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Persistent atrial standstill in a cat
B J Gavaghan1, M D Kittleson, D McAloose
1Veterinary Medical Teaching Hospital, University of California, Davis 95616, USA.
Insights
A rare feline heart condition, persistent atrial standstill, caused severe heart enlargement and fluid buildup. Diagnosis confirmed no atrial activity, leading to the cat's euthanasia.
Area of Science:
- Veterinary Cardiology
- Feline Medicine
Background:
- Persistent atrial standstill is a rare cardiac condition in cats.
- This case highlights the diagnostic challenges and clinical presentation of this disease.
Observation:
- A domestic shorthaired cat presented with cardiomegaly and recurrent chylothorax.
- Electrocardiogram showed no P waves, and echocardiogram revealed severe biatrial dilatation and pleural effusion.
- Intracardiac electrograms confirmed a complete lack of atrial activity.
Findings:
- Necropsy revealed severe atrial wall thinning and significant cardiocyte loss.
- The cat's clinical signs were attributed to loss of atrial function and secondary cardiac dysfunction.
- Reduced atrial natriuretic peptide levels were noted.
Implications:
- This case underscores the importance of considering rare cardiac arrhythmias in cats with unexplained heart failure.
- Understanding the pathophysiology of persistent atrial standstill can aid in future diagnosis and management.
- Further research into the etiology and potential treatments for this condition is warranted.
Abstract:
A domestic shorthaired cat was presented with a 1-month history of cardiomegaly and recurrent chylothorax. The heart rate was 130 beats/min and no P waves were present on a surface electrocardiogram. Thoracic radiographs and an echocardiogram demonstrated severe biatrial dilatation, pleural effusion and restrictive pleural disease. Permanent atrial standstill was suspected. Pleurocentesis was performed and therapy was started with enalapril, frusemide and aspirin. Intracardiac electrograms revealed no atrial activity, and atrial pacing failed to elicit atrial or ventricular depolarisations. The patient was euthanased. Necropsy showed severe atrial wall thinning with marked cardiocyte loss. Persistent atrial standstill is a rare disease in the cat. Clinical signs may have been due to loss of atrial function, ventricular diastolic dysfunction, bradycardia, neurohormonal activation and reduced atrial natriuretic peptide plasma concentrations.
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