotalol group, 365 days (95% CI 92.86 to 637.14) in the mexiletine plus atenolol group, and 547.50 days (95% CI 170.45 to 924.55) in the procainamide group (P=0.383). According to this study, the best prognosis is for the younger boxer dog without syncope. There were no differences in survival times in relation to the different treatment options used.
本研究旨在回顾性评估 62 只无左心室收缩功能衰竭的致心律失常性右心室心肌病(ARVC)的博德牧羊犬的生存率,基于以下因素:诊断时的年龄、晕厥发作的存在、动态心电图心律失常分类和所给予的治疗。对 2000 年至 2010 年间诊断为 ARVC 的博德牧羊犬的病历进行了回顾。结果显示,较年轻的 ARVC 犬的中位生存时间(MST)长于较年长的犬(P<0.001)。有晕厥史的犬(365 天)和无晕厥史的犬(693 天)的 MST 存在统计学差异(P=0.012),晕厥犬在一年内死亡的概率是无晕厥犬的 4.8 倍(95%CI 1.48 至 15.99)。关于动态心电图分类结果,Holter 分类-2 犬的 MST 为 547.5 天,Holter 分类-4 犬的 MST 为 365 天(P=0.030)。治疗选择无差异;索他洛尔组的 MST 为 365 天(95%CI 193.615 至 536.4),美西律加阿替洛尔组的 MST 为 365 天(95%CI 92.86 至 637.14),普鲁卡因胺组的 MST 为 547.50 天(95%CI 170.45 至 924.55)(P=0.383)。根据本研究,无晕厥且较年轻的博德牧羊犬预后最佳。不同治疗方案的生存时间无差异。