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波尔多犬群体中心脏检查结果的表型描述,重点是心房颤动。

Phenotypic description of cardiac findings in a population of Dogue de Bordeaux with an emphasis on atrial fibrillation.

作者信息

McAulay G, Borgeat K, Sargent J, Mõtsküla P, Neves J, Dukes-McEwan J, Luis Fuentes V

机构信息

Cardio-respiratory Referrals, New Priory Vets Brighton, BN1 8QR, UK.

Royal Veterinary College, Department of Clinical Science and Services, Hatfield AL9 7TA, UK.

出版信息

Vet J. 2018 Apr;234:111-118. doi: 10.1016/j.tvjl.2018.02.015. Epub 2018 Feb 26.

DOI:10.1016/j.tvjl.2018.02.015
PMID:29680382
Abstract

The aim of this study was to describe the clinical phenotype of Dogue de Bordeaux (DdB) referred for cardiac investigation, with particular reference to the prevalence of atrial fibrillation and associated features. Review of canine medical records of two United Kingdom veterinary referral hospitals identified 64 DdB with available echocardiographic and electrocardiographic (ECG)/Holter data. Atrial fibrillation was documented in 25 (39%) dogs and supraventricular tachycardia was recorded in five (7.8%) dogs. In a subset of 34 dogs, excluding congenital heart disease (n=17), presence of a cardiac mass (n=7) and non-cardiac neoplasia (n=6), 19 (56%) dogs had atrial fibrillation, with a median heart rate of 200 beats per min (bpm) on presentation. Atrial fibrillation was inconsistently associated with cardiac chamber remodelling, but was frequently associated with systolic dysfunction (13/19, 68.4%) and right sided atrial or ventricular dilatation (14/19, 73.7%) in dogs with atrial fibrillation in this subset. No dogs in this subset had right sided atrial or ventricular dilatation in the absence of supraventricular arrhythmia or systolic dysfunction. The absence of structural heart disease in some dogs with supraventricular arrhythmias suggests that an underlying primary arrhythmic process might be responsible for initiating remodelling, although a primary cardiomyopathy cannot be ruled out.

摘要

本研究的目的是描述因心脏检查而转诊的波尔多犬(DdB)的临床表型,尤其关注心房颤动的患病率及相关特征。回顾英国两家兽医转诊医院的犬类病历,确定了64只拥有可用超声心动图和心电图(ECG)/动态心电图数据的DdB。25只(39%)犬被记录有心房颤动,5只(7.8%)犬记录有室上性心动过速。在34只犬的亚组中,排除先天性心脏病(n = 17)、心脏肿物(n = 7)和非心脏肿瘤(n = 6),19只(56%)犬有心房颤动,就诊时平均心率为每分钟200次(bpm)。在该亚组中,心房颤动与心腔重塑的相关性不一致,但在有心房颤动的犬中,常与收缩功能障碍(13/19,68.4%)及右心房或右心室扩张(14/19,73.7%)相关。在该亚组中,没有犬在无室上性心律失常或收缩功能障碍的情况下出现右心房或右心室扩张。一些患有室上性心律失常的犬没有结构性心脏病,这表明潜在的原发性心律失常过程可能是引发重塑的原因,尽管不能排除原发性心肌病。

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