The cardiovascular system in newborns has unique features; the system differs from that of foetuses due to the onset of pulmonary respiration and the closure of shunts and differs from that of adults due to heart and autonomic system immaturity. Twenty Ile de France lambs were evaluated during the first 35 days of life to describe changes in the electrical conduction of the heart and in the sympathetic and parasympathetic system during the neonatal period. Electrocardiographic evaluation and the sympathovagal balance was assessed by heart rate variability (HRV) were performed, and ambulatory electrocardiography was performed with a Holter system from birth and at 7, 14, 21, 28 and 35 days of age. There was a significant difference in the duration of the PR and QT intervals and the T wave, as well as a decrease in the amplitude of the P, R and T waves for the evaluated moments. The heart rate and total QRS decreased progressively until 35 days, whereas the HRV indexes increased during the same period. The neonatal period requires care and attention, as several adaptations for neonate survival in the extrauterine environment occur during this period.Abbreviations: HRV: heart rate variability; PR, QT: electrocardiographic intervals; P, R and T: electrocardiographic waves; QRS: electrocardiographic complexes; I, II, III, aVL, aVF and aVL: electrocardiographic member derivations; FP: frontal plane of electrocardiogram; HR: heart rate; RR or NN: interval between two R waves in Holter evaluation; NNmed: the average value of all normal cycles measured during the Holter evaluation; RMSSD: square root of the average of successive differences squared between normal RR intervals measured during the Holter evaluation; pNN50: successive differences between the percentage of RR intervals greater than 50 ms in Holter evaluation ARTICLE HISTORY
Although heart rate (HR) is one of the most important clinical parameters determined via physical examinations, little information is available on the normal HR in dogs, which may be related to the high variability of body weight (BW) in this species. HR is determined by the discharge rate of the sinus node, which is dependent on the autonomic nervous system and the release of catecholamines. The allometric relationship between BW and HR in different species has been described as inversely proportional; however, this relationship has been refuted. Certain authors have reported that the relationship between HR and BW in dogs is based on temperament as well as sympathetic autonomic stimulation of the sinus node in small breeds compared with large breeds. The aim of this study was to analyze the effects of weight, sex, age and temperament on the HR, heart rate variability and serum catecholamine (epinephrine and norepinephrine) levels in dogs. We evaluated 48 adult dogs of both sexes and various breeds and ages and divided the dogs into 5 BW groups: <5kg (n = 8), 5-10kg (n = 10), 10-25kg (n = 10), 25-45kg (n = 10), and >45kg (n = 10). The measured parameters were HR, breath rate (BR) and body temperature. We also performed an ambulatory electrocardiogram and electrocardiography (ECG) test for 24 hours (Holter monitor) and determined the serum levels of the catecholamines epinephrine and norepinephrine. We observed correlations between HR and sex; differences among the weight groups with respect to ECG variables and epinephrine levels; and differences among the temperament categories for certain clinical parameters, such as HR and BR. Age affected the R wave amplitude, and an allometric relationship was not observed between HR and BW in the dogs. Our results indicated that weight was associated with variations in the ECG variables; age and sex were associated with variations in HR; and temperament had a significant influence on the HR and BR of the dogs.
ABSTRACT:Envenomations caused by Loxosceles (brown spider) have been reported throughout the world. Clinical signs associated to bites of these spiders involve dermonecrotic lesions and intense local inflammatory response, besides systemic manifestations such as intravascular hemolysis, thrombocytopenia, disseminated intravascular coagulation and acute renal failure. The present study aimed to report and to describe dermonecrotic lesions probably caused by a Loxosceles envenomation in a four year-old poodle female dog, treated at the Dermatology Service of the Veterinary Hospital of the Veterinary Medicine and Animal Husbandry School, São Paulo State University, Botucatu, Brazil. Initially, the animal presented two skin lesions with blackish aspect that evolved into ulcerative crusts. The owner reported the presence of a brown spider near the place where the animal spent most of the time. Histological examination of lesions revealed necrosis of the epidermis extending to adnexa and panniculi, which is compatible with Loxosceles bite reaction. The animal was treated with systemic antibiotic and local curatives. Lesions healed by second intention in two months.
RESUMO.-[Avaliação do eletrocardiograma utilizando os sistemas Einthoven e base-ápice em vacas e neonatos saudáveis da raça Holandesa.] Tem como objetivo descrever o comportamento eletrocardiográfico de parâ-metros em vacas da raça Holandesa grávidas e recém-nascidos durante o período perinatal. Os eletrocardiogramas foram realizados utilizando um eletrocardiógrafo computadorizado. Os animais selecionados para o estudo foram 23 vacas e 18 neonatos. Exames eletrocardiográficos maternos foram realizadas em 35, 28, 21, 14, 7 dias e um dia de pré-parto e nos neonatos foram avaliados em seis momentos; no momento do nascimento, 7, 14, 21, 28 e 35 dias após o parto. As avaliações foram realizadas em vacas pré e pós-parto e no grupo de neonatos entre fêmeas e machos. Para cada duração da gravação eletrocardiográfica anali- The objective aimed to describe the electrocardiographic behavior of parameters in Holstein pregnant cows and neonates during the perinatal period. The electrocardiograms were performed using a computerized electrocardiogram. The animals selected for the study were 23 cows and 18 neonates. Maternal electrocardiographic examinations were conducted in the 35, 28, 21, 14, 7 days and one-day pre -partum and the neonates were evaluated in six moments; at the time of birth, 7, 14, 21, 28 and 35 days after delivery. The evaluations were done in pre and post-delivery cows and into the group of neonates between female and male. For each electrocardiographic recording P-wave duration and amplitude, PR interval and the QRS complex duration, R, S-wave amplitude and polarity, QT and RR interval duration were examined. Changes in heart rate, ST segment and T wave polarity were recorded in leads of Einthoven and base-apex planes. The mean electrical axis of the QRS complex was calculated. In cows the results when comparing the two leads system, there are significant changes in the amplitude of the waves P, R, S, and T and the duration of the intervals PR, ST and QRS complex. The difference between primiparous and multiparous dairy cows was in the amplitude of the Twave. It was concluded that the base-apex system is a suitable lead for monitoring heart rhythm in Holstein cows and Einthoven in neonates. During the first month of life, no differences in P, Q, S and T waves, in PR, QRS, and ST intervals and in axis orientation was observed in neonates. There was a significant difference in duration of the QT interval. Among sexes, the difference was in the Q amplitude. This study incorporated the calves and Holstein cows in a single study in search of baseline information regarding the duration and morphology of the ECG parameters. In conclusion, it was proved that, with increasing age, there are changes in ECG components associated with variations in the distance between the recording electrode and the heart. The study contributes by providing Holstein reference values for clinical evaluations.
BackgroundVeterinary cardiology, especially electrocardiography, has shown major advancements for all animal species. Consequently, the number of ovine species used as experimental animals has increased to date. Few studies have been published on ovine systematic electrocardiography, particularly with respect to lamb physiology and neonatology. This study aimed to standardize the values of normal waves, complexes, and intervals of the electrocardiogram (ECG) in clinically Bergamasca healthy neonatal lambs, used as experimental animals. Serial computerized electrocardiography was performed in 10 male and 12 female neonates on the 1st, 7th, 14th, 21st, 28th, and 35th days of age. The following parameters were analyzed: heart rate and rhythm, duration and amplitude of waves, duration of intervals, and heart electrical axis.ResultsDuring the first 35 days of life, (1) the sinusal heart rhythm was predominant, (2) there was a progressive decrease in the heart rate and R and T wave amplitude, and (3) a progressive increase in the PR, QT, and RR intervals. Finally, we confirmed that various components of neonatal evolution were more discernible in the augmented unipolar leads (aVF), which we recommend should be preferentially used in future studies. No significant statistical alterations were observed between males and females in relation to the analyzed parameters.ConclusionsThe information assimilated in this study is anticipated to enhance the diagnosis of multiple congenital heart defects in Bergamasca lambs and could be implemented in studies that use ovine species as experimental models.
Objectives The aim of this study was to perform neonatal clinical assessments at birth to identify newborn kittens at risk according to type of delivery, thus allowing immediate intervention and increasing their chances of survival. Methods This study compared Apgar scores, reflexes and clinical parameters (temperature, weight, blood glucose and peripheral oxygen saturation [SpO2]) between eutocic neonates and those delivered by emergency cesarean section. The animals were evaluated at birth and after 10 and 60 mins. Results Thirty-two neonates were evaluated, with 19 animals in the eutocic group (EG) and 13 animals in the cesarean group (CG). When comparing groups, CG neonates had significantly lower Apgar scores ( P <0.0001), lower SpO2 ( P = 0.0535), higher blood glucose ( P = 0.0009), reduced reflexes ( P <0.0001) and lower respiratory rates ( P <0.0001) at birth and after 10 and 60 mins than EG neonates. Apgar scores positively correlated with parameters such as heart rate, reflex score, SpO2 and weight. The mortality rate in evaluated newborns was 15.6% (5/32). The early mortality rate (0–2 days old) was 80% (4/5) and the late mortality rate (3–30 days old) was 20% (1/5). Conclusions and relevance This study showed lower vitality in cats delivered by emergency cesarean section than in those delivered through eutocic birth. In general, neonates delivered by cesarean section have greater depression and low vitality at birth and may require advanced resuscitation procedures. The evaluations carried out in this study identified newborns with low vitality and those requiring advanced resuscitation, thus allowing immediate intervention. Apgar and reflex scores for feline neonates were suggested. Newborn-specific clinical assessment with these feline vitality scores allows the identification of at-risk neonates. Care immediately after birth increases the chance of survival among these patients.
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