9 year old FN Collie who has developed exercise intolerance. History of diaphragmatic hernia repair years ago
She will be need to lie down during exercise (can’t move further even though really wants to get up) and pants heavily at this time. Also panting more at rest.
Bradycardic on PE, HR around 40-50 but can increase to 60+ when stimulated
Bloods, thoracic and abdominal xrays, abdominal scan (done by inhouse vet) and echo all wnl
ECG showed sinus bradycardia with deep t waves, is this artefact or relevant?
9 year old FN Collie who has developed exercise intolerance. History of diaphragmatic hernia repair years ago
She will be need to lie down during exercise (can’t move further even though really wants to get up) and pants heavily at this time. Also panting more at rest.
Bradycardic on PE, HR around 40-50 but can increase to 60+ when stimulated
Bloods, thoracic and abdominal xrays, abdominal scan (done by inhouse vet) and echo all wnl
ECG showed sinus bradycardia with deep t waves, is this artefact or relevant?
Could this be a sick sinus syndrome? no tachycardia noted.
Holter is the next step, is there anything that should be considered prior to this?
veteurope1
2 responses to “Exercise intolerance”
Hi
Based on this ECG I would
Hi
Based on this ECG I would look for right heart disease or Hyperkalemia first. The recording does not really support the theory of Sick Sinus Syndrome since the P waves look normal. However, a Holter ECG would be necessary to rule out SSS – and I would recommend a Holter anyway if echo and potassium are normal.
2 responses to “Exercise intolerance”
Hi
Based on this ECG I would
Hi
Based on this ECG I would look for right heart disease or Hyperkalemia first. The recording does not really support the theory of Sick Sinus Syndrome since the P waves look normal. However, a Holter ECG would be necessary to rule out SSS – and I would recommend a Holter anyway if echo and potassium are normal.
Hope that helps!
Peter
Yes it does thank you.
Yes it does thank you.