Evaluation of electrocardiographic and serum biochemical changes in arrhythmias associated with renal diseases of dogs

R. Krishna, Arun George, U. Pillai, S. Rajan, S. N. Nair
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Abstract

The present study was conducted to investigate electrocardiographical (ECG) and haemato-biochemical changes in arrhythmia associated with renal diseases in dogs. The dogs with renal affections confirmed through appropriate diagnostic methods were selected and screened for arrhythmia. The ECG and haemato-biochemical parameters of twenty dogs with arrhythmia were compared with that of the control group and ECG parameters were statistically correlated with the haemato-biochemical parameters for correlation studies. It was found that the occurrence of arrhythmia was 51.2 per cent in renal diseases. Arrhythmia was more predominant in dogs with chronic kidney disease (CKD) followed by acute kidney injury (AKI). Sinus arrhythmia followed by first-degree AV block and wandering pacemaker were the common types of arrhythmias observed. A significant increase in R-R interval and a decrease in heart rate was noticed in comparison. The haemato-biochemical analysis revealed anaemia, leukocytosis with neutrophilia, elevated blood urea nitrogen (BUN), creatinine and magnesium level. A significant positive correlation was noticed between haemoglobin, volume of packed red cells (VPRC) and red blood cell count (RBC) with T amplitude and, creatinine and BUN levels with corrected Q-T interval. A significant negative correlation was noticed between VPRC, RBC and haemoglobin with the corrected QT interval. The present study revealed ECG and haemato-biochemical parameters had a significant role in renal diseases in dogs which might help in the early diagnosis and proper management of arrhythmia associated with renal diseases.
犬肾病相关心律失常的心电图和血清生化变化评价
本研究旨在探讨犬肾脏疾病相关心律失常时的心电图和血液生化变化。选择经适当诊断方法证实有肾脏病变的犬进行心律失常筛查。将20只心律失常犬的心电图和血液生化参数与对照组进行比较,并将心电图参数与血液生化参数进行统计学相关研究。发现肾脏疾病中心律失常的发生率为51.2%。心律失常在慢性肾脏疾病(CKD)伴急性肾损伤(AKI)的犬中更为常见。窦性心律失常继发一级房室传导阻滞和游离起搏器是常见的心律失常类型。相比之下,R-R间期明显增加,心率明显降低。血液生化分析显示贫血、白细胞增多伴中性粒细胞增多、尿素氮(BUN)、肌酐和镁水平升高。血红蛋白、红细胞积(VPRC)和红细胞计数(RBC)与T幅值呈正相关,肌酐和BUN水平与校正后的Q-T间期呈正相关。VPRC、RBC和血红蛋白与校正后的QT间期呈显著负相关。本研究揭示了心电图和血液生化参数在狗肾脏疾病中的重要作用,这可能有助于肾脏疾病相关心律失常的早期诊断和适当处理。
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