Sullivan Alyssa, Adin Darcy B, Speziok Sara B, Haimovitz Dana, Holbrook Todd C, Luethy Daniela
Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.
J Vet Intern Med. 2025 Jul-Aug;39(4):e70160. doi: 10.1111/jvim.70160.
Continuous 24-h electrocardiographic (ECG) recording is a well-established method for the detection of intermittent arrhythmias in veterinary medicine. The clinical utility of 24-h ECG for the detection of intermittent arrhythmias in hospitalized goats has not been reported.
HYPOTHESIS/OBJECTIVES: (1) Determine the clinical feasibility of continuous 24-h ECG monitoring in goats; (2) Report the frequency of ventricular arrhythmias in healthy and hospitalized medically ill goats.
Eleven healthy goats, 20 hospitalized medically ill goats.
Prospective clinical study. Continuous 24-h ECG recordings were performed. Electrocardiograms were analyzed for rhythm diagnosis. The number of ventricular premature depolarizations (VPD) was compared between groups using the Wilcoxon rank sum test.
The ECG monitors were well-tolerated in 30/31 goats, with no adverse effects. Twenty-eight recordings were of sufficient quality for analysis with a median readable time of 23 h (range, 15-24 h). Eleven goats had ventricular arrhythmias (4 healthy, 7 medically ill), consisting of single VPDs only in 7 goats (3 healthy, 4 medically ill), VPDs and ventricular couplets in 4 goats (1 healthy, 3 medically ill), and ventricular rhythm consistent with accelerated idioventricular rhythm (AIVR) or ventricular tachycardia in 2 goats (2 medically ill). A significant difference in the number of VPDs in healthy goats (median, 0; range, 0-9) and medically ill goats was not identified (median, 0; range, 0-201; p = 0.66), but a larger sample size is required.
Most goats tolerated 24-h ECG monitoring well, although a few recordings were of poor quality. Ventricular arrhythmias were seen in healthy and medically ill goats.
连续24小时心电图（ECG）记录是兽医学中检测间歇性心律失常的一种成熟方法。24小时心电图在住院山羊中检测间歇性心律失常的临床实用性尚未见报道。
假设/目的：（1）确定山羊连续24小时心电图监测的临床可行性；（2）报告健康和住院患病山羊室性心律失常的发生率。
11只健康山羊，20只住院患病山羊。
前瞻性临床研究。进行连续24小时心电图记录。分析心电图以进行节律诊断。使用Wilcoxon秩和检验比较各组室性早搏（VPD）的数量。
31只山羊中有30只对心电图监测耐受性良好，无不良反应。28份记录质量足以进行分析，中位可读时间为23小时（范围15 - 24小时）。11只山羊出现室性心律失常（4只健康，7只患病），其中仅7只山羊出现单个VPD（3只健康，4只患病），4只山羊出现VPD和室性成对早搏（1只健康，3只患病），2只山羊出现与加速性室性自主心律（AIVR）或室性心动过速一致的室性节律（2只患病）。未发现健康山羊（中位值0；范围0 - 9）和患病山羊VPD数量有显著差异（中位值0；范围0 - 201；p = 0.66），但需要更大样本量。
大多数山羊对24小时心电图监测耐受性良好，尽管少数记录质量较差。健康和患病山羊均可见室性心律失常。
