By Maureen McMichael, Ryan Fries
Life-Threatening Cardiac Emergencies for the Small Animal Practitioner offers a short connection with spotting and treating universal cardiac arrhythmias and emergent cardiac stipulations in canines and pussycat sufferers, designed for speedy entry in the course of an emergency.
- Offers fast and simple entry to key info for diagnosing and handling arrhythmias and cardiac stipulations in canines and cats
- Designed for ease of use within the fast paced emergency setting
- Presents transparent, reproducible ECGs, radiographs, and echocardiograms for reference and comparison
- Part of the fast Reference sequence offering small animal practitioners with perfect speedy references for patient-side guidance
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Extra info for Life-threatening cardiac emergencies for the small animal practitioner
On physical examination the animal may be weak and have pale to cyanotic mucous membranes, jugular venous distention +/− jugular pulses, muffled heart sounds, weak pulses, pulsus paradoxicus (weaker pulses on inspiration), tachycardia. Differentials and diagnostics ECG, a minimum data base (PCV, TS, azo, BG), CBC, biochemistry panel, coagulation panel or ACT, CXR (enlarged, globoid cardiac silhouette with small pulmonary vessels +/− pleural effusion). The globoid cardiac silhouette must be differentiated from dilated cardiomyopathy, which has an enlarged heart with large pulmonary vessels +/− pulmonary edema.
Arrhythmogenic right ventricular cardiomyopathy Also called familial ventricular arrhythmia of Boxer dogs, Boxer cardiomyopathy, and arrhythmogenic right ventricular dysplasia. There is no sex predilection and it is suspected to be inherited as an autosomal dominant trait. Recognition Subclinical phase with no clinical signs may occur. During this phase there are no changes on thoracic radiographs or echocardiogram. ECG findings can include typical left bundle branch block-like appearance of VPCs from fibrofatty Life-Threatening Cardiac Emergencies for the Small Animal Practitioner, First Edition.
Chapter 4 Miscellaneous arrhythmias and cardiac conditions 49 Treatment r Pericardiocentesis See “Pericardial effusion” section later for procedure. 0 × maintenance rate if stable; larger volumes may be required in unstable patients). Furosemide is contraindicated. Prognosis With idiopathic pericardial effusion approximately 50% will need repeated taps. Definitive treatment is surgery (pericardiectomy). With hemangiosarcoma the prognosis is poor and life span is 1 to 4 months depending on metastasis and treatment options chosen.