Life-threatening cardiac emergencies for the small animal by Maureen McMichael, Ryan Fries

By Maureen McMichael, Ryan Fries

Life-Threatening Cardiac Emergencies for the Small Animal Practitioner offers a brief connection with spotting and treating universal cardiac arrhythmias and emergent cardiac stipulations in dogs and pussycat sufferers, designed for quick entry in the course of an emergency.

  • Offers fast and simple entry to key info for diagnosing and handling arrhythmias and cardiac stipulations in canines and cats
  • Designed for ease of use within the fast paced emergency setting
  • Presents transparent, reproducible ECGs, radiographs, and echocardiograms for reference and comparison
  • Part of the fast Reference sequence offering small animal practitioners with excellent speedy references for patient-side guidance

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Extra info for Life-threatening cardiac emergencies for the small animal practitioner

Sample text

Differentials and diagnostics Distinguish from artifact by checking leads, feeling pulse or listening to heart. Do not delay CPR for this, start CPR immediately. Treatment Start compressions for 2 min while charging the defibrillator. See CPR algorithm. Chapter 3 Tachyarrhythmias 41 Prognosis Poor. Torsade de pointes Recognition This is a ventricular rhythm that is a bit more regular than ventricular fibrillation but with a polarity that rotates around the baseline. The complexes alternate between taller and shorter and it has been described as resembling ribbon candy.

If SA fails, AV node/junction should initiate an escape rhythm and if the AV fails the ventricle should initiate one. Each successive move down the chain is associated with a slower HR, with AV junctional rates of 40–60 bpm in the dog and ventricular rates of 20–40 bpm in the dog. Cat rates are much higher and can be deceptive and easily missed as an escape rhythm. In the cat AV junctional rates can be as high as 140 bpm and ventricular rates as high as 80 bpm. Treatment Always treat the underlying problem, do not suppress this protective rhythm.

Chapter 3 Tachyarrhythmias Atrial premature complexes Recognition Atrial premature complexes (APC) are easy to miss as they have normal QRS morphology (upright, narrow) and are just early (premature). The average HR is often normal, but the rhythm is irregular due to the APC. The APC P wave may be negative, positive, biphasic, or may be superimposed on the T wave preceding it. Differentials and diagnostics May be indicative of cardiac abnormality in dogs and cats or less frequently systemic disease.

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