Sinus tachycardia


  • 10 year old border collie, presented 2 weeks prior with sudden onset weakness and ataxia
  • Tachycardic with strong apex beat and soft right sided murmur on exam, seemed to partially respond to ACE-I and pimobendan but still tachycardic and quiet
  • Echo – TR with velocity 2.8m/s, Chamber sizes seem normal, do you think the TR is due to degenerative valve disease?
    • 10 year old border collie, presented 2 weeks prior with sudden onset weakness and ataxia
    • Tachycardic with strong apex beat and soft right sided murmur on exam, seemed to partially respond to ACE-I and pimobendan but still tachycardic and quiet
    • Echo – TR with velocity 2.8m/s, Chamber sizes seem normal, do you think the TR is due to degenerative valve disease?
    • Abdo scan – nodular liver no HV distension, spleen and pancreas normal, left adrenal normal/small, I thought the right adrenal was normal during the exam but now I am querying a nodule on the cranial pole due to altered echogenicity, do you think this is real?
    • Pending bloods and BP assessment
    • What do you think is causing the tachycardia, is the tricuspid regurg significant?


3 responses to “Sinus tachycardia”

  1. Hi!
    No, I’m quite sure that

    Hi!

    No, I’m quite sure that the tachycardia NOT caused by compensatory mechanisms. The TI is mild and not significant. Was it a sinus-tachycardia?  Do you have an ECG of this patient?

    Thx

     

    Peter

  2. Thanks Peter. 
    Is a holter

    Thanks Peter. 

    Is a holter monitor indicated at this stage? Could it be a primary arrhythmia or must be secondary to systemic disease?

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