Comparison of in-hospital continuous electrocardiography versus recordable Holter monitoring in dogs with ventricular arrhythmias.

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Tytuł:: Comparison of in-hospital continuous electrocardiography versus recordable Holter monitoring in dogs with ventricular arrhythmias.
Autorzy:: Teslenko A; Department of Veterinary Clinical Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.
Fries RC; Department of Veterinary Clinical Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.
Selmic LE; Department of Veterinary Clinical Sciences, The Ohio State University, Columbus, Ohio, USA.
Źródło:: Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) [J Vet Emerg Crit Care (San Antonio)] 2021 Nov; Vol. 31 (6), pp. 758-765. Date of Electronic Publication: 2021 Sep 12.
Typ publikacji:: Journal Article; Observational Study, Veterinary
Język:: English
Imprint Name(s):: Publication: <2005-> : Malden, MA : Blackwell
Original Publication: San Antonio, TX : Veterinary Emergency & Critical Care Society, [2001]-
MeSH Terms:: Dog Diseases*/diagnosis
Electrocardiography, Ambulatory*/veterinary
Animals ; Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/veterinary ; Cohort Studies ; Dogs ; Electrocardiography ; Hospitals ; Prospective Studies
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Marino DJ, Matthiesen DT, Fox PR, Lesser MB, Stamoulis ME. Ventricular arrhythmias in dogs undergoing splenectomy: a prospective study. Vet Surg. 1994;23:101-106.
de Oliveira Cavalcanti GA. Continuous electrocardiography in dogs and cats. In: Perez-Marin CC, ed. A Bird's Eye View of Veterinary Medicine. InTech; 2012:141-150.
Crosara S, Borgarelli M, Perego M, et al. Holter monitoring in 36 dogs with myxomatous mitral valve disease: small animals. Aust Vet J. 2010;88:386-392.
Wess G, Schulze A, Geraghty N, Hartmann K. Ability of a 5-minute electrocardiography (ECG) for predicting arrhythmias in Doberman Pinschers with cardiomyopathy in comparison with a 24-hour ambulatory ECG. J Vet Int Med. 2010;24:367-371.
Meurs KM, Spier AW, Wright NA, Hamlin RL. Use of ambulatory electrocardiography for detection of ventricular premature complexes in healthy dogs. J Am Vet Med Assoc. 2001;218:1291-1292.
Gelzer AR, Kraus MS, Rishniw M. Evaluation of in-hospital electrocardiography versus 24-hour Holter for rate control in dogs with atrial fibrillation. J Small Anim Pract. 2015;56:456-462.
Visser LC, Kaplan JL, Nishimura S, et al. Acute echocardiographic effects of sotalol on ventricular systolic function in dogs with ventricular arrhythmias. J Vet Intern Med. 2018;32:1299-1307.
Spier AW, Meurs KM. Assessment of heart rate variability in Boxers with arrhythmogenic right ventricular cardiomyopathy. J Am Vet Med Assoc. 2004;224:534-537.
Gisev N, Bell JS, Chen TF. Interrater agreement and interrater reliability: key concepts, approaches, and applications. Res Soc Admin Pharm. 2013;9:330-338.
McHugh ML. Interrater reliability: the kappa statistic. Biochem Med. 2012;22:276-282.
Moise NS, Meyers-Wallen V, Flahive WJ, et al. Inherited ventricular arrhythmias and sudden death in German shepherd dogs. J Am Col Card. 1994;24:233-243.
Calvert CA, Jacobs GJ, Pickus CW. Bradycardia-associated episodic weakness, syncope, and aborted sudden death in cardiomyopathic Doberman Pinschers. J Vet Intern Med. 1996;10:88-93.
Grant Information:: Veterinary Student Scholars Program C17CA-603 Morris Animal Foundation; Dextronix, Inc.
Contributed Indexing:: Keywords: ECG; canine; cardiac arrythmia; telemetry
Entry Date(s):: Date Created: 20210912 Date Completed: 20211223 Latest Revision: 20220531
Update Code:: 20240105
DOI:: 10.1111/vec.13120
PMID:: 34510708
: Czasopismo naukowe

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Objective: Determine the agreement between nonrecordable continuous ECG and Holter monitoring at estimating arrhythmia severity in hospitalized dogs.
Design: Prospective, observational, cohort study.
Setting: University teaching hospital.
Animals: Ten dogs.
Interventions: Heart rates and rhythms were simultaneously monitored using nonrecordable cage-side continuous ECG and Holter monitoring. Continuous ECG was assessed by ICU technicians for 1 min every hour, and heart rate and rhythm were recorded. A modified Lown score was used to grade arrhythmia severity (Grade 0 = sinus; Grade 1 = single ventricular premature complexes; Grade 2 = accelerated idioventricular; Grade 3 = bigeminy/trigeminy; Grade 4 = couplets/triplets; Grade 5 = ventricular tachycardia or R on T). Holter data were analyzed by a board-certified cardiologist, and arrhythmia grade was assigned to the same 1-min time period reported by ICU technicians. A 1-h arrhythmia grade was also determined from Holter data and was reported as the highest grade noted during the previous hour. Cohen's weighted kappa analysis was used to compare the agreement of ICU and Holter grade during the same 1-min time period and to compare 1-min Holter grade with the prior hour Holter grade.
Measurements and Main Results: Weak agreement was found between ICU-reported grade and Holter grade (κ = 0.40), as well as weak agreement between 1-min Holter grade and hour Holter grade (κ = 0.39).
Conclusions: Results of this study indicate that arrhythmia grades assessed by ICU technicians and hourly 1-min observations weakly agree with recordable Holter monitoring in hospitalized dogs with ventricular arrhythmias.
(© Veterinary Emergency and Critical Care Society 2021.)

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