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两只植入单腔永久性经静脉起搏器的犬心房肌病的长期管理

Long-term management of atrial myopathy in two dogs with single chamber permanent transvenous pacemakers.

作者信息

Schmitt K E, Lefbom B K

机构信息

CVCA, Cardiac Care for Pets, 140 Park Street SE, Vienna, VA 22180, USA.

CVCA, Cardiac Care for Pets, 140 Park Street SE, Vienna, VA 22180, USA.

出版信息

J Vet Cardiol. 2016 Jun;18(2):187-93. doi: 10.1016/j.jvc.2015.11.003. Epub 2016 Feb 28.

DOI:10.1016/j.jvc.2015.11.003
PMID:26923757
Abstract

Two young Labrador retriever dogs with bradycardia-induced syncope resulting from atrial myopathy underwent permanent transvenous pacemaker implantation. Both dogs developed heart failure 3-5 years after pacemaker implantation. Both were managed medically for approximately 7 years after pacemaker implantation and, ultimately, were humanely euthanized due to refractory heart failure signs and quality of life concerns. Long-term management of dogs with atrial myopathy and secondary atrial standstill with pacemaker implantation and medical therapy for heart failure is feasible and prognosis may be better than previously reported or speculated.

摘要

两只患有心房肌病导致心动过缓性晕厥的年轻拉布拉多猎犬接受了永久性经静脉起搏器植入术。两只狗在起搏器植入后3至5年都出现了心力衰竭。在起搏器植入后,两只狗都接受了大约7年的药物治疗,最终,由于难治性心力衰竭症状和对生活质量的担忧,被实施了安乐死。对于患有心房肌病和继发性心房停搏的狗,通过起搏器植入和心力衰竭药物治疗进行长期管理是可行的,并且预后可能比之前报道或推测的要好。

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