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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
Assessment of heart rate variability in Boxers with arrhythmogenic right ventricular cardiomyopathy
Alan W Spier1, Kathryn M Meurs
1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.
Insights
Heart rate variability (HRV) analysis in Boxers with arrhythmogenic right ventricular cardiomyopathy (ARVC) shows reduced HRV in dogs with congestive heart failure (CHF). HRV is not consistently elevated in dogs with ARVC, limiting its use to those with CHF.
Area of Science:
- Veterinary Cardiology
- Canine Electrophysiology
- Autonomic Nervous System Function
Background:
- Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a common cardiac disease in Boxers.
- Autonomic nervous system dysfunction, particularly increased sympathetic tone, is suspected in ARVC.
- Heart rate variability (HRV) analysis is a non-invasive tool to assess autonomic function.
Purpose of the Study:
- To evaluate heart rate variability (HRV) in Boxers with arrhythmogenic right ventricular cardiomyopathy (ARVC).
- To determine if HRV can differentiate Boxers with ARVC based on arrhythmia severity.
- To assess if high sympathetic tone is a consistent feature in Boxers with ARVC.
Main Methods:
- Prospective study involving 24 Boxers with ARVC and 10 control dogs.
- Boxers were categorized into groups: congestive heart failure (CHF), unaffected (< or = 2 VPCs/24h), and affected (>1,000 VPCs/24h).
- 24-hour ambulatory electrocardiography was performed, and HRV variables were analyzed.
Main Results:
- HRV was significantly reduced in Boxers with CHF compared to controls and Boxers without CHF.
- No significant differences in HRV were found between affected and unaffected Boxers.
- Some inconsistent HRV differences were noted between control dogs and Boxers without CHF.
Conclusions:
- Persistently high sympathetic tone is not a consistent finding in ARVC.
- Boxers without CHF may exhibit altered autonomic heart rate control compared to non-Boxers.
- HRV analysis is most useful in Boxers with ARVC and systolic dysfunction/CHF.
Objective:
To assess heart rate variability (HRV) in Boxers with arrhythmogenic right ventricular cardiomyopathy (ARVC), assess the ability of HRV analysis to identify differences in Boxers on the basis of severity of their arrhythmia, and evaluate the use of HRV to determine whether persistently high sympathetic tone is present in these dogs.
Design:
Prospective study.
Animals:
24 Boxers with ARVC and 10 clinically normal non-Boxer dogs.
Procedure:
Boxers were categorized as dogs with congestive heart failure (CHF), dogs with < or = 2 ventricular premature complexes (VPCs)/24 h (designated unaffected), or dogs with > 1,000 VPCs/24 h (designated affected). Ambulatory electrocardiography (24 hours) was performed in each dog. Recordings were analyzed for HRV variables at a commercial laboratory; differences in HRV variables among groups were compared with 1-way ANOVA.
Results:
Compared with control non-Boxer dogs and Boxers without CHF (affected and unaffected Boxers), HRV was reduced in Boxers with CHF. No differences in HRV variables were detected between affected and unaffected Boxers. Inconsistent differences were identified between the control dogs and Boxers without CHF that had various degrees of arrhythmias.
Conclusions And Clinical Relevance:
Results suggest that persistently high sympathetic tone is not a consistent feature of ARVC. Differences in some HRV variables between Boxers without CHF and control dogs suggest that Boxers may have different autonomic control of heart rate, compared with that of clinically normal non-Boxer dogs. The usefulness of HRV analysis appears limited to Boxers with ARVC that have systolic dysfunction and CHF.
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