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Background
Atrial fibrillation (AF) usually is associated with a rapid ventricular rate. The optimal heart rate (HR) during AF is unknown.Hypothesis/Objectives
Heart rate affects survival in dogs with chronic AF.Animals
Forty‐six dogs with AF and 24‐hour ambulatory recordings were evaluated.Methods
Retrospective study. Holter‐derived HR variables were analyzed as follows: mean HR (meanHR, 24‐hour average), minimum HR (minHR, 1‐minute average), maximum HR (maxHR, 1‐minute average). Survival times were recorded from the time of presumed adequate rate control. The primary endpoint was all‐cause mortality. Cox proportional hazards analysis identified variables independently associated with survival; Kaplan‐Meier survival analysis estimated the median survival time of dogs with meanHR <125 bpm versus ≥125 bpm.Results
All 46 dogs had structural heart disease; 31 of 46 had congestive heart failure (CHF), 44 of 46 received antiarrhythmic drugs. Of 15 dogs with cardiac death, 14 had CHF. Median time to all‐cause death was 524 days (Interquartile range (IQR), 76–1,037 days). MeanHR was 125 bpm (range, 62–203 bpm), minHR was 82 bpm (range, 37–163 bpm), maxHR was 217 bpm (range, 126–307 bpm). These were significantly correlated with all‐cause and cardiac‐related mortality. For every 10 bpm increase in meanHR, the risk of all‐cause mortality increased by 35% (hazard ratio, 1.35; 95% CI, 1.17–1.55; P < 0.001). Median survival time of dogs with meanHR<125 bpm (n = 23) was significantly longer (1,037 days; range, 524‐open) than meanHR ≥125 bpm (n = 23; 105 days; range, 67–267 days; P = 0.0012). Mean HR was independently associated with all‐cause and cardiovascular mortality (P < 0.003).Conclusions and Clinical Importance
Holter‐derived meanHR affects survival in dogs with AF. Dogs with meanHR <125 bpm lived longer than those with meanHR ≥ 125 bpm. 相似文献Background
Right ventricular (RV) dysfunction independently predicts outcomes in human myxomatous mitral valve disease (MMVD). There is limited information regarding RV systolic function in dogs with MMVD.Hypothesis
Right ventricular systolic function differs among stages of disease, decreasing in decompensated MMVD.Animals
Thirty‐sixclient‐owned dogs with MMVD not receiving oral cardiovascular medications.Methods
Prospective clinical study. Dogs were categorized according to disease severity as ACVIM Stage B1, B2, or C. Seven echocardiographic indices of RV systolic function were measured. Groups were compared by 1‐way ANOVA and Tukey's HSD test. Frequencies of cases with cardiac remodeling falling outside previously established reference intervals were compared using Fisher's exact test. Intra‐ and interobserver measurement variability was calculated for each RV function index.Results
The indices TAPSE (P = 0.029), RV StL (P = 0.012), and RV StRL (P = 0.041) were significantly different between groups. A greater proportion of B2 dogs (7 of 12) had TAPSE values above reference intervals compared with B1 (2 of 12) or C (2 of 12) dogs (P = 0.027). Measurement variability of TAPSE, RV S', and RV StG was clinically acceptable.Conclusions and Clinical Importance
Right ventricular systolic function differs between stages of MMVD, increasing in stage B2, and declining in stage C. The prognostic importance of RV function indices, particularly TAPSE, might be worth evaluating in dogs with MMVD. 相似文献2. The Cobb–Douglas production function was used to assess the changes of output elasticities as well as technical changes in broiler production, for 5-year sub-periods separately.
3. Technical indices of broiler production significantly improved between years 1994–2013: feed conversion ratio decreased from 2.50 kg/kg to 1.78 kg/kg, mortality rate from 8.8% to 4.0% and daily weight gain increased from 37.1 g/d to 58.7 g/d, respectively.
4. Before accession to the EU, there was a substantial increase of fixed capital connected with modernisation of buildings and equipment. In the period 1994–2013, inputs of fixed capital per kilogram of livestock increased by 72% and at the same time the input of labour decreased by 56%.
5. Technical changes in years 1994–1998 contributed to a rapid production increase at a rate of 4.6% annually and only by up to 0.7% annually during 2009–2013. The slowdown of production rate increase after 2009 was partially caused by decreasing the stocking density. 相似文献