1. Spontaneous pre-excited supraventricular tachycardias in a Labrador Retriever.
- Author
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Melis C, Beijerink N, and Santilli R
- Subjects
- Dogs, Animals, Male, Sotalol therapeutic use, Fatal Outcome, Lidocaine therapeutic use, Dog Diseases drug therapy, Tachycardia, Supraventricular veterinary, Tachycardia, Supraventricular drug therapy, Electrocardiography veterinary, Anti-Arrhythmia Agents therapeutic use
- Abstract
A four-year-old Labrador Retriever was presented for intermittent tachycardia. The electrocardiogram showed sinus rhythm conducted with ventricular pre-excitation and short runs of orthodromic atrioventricular reciprocating tachycardia. Four months later, the rhythm degenerated into a symptomatic sustained tachycardia, suspected to be pre-excited atrial fibrillation, a potentially life-threatening rhythm in the presence of an accessory pathway with a short refractory period. Two days after initiating oral diltiazem, the dog deteriorated and represented with sustained orthodromic atrioventricular reciprocating tachycardia, which was terminated by a precordial chest thump. It proceeded to sinus rhythm with ventricular pre-excitation followed by an episode of pre-excited focal atrial tachycardia. A bolus of lidocaine IV successfully restored sinus rhythm and sotalol treatment was started. The dog clinically recovered but died spontaneously 24 h later. This is the first case report that describes spontaneous pre-excited focal atrial tachycardia., Competing Interests: Conflict of Interest Statement The authors do not have any conflict of interest to disclose., (Copyright © 2024. Published by Elsevier B.V.)
- Published
- 2024
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