Electrocardiographic surrogates of structural myocardial alterations in the Dorper sheep heart

In this study we evaluated the validity of well-known human electrocardiographic markers of myocardial pathology in Dorper sheep. These markers include: the duration of the QRS complex of premature ventricular complexes (PVCs), the presence of notching of the QRS complex of PVCs and change of the ST-segment of PVCs. It was shown that these three electrocardiographic phenomena correlate with myocardial pathology in the hearts of Dorper sheep. We also describe a new electrocardiographic indicator of myocardial pathology, namely an increase in the frequency of cardiac memory T waves as a new electrocardiographic surrogate for myocardial pathology in the hearts of Dorper sheep.     

Ventriculo-atrial conduction in the ovine heart,caused by premature ventricular complexes

In humans, and certain animals, the atrioventricular conduction system is capable of bidirectional conduction. Depolarization impulses, originating in the ventricle itself, may thus be conducted in a retrograde direction towards the atria. Two common causes for this phenomenon of ventriculo-atrial (retrograde) conduction are premature ventricular complexes and ventricular pacing. The surface electrocardiogram can be used for the detection of such retrogradely conducted beats. The purpose of this study was to investigate the possibility of ventriculo-atrial conduction in Dorper sheep. Premature ventricular complexes in eight healthy Dorper wethers were induced and it was possible to document retrogradely conducted beats on the surface electrocardiogram in all of them. It is concluded that the Dorper sheep heart is capable of ventriculo-atrial conduction.     

Ultrastructural changes in inherited cardiac calcinosis of DBA/2 mice

Cardiac dystrophic calcinosis, an inherited condition in DBA/2 mice, produced extensive calcific lesions in the right ventricular myoepicardium of affected mice. The morphogenesis of the cardiac alterations was evaluated by microscopic and ultrastructural studies. The initial event was necrosis and mineralization of subepicardial myocytes. Mineral deposits were seen as dense granular and spicular deposits in mitochondria only, mitochondria and adjacent sarcoplasm, or the entire sarcoplasm in necrotic myocytes. In mature myoepicardial calcific lesions, the remnants of necrotic myocytes were seen as scattered dense masses of mineralized debris with surrounding fibroplasia and occasional macrophages and giant cells. Male weanling DBA/2 mice (n = 135) were fed either a commercial diet adequate in selenium-vitamin E (Se-E) content, or a basal semipurified Se-E-deficient diet with or without silver acetate for 15, 20 or 25 weeks. Cardiac calcinosis severity seemed to increase in mice which developed concurrent Se-E deficiency. Cardiac calcinosis in the DBA/2 mouse is a useful model of cardiac calcification.     

Spontaneous Cardiac Hypertrophy in a Crl:CD(SD) Rat

Cardiac hypertrophy was observed in a 9-week-old Crl:CD(SD) rat that died unexpectedly. The animal was allocated to the control group of a toxicity study, and no abnormalities in its general conditions, body weight or food intake were observed. Necropsy revealed an increase in heart weight. Gross examination indicated cardiac enlargement with thickening of the right and left ventricular walls. Histopathological examination revealed hypertrophy of the cardiomyocytes in the right and left ventricular walls and the interventricular septum. Electron microscopic examination indicated bizarre nuclei and accumulation of an increased number of various sizes of mitochondria in the perinuclear region of the hypertrophied myocytes. Hypertrophied myocytes connected by intensely folded intercalated disks were also observed. Based on these findings, the animal was diagnosed with cardiac hypertrophy. This is the first case report of cardiac hypertrophy in this strain.     

Electrocardiography, heart rates, and heart weights of free-living birds.

To examine the waveforms of electrocardiograms, cardiac rhythm, heart rates at rest and during excitement, and the rate of increase of heart rate, electrocardiograms were recorded with standard bipolar limb leads from 79 free-living birds, including 19 species. The heart weights and heart-to-body weight ratios were obtained from an additional 96 free-living birds, including 20 species. In the majority of the electrocardiograms, lead I was of low amplitudes for all waves except the P wave, and leads II and II were very similar to each other with a predominant S wave and a very short or elevated ST segment. The P wave was often superimposed on the T wave when the heart rate increased to 330 beats/min. Four types of arrhythmia were observed in 50 of the 79 birds (63.3%): 48 sinus arrhythmias, four sinus arrests, two atrial premature contractions, and one ventricular premature contraction. The resting heart rate was negatively associated with the rate of increase, suggesting that a bird with a low resting rate might be able to maintain a greater capacity to increase its heart rate than one with a high resting rate. A negative correlation on a bilogarithmic scale was obtained between the heart weight and the resting heart rate, indicating that a bird with a high heart weight had lower resting heart rate than a bird with a low heart weight. When the heart-to-body weight ratios of free-living birds were compared according to their motility, the ratios of more active birds were greater than those of less active ones.     

Techniques for isolation and performance of the perfused guinea pig working heart

This study demonstrated new approaches which enabled evaluating the work performance in both ventricles of an isolated guinea pig heart. By changing the right atrial filling pressure (RAFP, preload) from 6 to 20 mm of Hg at a constant aortic pressure (Pa, 20 mm of Hg), cardiac output, stroke volume, aortic flow, coronary flow, cardiac work, O2 consumption, CO2 output, as well as end-diastolic ventricular, and pulmonary arterial pressures increased. Cardiac contractility and both ventricular systolic pressures reached peak values between 12 and 14 mm of Hg of RAFP and then gradually decreased. With graded increases of Pa (afterload) from 10 to 45 mm of Hg at a fixed RAFP (8 mm of Hg), coronary flow, cardiac contractility, cardiac work, cardiac O2 consumption, glucose utilization rate, and pulmonary arterial and both ventricular systolic pressures increased. Although aortic flow decreased with an increase in Pa, cardiac output, stroke volume, and coronary resistance did not show significant changes. Furthermore, cardiac mechanical efficiency decreased with an increase of pre- or afterload of the perfused isolated heart. These findings indicate that the total working heart model is suitable for studying cardiac functions.     

Congestive heart failure caused by intracardiac tumours in two dogs

Congestive heart failure is a common presentation in small animal practice. Cardiac tumours are an unusual cause of congestive heart failure and, when they occur, usually cause clinical signs associated with pericardial effusion and cardiac tamponade. This case report outlines the clinical and histological findings in two dogs presented with clinical signs of congestive heart failure caused by obstruction of blood flow by intracavitary cardiac tumours. Case 1 showed signs of left-sided heart failure caused by osteosarcoma within the left atrial lumen, and case 2 presented with clinical signs of right-sided heart failure due to haemangiosarcoma occupying the right atrial and ventricular lumens. This case report provides further evidence for the inclusion of intracardiac neoplasia in the differential diagnosis for dogs with clinical signs of congestive heart failure.     

Aldosterone receptor antagonists – how cardiovascular actions may explain their beneficial effects in heart failure

Ovaert, P., Elliott, J., Bernay, F., Guillot, E., Bardon, T. Aldosterone receptor antagonists – how cardiovascular actions may explain their beneficial effects in heart failure. J. vet. Pharmacol. Therap. 33 , 109–117. Historically, aldosterone receptor antagonists (ARA) have been classified as ‘potassium sparing diuretics’. However, the positive effect of spironolactone, the most extensively studied ARA, on morbidity and mortality observed in humans suffering cardiac insufficiency could not be explained by the renal effect of the drug alone, and a pivotal clinical study has led to extensive research. Many experimental studies have demonstrated that ARA have previously unexpected beneficial effects on the cardiovascular system including reduction in remodelling of the vascular smooth muscle cells and myocytes and improvement of endothelial cell dysfunction in heart failure. These effects improve vascular compliance and slow down the progression of left ventricular dysfunction and end‐organ damage. Furthermore, aldosterone receptor blockade also restores the baroreceptor reflex, improving heart rate variability in heart failure in humans. Some of these effects have been demonstrated in dog models of cardiac disease and so justified further investigation of the potential benefit of ARA in dogs with congestive heart failure (CHF). Positive effects of spironolactone on morbidity and mortality appear to have been seen in studies conducted in dogs suffering from naturally occurring CHF. In addition, eplerenone has been shown to have benefits in canine models of heart failure. The precise mechanisms by which ARA produce these beneficial effects in dogs remain to be determined but this group of drugs clearly provide therapeutic actions out‐with their diuretic effects.     

Norepinephrine stores in the hypertrophied bovine heart.

Influence of hypertrophy on the cardiac stores of norepinephrine (NE) and epinephrine in different chambers of the heart were studied in calves with experimental left or right ventricular enlargement. In the control calves, concentration of NE was markedly higher in the atrial than in the ventricles, the left atrial body had a lower concentration than the right atrial body. The same was true of the left ventricular tissue compared to the right ventricular tissue. Marked depression of the cardiac NE concentration was observed in all chambers in the groups with right and left ventricular enlargement. The magnitude of changes was roughly related to the severity of the stenosis. Depletions in the concentration of NE were not noticed in the operated nonresponsive calves. By contrast, epinephrine was in small concentrations in control calves, amounting on the average to less than 10% of the amount of NE concentration in the same cardiac tissues. However, alterations in cardiac epinephrine values were not observed in the cardiac tissues obtained from animals with cardiac hypertrophy.     

Influence of alterations in heart rate on echocardiographic measurements in the dog

M-mode echocardiograms were recorded from 10 conscious, clinically normal dogs at various heart rates during atrial pacing. Heart rate was recorded as cycle length (seconds), and measurements were made only during sustained 1:1 atrial-to-ventricular conduction. In all dogs studied, there was a significant (P less than 0.01) positive correlation of left ventricular internal chamber dimension in diastole and systole to cycle length. Also, there was positive correlation between these left ventricular dimensions and the square root of cycle length, which predicted a plateau in dimensional changes as cycle length increased. Echocardiographic shortening fraction and left ventricular and septal wall thickness measurements did not change consistently during pacing. We concluded that left ventricular chamber dimensions in the dog may be significantly affected by alterations in heart rate.     

Ventricular dyssynchrony as a cause of structural disease in the heart of Dorper sheep

Ventricular dyssynchrony is a disturbance of the normal, organized electromechanical coupling of the two ventricles. This condition has many causes, such as left bundle branch block, ventricular preexcitation, right ventricular pacing and right ventricular premature ventricular complexes (PVCs). Ventricular dyssynchrony has many adverse haemodynamic effects on the left ventricle and we wanted to know whether these adverse haemodynamic effects might have any structural consequences on the left ventricles of such hearts. Six healthy Dorper wethers were subjected to numerous right ventricular PVCs to induce ventricular dyssynchrony in order to determine whether any structural consequences will occur in the left ventricles of these hearts. Myocarditis in the musculature of the left ventricles of all six these hearts was seen.     

Long QT syndrome in dogs with tick toxicity (Ixodes holocyclus)

OBJECTIVE: To evaluate cardiac electrical function in dogs with tick toxicity. DESIGN: A prospective clinical investigation of 39 client-owned dogs treated for naturally occurring tick toxicity. PROCEDURE: An ECG was performed on each dog on several occasions; at admission to hospital with tick toxicity, 24 h later, at discharge from hospital when clinically normal and approximately 12 months later. RESULTS: The mean QT interval corrected for heart rate (QTc) was prolonged at admission, 24 h and at discharge compared to the QTc measured 12 months later. T wave morphology was altered in dogs at admission. All other parameters were within normal limits. CONCLUSIONS: The prolonged QTc interval and altered T wave morphology of dogs with tick toxicity reflects delayed cardiac repolarisation and is comparable with long QT syndrome (LQTS) in people who are predisposed to polymorphic ventricular tachycardia and sudden death. Resolution of ECG changes lagged behind clinical recovery.     

Effects of diltiazem on hemodynamic variables and ventricular function in healthy horses

Quinidine is effective for treatment of atrial fibrillation (AF) in horses, but often accelerates ventricular response rate. Diltiazem effectively controls heart rate response to AF in other species. This investigation determined the effects of diltiazem on cardiac rate and rhythm, left ventricular (LV) function, central hemodynamics, and peripheral blood flow in normal, standing, nonsedated horses. A dose-finding study was performed. Afterward, 8 healthy horses were treated with diltiazem IV every 30 minutes to achieve cumulative dosages of 0 (saline control), 1, 1.5, and 2 mg/kg. Plasma diltiazem concentration, heart rate and rhythm (by electrocardiography), LV function and central hemodynamics (by cardiac catheterization), LV dimensions (by echocardiography), and forelimb blood flow (by Doppler sonography) were determined during each treatment period. Diltiazem plasma concentrations between 390 and 910 ng/mL were achieved, with considerable variation among horses. Cardiac effects of diltiazem included intermittent depression of the sinus and atrioventricular (AV) nodes and mild impairment of systolic and diastolic LV function. Vascular effects of diltiazem included arterial vasodilatation, increased limb blood flow, and decreased systemic vascular resistance. Baroreceptor reflex-mediated sympathetic activation increased sinus node rate and presumably blunted the depressive effects of diltiazem on myocardial and nodal tissues. Two horses developed transient high-grade sinus arrest with severe systemic hypotension. Diltiazem appears relatively safe in healthy horses, but dosage may be limited by hypotension from vasodilatation and direct suppression of sinus node discharge. Because of its inhibitory effects on AV nodal conduction, diltiazem may prove useful for heart rate control in horses with AF.     

杜泊羊、萨福克羊与蒙古羊在低温环境下生理、血清生化指标及免疫性能的对比研究

本研究旨在阐明低温环境对杜泊羊和萨福克羊生产性能的影响,并进一步探究其影响机制,为内蒙古地区杜泊羊和萨福克羊引种改良、杂交利用提供数据参考。试验选取12月龄体重相近、健康无病的杜泊羊和萨福克羊各20只(公母各半)进行研究,蒙古羊20只(公母各半)作为对照,测定3种羊的生理、血清生化指标及免疫性能并做对比研究。结果显示:杜泊羊和萨福克羊体温、呼吸频率及心率全天均无显著差异(P>0.05);与蒙古羊相比,杜泊羊和萨福克羊全天心率较低(P<0.05),且杜泊羊上午的体温显著低于蒙古羊(P<0.05),全天的呼吸频率显著高于蒙古羊(P<0.05)。杜泊羊和萨福克羊血清中谷丙转氨酶(ALT)、超氧化物歧化酶(SOD)活性及三碘甲腺原氨酸(T3)和甲状腺素(T4)水平与蒙古羊无显著差异(P>0.05),谷草转氨酶(AST)和碱性磷酸酶(AKP)活性显著高于蒙古羊(P<0.05);萨福克羊的乳酸脱氢酶(LDH)活性显著高于杜泊羊和蒙古羊(P<0.05)。与蒙古羊相比,杜泊羊和萨福克羊血清白介素2(IL-2)、白介素4(IL-4)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)及免疫球蛋白G(IgG)含量均无显著差异(P>0.05),但杜泊羊血清中IL-2的浓度显著高于萨福克羊(P<0.05)。综上所述,在内蒙古冬季低温环境下,杜泊羊和萨福克羊全天心率显著低于蒙古羊,血清中ALT和AKP活性显著高于蒙古羊;杜泊羊血清中LDH活性显著低于萨福克羊,IL-2的含量显著高于萨福克羊。除AST活性超出正常范围,杜泊羊和萨福克羊其余血清生化指标均在正常范围内。说明在内蒙古低温环境下,杜泊羊和萨福克羊可以维持正常的生理状态,并较好地适应内蒙古地区的环境气候。     

Congenital cardiac disease in dogs

Patent ductus arteriosus, aortic stenosis, ventricular septal defect, pulmonic stenosis and tetralogy of Fallot are the most frequently reported cardiac anomalies of dogs. Systolic murmurs occur after the first heart sound but before the second, while diastolic murmurs occur after the second heart sound. Murmurs associated with the pulmonic, aortic and mitral valves are best heard at the left intercostal spaces 3, 4 and 5, respectively, and those of the tricuspid valve at the right intercostal space 3 or 4. Mucosae at both ends of the animal should be examined for cyanosis. Right ventricular enlargement is characterized by a mean electrical axis greater than 100 degrees, a Q wave amplitude greater than 0.5 mv in leads II, III and AVF, and a positive T wave in lead V10. Left ventricular enlargement causes an axis of less than 40 degrees, a QRS complex duration greater than 0.06 seconds, an R wave amplitude greater than 3 mv, and a slurred or depressed ST segment. Atrial enlargement is characterized by a P wave duration greater than 0.04 seconds and a P wave amplitude greater than 0.4 mv. The cardiac silhouette is more upright and round on DV radiographs than on VD projections.     

Echocardiography. Acquired heart disease

Acquired disease of the cardiac valves, myocardium, and pericardium may be recognized through echocardiography. Quantitation of atrial and ventricular dimensions is a key aspect in the echocardiographic evaluation of acquired heart diseases. Subjective interpretation permits identification of pericardial effusion, dilated cardiomyopathy, valvular lesions, cardiac masses, and abnormal blood flow.     

Morphological studies on the heart ventricle of African catfish (Clarias gariepinus)

The histological and ultrastructural characteristics of the heart ventricle in Clarias gariepinus (African catfish) has been studied by light microscopy and transmission electron microscopy. The ventricle of the heart has a saccular shape and the myocardial wall consists of an outer thin compact myocardium and an inner well-developed spongy myocardium. The myocardial layer has small myocytes, interstitial spaces and blood vessels. The myocytes are the major constituents of the ventricular wall. They are long cells, with large nuclei, and predominantly euchromatin. The sarcoplasmic reticulum of the ventricular myocytes consists of a network of tubules and subsarcolemmal cisternae oriented mainly along the longitudinal axis of the myofibrils. In contrast to the ventricular structure of other fish species described in the literature (Greer-Walker et al., 1985; Santer, 1985; Sánchez-Quintana et al., 1995, 1996), the African catfish, a freshwater sedentary fish recently introduced in neotropical climatic environments, showed a saccular ventricle that consisted of two muscle layers, a thin compact layer with large vessels and a developed spongy layer. The ultrastructure of the ventricular myocardium of C.gariepinus is similar to that of other teleosts, inclusive that of fish with other swimming habits.     

Ventricular septal defect with aortic valve insufficiency in a New Zealand White rabbit

A heart murmur was detected in a 10 mo old, female New Zealand White rabbit. Auscultation revealed cardiac murmurs both at the left and right hemithorax. Phonocardiography confirmed the systolic-diastolic nature of the left-sided and the systolic character of the right-sided murmur. Electrocardiography showed normal sinus rhythm; tall R waves and large T waves in lead II; and deep S waves in leads II, III, and aVF. Thoracic radiography demonstrated generalized cardiomegaly with prominent pulmonary vasculature. Echocardiography revealed a perimembraneous ventricular septal defect with aortic insufficiency. Signs of biventricular volume overload, relative pulmonic stenosis, and pulmonary valve insufficiency were also seen as consequences of the defect. Necropsy demonstrated a ventricular septal defect just below the aortic valve, a dilated pulmonary trunk, dilated and hypertrophied ventricles, dilated atria, and rightward displacement of the aortic root. Cardiac histopathology showed ventricular cardiomyocyte degeneration (swelling and hypereosinophilia of the cytoplasm with a loss of cross striation, and nuclear hyperchromasia), cartilaginous metaplasia of the aorta, and subendocardial fibrosis of the right ventricular flow tract.     

Capillaries of the myocardium of Lama (Lama glama)

The heart of 12 adult llamas, one female and 11 males, 2-7 years of age, was studied gross-anatomically (absolute and relative heart weight) and microscopic-anatomically (left and right ventricular wall, left auricle). Comparing the 9 younger animals (2-3 years old) with the 3 older llamas (5-7 years old) a significant increase of the absolute heart weight and of the number of capillaries per mm2 and a significant decrease of the intercapillary distance in the left ventricular wall was found. This results in an increase of capillarity in the studied heart regions (5.5% compared to 6.9%). The simultaneous increase of the capillary-to-myocyte-ratios from 0.9 to 1.1 shows a significant correlation to the cross-sectional area of the myocytes (r = 0.79) and an also significant but negative correlation to the number of myocytes per mm2 (r = -0.82). In both groups the cross-sectional area of the myocytes and their diameter differs significantly in the three regions of the heart (left ventricular wall--214 micron 2 resp. 17.5 microns; right ventricular wall--156 micron 2 resp. 15.5 microns; left auricle--96 micron 2 resp. 11.5 microns). It is to be supposed, that the morphological conditions of the cardiac vascular supply of llamas living in an altitude of 4000 m are improving with age.