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在具有正常超声心动图的健康成年伯恩山犬中,常可检测到心电图异常。

Electrocardiographic abnormalities are frequently detected in healthy adult Borzoi with a normal echocardiogram.

机构信息

1Department of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX.

2VCA Animal Diagnostic Clinic, Dallas, TX.

出版信息

J Am Vet Med Assoc. 2024 Jul 31;262(10):1-10. doi: 10.2460/javma.24.04.0247. Print 2024 Oct 1.

Abstract

OBJECTIVE

Borzoi reportedly experience sudden death. The objective of this study was to report ECG intervals, amplitudes, and frequency of ECG abnormalities in clinically healthy Borzoi.

METHODS

98 clinically healthy Borzoi were prospectively recruited and underwent echocardiogram, ECG, and cardiac troponin I testing between October 2020 and December 2022. Standard ECG measurements were obtained. Early repolarization notches and slurs were recorded.

RESULTS

Of 82 Borzoi with a structurally normal echocardiogram, ventricular arrhythmias were documented in 8 (10%) dogs, all of which had normal cardiac troponin I concentrations. Median P wave duration was 55 milliseconds (range, 45 to 70 milliseconds). Median PR interval was 125 milliseconds (range, 80 to 175 milliseconds). Thirty-one (38%) Borzoi had first-degree atrioventricular block (PR interval > 130 milliseconds). Median QRS duration was 65 milliseconds (range, 48 to 90 milliseconds). Median QT interval was 235 milliseconds (range, 185 to 275 milliseconds). Twenty-nine (35%) and 15 (18%) of 82 Borzoi had QT intervals > 240 or > 250 milliseconds, respectively. Sixty-seven of 82 (82%) Borzoi had early repolarization notches or slurs. Seventeen of 82 (21%) Borzoi had an abnormality of the ST segment, most commonly convexity/doming. Convexity of the ST segment was intermittent (n = 9) or persistent (4).

CONCLUSIONS

Ventricular arrhythmias, early repolarization, prolonged QT intervals, and ST segment abnormalities are not infrequent in clinically healthy Borzoi. P, PR, and QRS durations are commonly prolonged compared to general canine reference intervals.

CLINICAL RELEVANCE

Future study into heritable channelopathies in Borzoi is warranted given the frequency of ventricular arrhythmias, repolarization abnormalities, and sudden death in the breed. Breed-specific ECG reference intervals are needed.

摘要

目的

报道博茨瓦纳牧羊犬有猝死现象。本研究的目的是报告临床健康博茨瓦纳牧羊犬的心电图(ECG)间期、幅度和异常频率。

方法

2020 年 10 月至 2022 年 12 月,前瞻性招募了 98 只临床健康的博茨瓦纳牧羊犬,进行超声心动图、心电图和心脏肌钙蛋白 I 检测。获得标准 ECG 测量值。记录早期复极切迹和模糊。

结果

在 82 只结构正常的博茨瓦纳牧羊犬中,8 只(10%)犬记录到室性心律失常,所有犬的心脏肌钙蛋白 I 浓度均正常。中位 P 波持续时间为 55 毫秒(范围,45 至 70 毫秒)。中位 PR 间期为 125 毫秒(范围,80 至 175 毫秒)。31 只(38%)博茨瓦纳牧羊犬有一度房室传导阻滞(PR 间期>130 毫秒)。中位 QRS 持续时间为 65 毫秒(范围,48 至 90 毫秒)。中位 QT 间期为 235 毫秒(范围,185 至 275 毫秒)。82 只博茨瓦纳牧羊犬中有 29 只(35%)和 15 只(18%)的 QT 间期分别>240 或>250 毫秒。82 只博茨瓦纳牧羊犬中有 67 只(82%)有早期复极切迹或模糊。82 只博茨瓦纳牧羊犬中有 17 只(21%)的 ST 段异常,最常见的是凸面/穹窿形。ST 段凸面为间歇性(n=9)或持续性(n=4)。

结论

在临床健康的博茨瓦纳牧羊犬中,室性心律失常、早期复极、QT 间期延长和 ST 段异常并不少见。与一般犬科参考区间相比,P、PR 和 QRS 持续时间通常延长。

临床意义

鉴于该品种中室性心律失常、复极异常和猝死的发生率,有必要对博茨瓦纳牧羊犬的遗传性通道病进行进一步研究。需要制定特定品种的心电图参考区间。

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