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犬阵发性房室传导阻滞伴文氏周期的长期管理

Long-term management of paroxysmal atrioventricular block with Wenckebach cycles in a dog.

作者信息

Morita Shohei, Taguchi Shiho, Kondo Takahiro, Yoshimura Aritada, Ikoma Shiori, Ohmori Takahiro, Hirao Daiki, Machida Noboru, Hirose Hisashi, Fukushima Ryuji

机构信息

Koganei Animal Emergency Medical Center, Tokyo University of Agriculture and Technology, Tokyo, Japan.

Animal Medical Center, Tokyo University of Agriculture and Technology, Tokyo, Japan.

出版信息

J Vet Med Sci. 2025 May 1;87(5):454-457. doi: 10.1292/jvms.24-0521. Epub 2025 Mar 26.

DOI:10.1292/jvms.24-0521
PMID:40139832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12150870/
Abstract

This is the first report of paroxysmal atrioventricular block with Wenckebach cycles in a dog exhibiting syncope. The patient was a 1-year-old female Shiba Inu referred to our hospital with chief complaints of exercise intolerance, dizziness during walking, and tongue discoloration. Pacemaker implantation was performed based on the clinical presentation and Holter electrocardiogram findings. In this case, long-term management was successfully achieved for 13 years and 3 months (Age 15 years old) after the placement of pacemaker. A histopathological examination revealed that no abnormalities in the conduction system were detected that could explain the arrhythmia. Consequently, the arrhythmia was suspected to have been caused by vagus nerve stimulation.

摘要

这是关于一只出现晕厥的犬发生伴有文氏周期的阵发性房室传导阻滞的首例报告。该患者为一只1岁雌性柴犬,因运动不耐受、行走时头晕和舌头发紫等主要症状转诊至我院。根据临床表现和动态心电图检查结果进行了起搏器植入。在这种情况下,起搏器植入后成功实现了13年零3个月(15岁)的长期管理。组织病理学检查显示,未发现传导系统存在可解释心律失常的异常情况。因此,怀疑心律失常是由迷走神经刺激引起的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/d26f2be1db8e/jvms-87-5-454-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/92993d0ddaa4/jvms-87-5-454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/469cba1d6dac/jvms-87-5-454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/4cabcc788b90/jvms-87-5-454-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/d26f2be1db8e/jvms-87-5-454-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/92993d0ddaa4/jvms-87-5-454-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/469cba1d6dac/jvms-87-5-454-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/4cabcc788b90/jvms-87-5-454-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63da/12150870/d26f2be1db8e/jvms-87-5-454-g004.jpg

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本文引用的文献

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The anatomical basis of third-degree atrioventricular block in dogs with atrioventricular valve endocardiosis.犬房室瓣心内膜炎三度房室传导阻滞的解剖学基础。
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Efficacy of cilostazol in canine bradyarrhythmia.西洛他唑对犬缓慢性心律失常的疗效。
Front Vet Sci. 2022 Aug 16;9:954295. doi: 10.3389/fvets.2022.954295. eCollection 2022.
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Case report of paroxysmal atrioventricular block and ventricular arrest in a young pregnant woman: What is the mechanism?
年轻孕妇阵发性房室传导阻滞伴心室停搏 1 例:其机制是什么?
Ann Noninvasive Electrocardiol. 2022 Mar;27(2):e12909. doi: 10.1111/anec.12909. Epub 2021 Oct 28.
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Pathological Features of Complete Atrioventricular Block in Dogs with Lymphocytic Myocarditis.淋巴细胞性心肌炎犬完全性房室传导阻滞的病理特征
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J Electrocardiol. 2009 Nov-Dec;42(6):648-50. doi: 10.1016/j.jelectrocard.2009.07.018. Epub 2009 Sep 2.
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Paroxysmal atrioventricular block related to hypopolarization and spontaneous diastolic depolarization.与低极化和自发性舒张期去极化相关的阵发性房室传导阻滞
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