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七天动态心电图监测期间明显健康的大型犬室性心律失常的发生率

Frequency of ventricular arrhythmias in apparently healthy, large breed dogs during seven-day Holter monitoring.

作者信息

Gunasekaran Tamilselvam, Pinkos Alyssa, Sanders Robert

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, East Lansing, Michigan, United States of America.

出版信息

PLoS One. 2025 Jun 2;20(5):e0319886. doi: 10.1371/journal.pone.0319886. eCollection 2025.

Abstract

Continuous ambulatory electrocardiographic monitoring (Holter) is commonly used to diagnose and manage various cardiac arrhythmias in dogs. Despite its widespread use, data on the frequency of ventricular arrhythmias and its day-to-day variability in healthy, large-breed dogs without known predisposition to cardiomyopathy remains limited. This study assessed the frequency, complexity, and spontaneous day-to-day variation of ventricular arrhythmias in clinically healthy, large-breed dogs using seven-day Holter monitoring. Thirty-one, apparently healthy dogs without any history of systemic illness and normal physical examination findings underwent continuous 7-day Holter monitoring. Two dogs were excluded due to the occurrence of significant systemic disease soon after enrolment. The results from 29 dogs showed that most dogs (86%) had fewer than twenty ventricular premature complexes (VPCs) per 24-hour period, with significant day-to-day variation (up to 93%) in 4 dogs with over twenty VPCs. Complex ventricular arrhythmias, such as ventricular couplets, triplets, and ventricular tachycardia, were rare. No correlation was found between age and VPC frequency (p = 0.409) in this population of predominantly older dogs. These findings suggest that large-breed dogs without a predisposition to cardiomyopathies exhibit low arrhythmia frequencies with significant day-to-day variation in some dogs.

摘要

动态心电图监测(Holter)常用于诊断和管理犬类的各种心律失常。尽管其应用广泛,但关于健康、无已知心肌病易患倾向的大型犬室性心律失常的发生频率及其每日变异性的数据仍然有限。本研究使用七天的Holter监测评估了临床健康的大型犬室性心律失常的频率、复杂性和自发的每日变化。31只明显健康、无任何全身疾病史且体格检查结果正常的犬接受了连续7天的Holter监测。两只犬因入组后不久出现严重全身疾病而被排除。29只犬的结果显示,大多数犬(86%)每24小时的室性早搏(VPC)少于20次,4只VPC超过20次的犬的每日变化显著(高达93%)。复杂性室性心律失常,如室性成对早搏、室性三联律和室性心动过速很少见。在这个以老年犬为主的群体中,未发现年龄与VPC频率之间存在相关性(p = 0.409)。这些发现表明,无心肌病易患倾向的大型犬心律失常频率较低,部分犬的每日变化显著。

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