一匹患有心房静脉阻塞的马中的心室相应反应
J Liu1, R Baumwart1, S Kwon1
1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, 205 Ott Rd, Pullman, WA 99164, USA.
概括
在一匹患有心房节点 (AVN) 阻塞的马中观察到心室相应反应 (VR),这是以前未在马中记录的现象. 这一发现表明临床医生在解释马类心电图时应该考虑VR.
科学领域:
- 兽医心脏病学 兽医心脏病学
- 马类电生理学 马类电生理学
背景情况:
- 在心房节点 (AVN) 阻断中,心室相应响应 (VR) 缩短了当QRS复合体跟随P波时的鼻腔周期长度.
- 在人类和狗身上有记录VR,但在马身上以前没有.
研究的目的:
- 描述一个疑似心室相应反应 (VR) 的病例,该病例发生在患有二度心房节点 (AVN) 阻塞的马身上.
- 在马类环境中探索VR的潜在机制.
主要方法:
- 电心电图 (ECG) 分析一匹患有第二级AVN阻塞和恒定的PR间隔的马.
- 观察休息时和次最大运动后的5:3导电.
主要成果:
- 马表现出5:3导电模式,暗示VR处于休息状态,在运动后不那么一致.
- 电图特征支持了涉及贝佐尔德-贾里斯和贝恩布里奇反射的拟议机制.
结论:
- 这一案例是首次记录有疑似心室回应 (VR) 的案例,该案例发生在患有心室节点 (AVN) 阻塞的马身上.
- 临床医生在解释马类心电图时应考虑VR,因为马类有生理性AVN阻塞的流行.
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