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Published on: February 17, 2018
Prominent J wave in cats with hypertrophic cardiomyopathy
Samar H Elsharkawy1, Faisal A Torad1
1Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza Square, P.O. 12211, Cairo, Egypt.
Insights
J waves, previously undocumented in feline hypertrophic cardiomyopathy (HCM), were detected in 63% of HCM cats via electrocardiogram (ECG). These findings suggest J waves are a common ECG marker in cats with HCM.
Area of Science:
- Veterinary Cardiology
- Comparative Electrocardiography
Background:
- J waves are not typically documented in feline hypertrophic cardiomyopathy (HCM) electrocardiograms (ECGs).
- Understanding ECG abnormalities in HCM is crucial for diagnosis and management in cats.
Purpose of the Study:
- To describe the presence, morphology, amplitude, and duration of J waves in cats diagnosed with HCM.
- To investigate the diagnostic significance of J waves in feline HCM.
Main Methods:
- Electrocardiograms (ECGs) were analyzed from 20 healthy cats and 45 cats with confirmed HCM.
- J waves were identified based on specific criteria: positive deflection, amplitude ≥0.05 mV, and presence in multiple limb leads over three heart cycles.
Main Results:
- J waves were absent in healthy cats but detected in 29 out of 45 (63%) cats with HCM.
- The most common leads for J waves were II and III, with varying amplitudes and durations.
- Notched and slurred morphologies were observed, with slurred being more prevalent.
Conclusions:
- J waves are a common finding in the electrocardiograms (ECGs) of cats with hypertrophic cardiomyopathy (HCM).
- The presence of J waves may serve as a potential ECG biomarker for feline HCM.
Abstract:
The J wave has never been documented in the electrocardiogram (ECG) of cats presenting with hypertrophic cardiomyopathy (HCM). The present study aimed to describe the presence, morphology, amplitude, and duration of J waves in cats with HCM. It included 20 apparently healthy cats and 45 cats diagnosed with HCM based on clinical, echocardiographic, ECG, and radiographic examination. The cats were of different breeds (Persian: 40, domestic short hair: 21, Siamese: 4), ages (6.01 ± 4.34 years), sexes (male: 33, female: 32), and weights (3.30 ± 1.51 kg). The J wave was absent in the ECGs of the healthy population, but was detected in 29 out of 45 cats with HCM (63%). The J waves were observed at the QRS-ST junction in more than one limb lead of the ECG. Only positive deflections with an amplitude ≥0.05 mV were included, as measured by an ECG ruler in three consecutive heart cycles. The J waves were mainly present in leads II (n=20) and III (n=16), with amplitudes of 0.06 ± 0.02 and 0.08 ± 0.03 mV; their mean (± SD) duration was 0.16 ± 0.05 msec in lead II and 0.18 ± 0.05 msec in lead III. They occurred in both notched and slurred morphologies, with the latter being more common. In conclusion, J waves were a common finding in the ECGs of cats with HCM.
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