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Ventricular tachyarrhythmias in 106 cats: associated structural cardiac disorders
Insights
Most cats with ventricular tachyarrhythmias have concurrent cardiac abnormalities, primarily myocardial disease. This study highlights the high prevalence of echocardiographic findings in cats with these arrhythmias.
Area of Science:
- Veterinary Cardiology
- Comparative Pathology
Background:
- Ventricular tachyarrhythmias are linked to various disorders in animals, yet specific concurrent conditions in cats remain understudied.
- Limited data exists on the co-occurrence of cardiac and extracardiac disorders with ventricular tachyarrhythmias in feline patients.
Purpose of the Study:
- To investigate coexisting diseases in cats diagnosed with ventricular tachyarrhythmias.
- To compare the prevalence of echocardiographic abnormalities in cats versus dogs with similar arrhythmias.
Main Methods:
- Retrospective evaluation of medical records from cats and dogs with ventricular tachyarrhythmias over 51 months.
- Inclusion criteria: premature ventricular complexes, accelerated idioventricular rhythm, or ventricular tachycardia, confirmed by echocardiography during the diagnostic visit.
Main Results:
- A significant majority (96%) of cats with ventricular tachyarrhythmias exhibited at least one echocardiographic abnormality.
- Myocardial disease, including left ventricular concentric hypertrophy, was the most frequent concurrent finding in cats.
- Cats (96%) were more likely than dogs (69%) to have an echocardiographically apparent cardiac lesion associated with ventricular tachyarrhythmias.
Conclusions:
- Ventricular tachyarrhythmias in cats are strongly associated with underlying myocardial disease.
- Cats with ventricular tachyarrhythmias demonstrate a higher prevalence of echocardiographic cardiac lesions compared to dogs.
Background:
Ventricular tachyarrhythmias occur in association with cardiac and extracardiac disorders in many species of animals, but information identifying concurrent disorders in cats with such arrhythmias is scarce.
Methods:
We investigated coexisting diseases by retrospectively evaluating medical records of cats with ventricular tachyarrhythmias seen during a 51-month period at 1 institution. For comparative purposes, we evaluated records of dogs with similar arrhythmias during the same time period. All cats and dogs had premature ventricular complexes, accelerated idioventricular rhythm, ventricular tachycardia, or some combination of these arrhythmias, and all had undergone echocardiography during the same visit that led to the diagnosis of ventricular tachyarrhythmia.
Results And Conclusions:
Most (102/106; 96%) cats had at least 1 echocardiographically apparent abnormality concurrent with ventricular tachyarrhythmias. Ventricular tachyarrhythmias in cats were most commonly associated with myocardial disease (eg, left ventricular concentric hypertrophy [n = 66], restrictive or unclassified cardiomyopathy [n = 17], and dilated cardiomyopathy [n = 6]). When comparing dogs and cats that had ventricular tachyarrhythmias and were diagnosed on the same clinical service of the same institution, an echocardiographically apparent cardiac lesion was seen more often in cats (102/106, 96%) than in dogs (95/138, 69%) (P < .001).
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