Heart: first degree atrioventricular block

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Sections available in full article Introduction, Presenting signs, Breed predisposition, Cost considerations, Pathogenesis, Etiology, Predisposing factors, Pathophysiology, Timecourse (incubation, duration), Diagnosis, Client history, Clinical signs, Diagnostic investigation, Confirmation of diagnosis, Gross autopsy findings, Histopathology findings, Treatment, Initial symptomatic treatment, Monitoring, Sequelae, Prognosis, Expected response to treatment, Reasons for treatment failure, Sources, Publications, Vetstream contributor(s),
Contributors Ms Jill Sammarco BVSc MRCVS DipACVS DipECVS
Synonyms Prolonged P-Q interval

Introduction

  • Cause : slowed conduction through the atrioventricular node:
    • Can be due to excessive vagal tone, metabolic disorders, cardiomyopathies or idiopathic.
    • Can be found in clinically normal dogs - may be benign in many cases.
  • Signs : usually an incidental finding; if advanced, there can be weakness or syncope.
  • Diagnosis : clinically, usually no abnormality on auscultation; electrocardiography.
  • Treatment : usually none, but may respond temporarily to atropine Atropine.
  • Prognosis : usually very good.

Diagnosis

Clinical signs

  • Usually no abnormal findings on clinical examination.
  • May be pronounced sinus arrhythmia (regular irregularity).

Sequelae

Prognosis

  • Good, if not a complication of another disease.

Expected response to treatment

  • Lack of development of clinical signs.
  • No progression of ECG findings.

Reasons for treatment failure

  • Progression of any underlying extraneous disease, eg CNS, respiratory.

Sources

Publications

Other sources of information

  • Lunney J & Ettinger S J (1995) Cardiac arrhythmias. In: Textbook of Veterinary Internal Medicine.4th edn. Eds S J Ettinger & E C Feldman. Philadelphia: W B Saunders.
  • Smith F W K, Tilley L P & Miller M S (1994) Electrocardiography. In: Saunders Manual of Small Animal Practice.Eds S J Birchard & R G Scherding. Philadelphia: W B Saunders.
  • Tilley L P (1992) Essentials of Canine and Feline Electrocardiography. 3rd edn. Philadelphia: Lea & Febiger.
  • Sisson D D (1989) Bradyarrhythmias and cardiac pacing. In: Current Veterinary Therapy X.Ed R W Kirk. Philadelphia: W B Saunders.

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