脊心心脏起器安置与低并发症率和改善狗的生活质量有关
Matteo Rossanese1, Dan Brockman1, Guillaume Chanoit2
11Department of Clinical Science and Services, The Royal Veterinary College, University of London, Hatfield, UK.
Journal of the American Veterinary Medical Association
|June 20, 2024
概括
对心脏节拍器进行植入对于心脏节拍需要的狗来说是一个有价值的选择. 虽然并发症可能发生,但生存率很高,生活质量得到改善,尽管并存的疾病可能会减少预期寿命.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 小动物手术小动物手术
背景情况:
- 人工心脏节拍对于管理狗狗的肌节律不良至关重要.
- 副心脏起器 (EP) 放置为输血系统提供了替代方案,特别是在较小的患者或输血器件失效时.
研究的目的:
- 评估在狗身上植入心上节拍器后的并发症和结果.
- 确定生存的预测因素,并评估临床症状和与健康相关的生活质量 (HRQoL) 的改善.
主要方法:
- 追溯审查52只狗的医疗记录,这些狗在英国4家转诊医院接受了EP安置 (2010年7月至2022年12月).
- 分析影响结果的因素,包括转诊原因,并发症,存活率和业主报告的HRQoL.
主要成果:
- 第三度心房静脉阻塞是主要的适应症 (75%). EP的常见原因包括透静脉起器衰竭 (12只狗) 和体型小 (10只狗).
- 在手术期间 (11%) 和手术后 (23%) 发生并发症. 离院总生存率很高 (96%),随访时间中位数为462天.
- 同时存在的心肌或膜疾病与生存率降低有关,但所有者报告了改善的临床症状,活动和HRQoL.
结论:
- 心起器植入是一种可行的和有效的治疗犬心脏节奏.
- 并发症相对比较常见,但不会显著地影响整体结果.
- 虽然并发性心脏病会影响长寿,但EP安置可以改善受影响狗的生活质量.
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