Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog
Third degree atrioventricular (AV) block in dogs is thought to be most frequently characterized by non-specific fibrotic changes in the AV node. However, it may occur secondary to an undiagnosed inflammatory process. We report a case of third degree AV block in a dog, secondary to acute lymphocytic-...
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| Veröffentlicht in: | Journal of veterinary cardiology 2007-05, Vol.9 (1), p.53-57 |
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| container_title | Journal of veterinary cardiology |
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| creator | Church, Whitney M. Sisson, D. David Oyama, Mark A. Zachary, James F. |
| description | Third degree atrioventricular (AV) block in dogs is thought to be most frequently characterized by non-specific fibrotic changes in the AV node. However, it may occur secondary to an undiagnosed inflammatory process. We report a case of third degree AV block in a dog, secondary to acute lymphocytic-plasmacytic myocarditis that resulted in sudden death. This dog had cardiac troponin I levels of 44.65
ng/mL (normal |
| doi_str_mv | 10.1016/j.jvc.2006.08.002 |
| format | Article |
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ng/mL (normal <0.11
ng/mL). The serum cardiac troponin I level was five times higher than any other AV block patient measured in our laboratory, and was also substantially higher than in dogs with chronic valve disease or dilated cardiomyopathy. The severe myocardial necrosis observed at necropsy correlated with the degree of cardiac troponin I elevation. This report suggests that measurement of cardiac troponin I may be an indicated test before pacemaker implantation in dogs with third degree AV block.</description><identifier>ISSN: 1760-2734</identifier><identifier>EISSN: 1875-0834</identifier><identifier>DOI: 10.1016/j.jvc.2006.08.002</identifier><identifier>PMID: 17689470</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acute Disease ; Animals ; Complete atrioventricular block ; Death, Sudden, Cardiac - etiology ; Death, Sudden, Cardiac - prevention & control ; Death, Sudden, Cardiac - veterinary ; Diagnosis, Differential ; Dogs ; Electrocardiography - veterinary ; Fatal Outcome ; Heart Block - etiology ; Heart Block - prevention & control ; Heart Block - veterinary ; Male ; Myocarditis - complications ; Myocarditis - veterinary ; Pacemaker ; Pacemaker, Artificial - veterinary ; Sudden death ; Troponin ; Troponin I - metabolism</subject><ispartof>Journal of veterinary cardiology, 2007-05, Vol.9 (1), p.53-57</ispartof><rights>2006 Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c266t-f79904c5ba395f4ef246bac2002bfb1b6905dc752e151e7de489f862818d00113</citedby><cites>FETCH-LOGICAL-c266t-f79904c5ba395f4ef246bac2002bfb1b6905dc752e151e7de489f862818d00113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jvc.2006.08.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17689470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Church, Whitney M.</creatorcontrib><creatorcontrib>Sisson, D. David</creatorcontrib><creatorcontrib>Oyama, Mark A.</creatorcontrib><creatorcontrib>Zachary, James F.</creatorcontrib><title>Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog</title><title>Journal of veterinary cardiology</title><addtitle>J Vet Cardiol</addtitle><description>Third degree atrioventricular (AV) block in dogs is thought to be most frequently characterized by non-specific fibrotic changes in the AV node. However, it may occur secondary to an undiagnosed inflammatory process. We report a case of third degree AV block in a dog, secondary to acute lymphocytic-plasmacytic myocarditis that resulted in sudden death. This dog had cardiac troponin I levels of 44.65
ng/mL (normal <0.11
ng/mL). The serum cardiac troponin I level was five times higher than any other AV block patient measured in our laboratory, and was also substantially higher than in dogs with chronic valve disease or dilated cardiomyopathy. The severe myocardial necrosis observed at necropsy correlated with the degree of cardiac troponin I elevation. This report suggests that measurement of cardiac troponin I may be an indicated test before pacemaker implantation in dogs with third degree AV block.</description><subject>Acute Disease</subject><subject>Animals</subject><subject>Complete atrioventricular block</subject><subject>Death, Sudden, Cardiac - etiology</subject><subject>Death, Sudden, Cardiac - prevention & control</subject><subject>Death, Sudden, Cardiac - veterinary</subject><subject>Diagnosis, Differential</subject><subject>Dogs</subject><subject>Electrocardiography - veterinary</subject><subject>Fatal Outcome</subject><subject>Heart Block - etiology</subject><subject>Heart Block - prevention & control</subject><subject>Heart Block - veterinary</subject><subject>Male</subject><subject>Myocarditis - complications</subject><subject>Myocarditis - veterinary</subject><subject>Pacemaker</subject><subject>Pacemaker, Artificial - veterinary</subject><subject>Sudden death</subject><subject>Troponin</subject><subject>Troponin I - metabolism</subject><issn>1760-2734</issn><issn>1875-0834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1LxDAQxYMoun78AV4kJ2-tk7RNUzzJ4hcseFlvQkiTqWbtNpq0C_vfG9kFb55mYH7vMe8RcskgZ8DEzSpfbUzOAUQOMgfgB2TGZF1lIIvyMO21gIzXRXlCTmNcARSSQ31MTtJBNmUNM_K2_HDBUovvAZHqMTi_wSENM_U60Lb35pPqwdI4WYtDAvX4QSMaP1gdtnT0VJtpRLreeqODdaOL1A1UU-vfz8lRp_uIF_t5Rl4f7pfzp2zx8vg8v1tkhgsxZl3dNFCaqtVFU3UldrwUrTYpF2-7lrWigcqauuLIKoa1xVI2nRRcMmkBGCvOyPXO9yv47wnjqNYuGux7PaCfohKSVVBWMoFsB5rgYwzYqa_g1imHYqB-K1UrlSpVv5UqkCp9kDRXe_OpXaP9U-w7TMDtDsAUceMwqGgcDgatC2hGZb37x_4HExaHQw</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>Church, Whitney M.</creator><creator>Sisson, D. David</creator><creator>Oyama, Mark A.</creator><creator>Zachary, James F.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200705</creationdate><title>Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog</title><author>Church, Whitney M. ; Sisson, D. David ; Oyama, Mark A. ; Zachary, James F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c266t-f79904c5ba395f4ef246bac2002bfb1b6905dc752e151e7de489f862818d00113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Animals</topic><topic>Complete atrioventricular block</topic><topic>Death, Sudden, Cardiac - etiology</topic><topic>Death, Sudden, Cardiac - prevention & control</topic><topic>Death, Sudden, Cardiac - veterinary</topic><topic>Diagnosis, Differential</topic><topic>Dogs</topic><topic>Electrocardiography - veterinary</topic><topic>Fatal Outcome</topic><topic>Heart Block - etiology</topic><topic>Heart Block - prevention & control</topic><topic>Heart Block - veterinary</topic><topic>Male</topic><topic>Myocarditis - complications</topic><topic>Myocarditis - veterinary</topic><topic>Pacemaker</topic><topic>Pacemaker, Artificial - veterinary</topic><topic>Sudden death</topic><topic>Troponin</topic><topic>Troponin I - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Church, Whitney M.</creatorcontrib><creatorcontrib>Sisson, D. David</creatorcontrib><creatorcontrib>Oyama, Mark A.</creatorcontrib><creatorcontrib>Zachary, James F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of veterinary cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Church, Whitney M.</au><au>Sisson, D. David</au><au>Oyama, Mark A.</au><au>Zachary, James F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog</atitle><jtitle>Journal of veterinary cardiology</jtitle><addtitle>J Vet Cardiol</addtitle><date>2007-05</date><risdate>2007</risdate><volume>9</volume><issue>1</issue><spage>53</spage><epage>57</epage><pages>53-57</pages><issn>1760-2734</issn><eissn>1875-0834</eissn><abstract>Third degree atrioventricular (AV) block in dogs is thought to be most frequently characterized by non-specific fibrotic changes in the AV node. However, it may occur secondary to an undiagnosed inflammatory process. We report a case of third degree AV block in a dog, secondary to acute lymphocytic-plasmacytic myocarditis that resulted in sudden death. This dog had cardiac troponin I levels of 44.65
ng/mL (normal <0.11
ng/mL). The serum cardiac troponin I level was five times higher than any other AV block patient measured in our laboratory, and was also substantially higher than in dogs with chronic valve disease or dilated cardiomyopathy. The severe myocardial necrosis observed at necropsy correlated with the degree of cardiac troponin I elevation. This report suggests that measurement of cardiac troponin I may be an indicated test before pacemaker implantation in dogs with third degree AV block.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>17689470</pmid><doi>10.1016/j.jvc.2006.08.002</doi><tpages>5</tpages></addata></record> |
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| subjects | Acute Disease Animals Complete atrioventricular block Death, Sudden, Cardiac - etiology Death, Sudden, Cardiac - prevention & control Death, Sudden, Cardiac - veterinary Diagnosis, Differential Dogs Electrocardiography - veterinary Fatal Outcome Heart Block - etiology Heart Block - prevention & control Heart Block - veterinary Male Myocarditis - complications Myocarditis - veterinary Pacemaker Pacemaker, Artificial - veterinary Sudden death Troponin Troponin I - metabolism |
| title | Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog |
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