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Electrocardiographic changes in serious decompression sickness.

D R Leitch, J M Hallenbeck

    Aviation, Space, and Environmental Medicine
    |October 1, 1985
    PubMed
    Summary
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    Electrocardiographic changes in dogs with spinal cord decompression sickness (DCS) indicate right heart strain, myocardial ischemia, and arrhythmias. Compression therapy did not always resolve these cardiac effects, suggesting further investigation is needed.

    Area of Science:

    • Veterinary Cardiology
    • Canine Physiology
    • Hyperbaric Medicine

    Background:

    • Spinal cord decompression sickness (DCS) can cause significant physiological disturbances.
    • Electrocardiographic (ECG) abnormalities have been anecdotally reported in DCS.
    • The cardiac implications of DCS in canines require further elucidation.

    Purpose of the Study:

    • To describe and analyze electrocardiographic (ECG) changes in dogs with spinal cord decompression sickness (DCS).
    • To correlate ECG findings with concurrent physiological events during DCS.
    • To explore potential mechanisms underlying cardiac dysfunction in canine DCS.

    Main Methods:

    • Continuous electrocardiographic monitoring was performed on 21 dogs diagnosed with spinal cord DCS.

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  • Physiological parameters including blood pressure and indicators of pulmonary hypertension were recorded.
  • Therapeutic interventions, including compression therapy, were administered and their effects on ECG noted.
  • Main Results:

    • Observed ECG changes included P wave peaking, P-R depression (right heart strain), S-T segment/T wave abnormalities (myocardial ischemia), and ventricular arrhythmias (premature ventricular contractions to ventricular tachycardia).
    • Compression therapy did not consistently or rapidly normalize ECG findings.
    • Cardiac changes were associated with pulmonary hypertension, systemic hypertension/hypotension, and cerebral DCS.

    Conclusions:

    • ECG monitoring is crucial for assessing cardiac involvement in canine spinal cord DCS.
    • Potential etiologies include direct cardiac DCS, coronary gas embolism, and autonomic disturbances secondary to central nervous system DCS.
    • Routine ECG evaluation should be considered in the clinical management of DCS in dogs.