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住院患有全身炎症反应综合征猫的心肌肌钙蛋白I与心电图评估

Cardiac Troponin I and Electrocardiographic Evaluation in Hospitalized Cats with Systemic Inflammatory Response Syndrome.

作者信息

Pugliese Michela, Napoli Ettore, La Maestra Rocky, Or Mehmet Erman, Bilgiç Bengü, Previti Annalisa, Biondi Vito, Passantino Annamaria

机构信息

Department of Veterinary Sciences, University of Messina, Via Umberto Palatucci, 98168 Messina, Italy.

Faculty of Veterinary Medicine, İstanbul University-Cerrahpasa, 34098 Istanbul, Turkey.

出版信息

Vet Sci. 2023 Sep 13;10(9):570. doi: 10.3390/vetsci10090570.

Abstract

Several studies conducted on humans demonstrate the increase in cardiac troponins and the onset of arrhythmias in the course of systemic inflammatory response syndrome (SIRS). The aim of the current study was to assess the blood concentration of cardiac troponin I (cTnI) and electrocardiographic findings in SIRS-affected cats. Seventeen shorthair cats hospitalized with SIRS were enrolled (Group 1). SIRS diagnosis was performed based on the detection of at least two of the four criteria such as abnormal body temperature, abnormal heart rate (i.e., tachycardia or bradycardia), abnormal respiratory rate (i.e., tachypnea or bradypnea), and alterations of white blood cell number (i.e., leukocytes or band neutrophils). Ten cats screened for elective surgery such as neutering or dental procedures were evaluated as a control population (Group 2). They were considered healthy based on history, physical examination, hematological and biochemical profile, urinalysis, coprological exam, thyroxine assay, blood pressure measurement, and echocardiography. A physical examination, complete blood cell count, biochemistry test (including an electrolyte panel), electrocardiographic examination, and cTnI assay were carried out in each cat enrolled. Traumatic events, gastrointestinal, neoplastic, respiratory, and neurological disorders were identified as causes of SIRS in Group 1. In Group 1, a significantly higher concentration of cTnI than that in Group 2 was recorded ( = 0.004). In 37.5% of cats with SIRS, ventricular premature complexes occurring in couplets with multiform configuration were detected. Similarly, to humans, data herein reported would indicate possible cardiac damage present in cats with SIRS diagnosis.

摘要

多项针对人类的研究表明,在全身炎症反应综合征(SIRS)过程中,心肌肌钙蛋白会升高,心律失常也会发作。本研究的目的是评估患有SIRS的猫的心肌肌钙蛋白I(cTnI)血浓度和心电图检查结果。纳入了17只因SIRS住院的短毛猫(第1组)。SIRS的诊断基于四项标准中至少两项的检测结果,这四项标准包括体温异常、心率异常(即心动过速或心动过缓)、呼吸频率异常(即呼吸急促或呼吸过缓)以及白细胞数量改变(即白细胞或带状中性粒细胞)。对10只接受绝育或牙科手术等择期手术筛查的猫进行评估,作为对照群体(第2组)。根据病史、体格检查、血液学和生化指标、尿液分析、粪便检查、甲状腺素测定、血压测量和超声心动图,认为它们是健康的。对每只纳入的猫进行了体格检查、全血细胞计数、生化检测(包括电解质分析)、心电图检查和cTnI检测。在第1组中,创伤事件、胃肠道、肿瘤、呼吸和神经系统疾病被确定为SIRS的病因。在第1组中,记录到的cTnI浓度显著高于第2组( = 0.004)。在37.5%的患有SIRS的猫中,检测到出现成对多形性构型的室性早搏。与人类相似,本文报告的数据表明,诊断为SIRS的猫可能存在心脏损伤。

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