Department of Internal Medicine, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine" Ion Ionescu de la Brad" Iași, Iași, Romania.
Pathology Department, Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine" Ion Ionescu de la Brad" Iași, Iași, Romania.
Vet Q. 2020 Dec;40(1):223-228. doi: 10.1080/01652176.2020.1820099.
Acute canine idiopathic polyradiculoneuritis (ACIP) is one of the most common generalised neuromuscular diseases affecting dogs. In this report, we describe a 5-year-old, 25-kg, male, intact, Siberian Husky dog with ACIP with secondary induced arterial hypertension {systolic blood pressure [mean (m) ± standard deviation (sd)], 214 ± 19 mmHg; mean blood pressure (m ± sd), 164 ± 6.36 mmHg; and diastolic blood pressure (m ± sd), 137 ± 0.7 mmHg} and sinus tachycardia. Heart rate variability analysis indicated decreased vagal activity (low root-mean-square values of successive RR interval differences and percentages of the RR intervals differing by more than 50 ms in the entire recording) and predominance of sympathetic activity. Arterial hypertension was treated with amlodipine but remained greater than the upper limit for 51 days until the dog recovered ambulation. This is the first case report of ACIP and secondary arterial hypertension in a dog. Routine blood pressure measurements should be included in the monitoring of patients with ACIP if arterial hypertension might interfere with patient prognosis.
急性犬特发性多发性神经病(ACIP)是一种最常见的犬类全身性神经肌肉疾病。在本报告中,我们描述了一例继发于动脉性高血压的 5 岁、25kg 雄性、未绝育的西伯利亚雪橇犬 ACIP 病例,其收缩压[平均值(m)±标准差(sd)]为 214 ± 19mmHg;平均血压(m ± sd)为 164 ± 6.36mmHg;舒张压(m ± sd)为 137 ± 0.7mmHg)和窦性心动过速。心率变异性分析表明迷走神经活动减少(连续 RR 间期差异的均方根值较低,整个记录中 RR 间期差异超过 50ms 的百分比),交感神经活动占优势。采用氨氯地平治疗动脉性高血压,但在犬恢复行走功能前的 51 天内,血压仍持续高于上限。这是首例犬 ACIP 继发动脉性高血压的病例报告。如果动脉性高血压可能影响患者预后,应在 ACIP 患者的监测中常规测量血压。