The next heartbeat: Creating dynamic and histographic Poincaré plots for the assessment of cardiac rhythms

The rhythm of the heart is not a stationary phenomenon, and therefore, incorporation of the dynamic Poincaré plot and tachogram provides additional diagnostic information to complement and expand waveform (P-QRST) analyses from the electrocardiogram. Although pattern assessment of the Poincaré plot and tachogram can provide an appraisal for normal and abnormal rhythms and serve as a potential means for machine-learned rhythm diagnoses, time-selected windows of beat-to-beat variability permit more detailed examination. As such, expanded criteria for rhythm diagnoses, identification of arrhythmic triggers, global appreciation of rhythm changes, and recognition of patterns that provoke mechanistic questions may be gleaned from the use of the methods reviewed in this report. More specifically, these methods demonstrate that limitations exist in the reliance on traditional measures of heart rate variability in the dog due to the non-linear beat-to-beat rhythm of sinus arrhythmia in the species. Behavior of arrhythmias based on coupling intervals, repeating patterns, preceding triggers of beat-to-beat variability, and circumstantial evidence of atrioventricular nodal conduction during atrial flutter and fibrillation are a few examples of discovery founded in these techniques. The open access website, The Next Heartbeat (https://thenextheartbeat.com/), permits anyone to implement these methods in the assessment of long-term electrocardiographic examinations (Holter monitoring) so that, as yet to be revealed, features of the beating heart through time may be discovered.     

Twenty-Four-Hour Ambulatory Electrocardiography in Normal Cats

Twenty-four-hour ambulatory electrocardiograms were recorded in two age groups of 10 normal cats each: group 1 (1 to 4 years) and group 2 (8 to 14 years), with equal numbers of males and females in each group. Average heart rates over the 24-hour recording period ranged from 114 to 202 beats/minute (bpm). The mean 24-hour average rate did not differ between group 1 and group 2 (157.6 vs. 156.3+/-5.3 bpm, respectively); however, females (both groups combined) had higher average heart rates than males (166.8 vs. 147.1+/-5.3 bpm, respectively). Females also had a higher mean minimum heart rate than males (116.9 vs. 96.5+/-4.2 bpm, respectively); but there were no gender or age group differences in maximum heart rate. Results of hourly analyses of average, minimum, and maximum heart rates were similar. Mean heart rates rose from mid-afternoon to about 9:00 PM and were lowest just after midnight. Although regular sinus rhythm predominated, periods of sinus arrhythmia were evident in most cats, especially in early morning hours. Supraventricular extrasystoles were uncommon. Isolated ventricular extrasystoles occurred more frequently in group 2 cats; multiform configuration was observed in both groups. Repetitive ventricular extrasystoles, which usually consisted of occasional couplets, occurred more frequently in group 2 cats. One older cat had 2 short runs of ventricular tachycardia. Another older cat appeared to have a recurrent accelerated idioventricular rhythm.     

Comparative Effect of Epidural Administration of Xylazine or Dexmedetomidine on Echocardiographic Dimensions and Cardiac Indices in Clinically Healthy Donkeys (Equus asinus)

The aim of the present study was to assess and compare the changes of the echocardiographic dimensions and cardiac function indices after epidural injection of xylazine or dexmedetomidine in clinically healthy donkeys. In an experimental prospective randomized cross-over study, 10 healthy adult donkeys were injected with saline solution, xylazine (0.20 mg kg⁻¹), and dexmedetomidine (0.005 mg kg⁻¹) into the epidural space between the second and third coccygeal vertebrae. Echocardiographic dimensions as well as cardiac function indices were assessed using a 2–3.9 MHz sector transducer, at the left paracostal ultrasonographic window, at zero, 15, 30, 60, 90, 120, and 180 minutes after administration of these medications. Epidural injection of xylazine or dexmedetomidine produced moderate sedation, complete bilateral perineal analgesia, and mild ataxia in all studied donkeys. There was a significant (P < .05) decrease in the interventricular septum thickness at end systole 60 minutes, stroke volume 30–120 minutes, fractional shortening 120 minutes, and ejection fraction 90–120 minutes after administration of xylazine or dexmedetomidine when compared with saline solution. Left ventricular end diastolic volume was significantly (P < .05) increased 60 minutes following epidural injection of dexmedetomidine compared with xylazine and saline solution. There was a significant (P < .05) increase in the left ventricular internal diameter at end diastole 90–120 minutes and left ventricular end systolic volume 60–180 minutes after administration of xylazine or dexmedetomidine in comparison with saline solution. In conclusion, epidural use of xylazine or dexmedetomidine in donkeys induced mild and transient effect on echocardiographic dimensions as well as cardiac function indices. Therefore, care should be taken when such medications are to be administered into the epidural space in donkeys with a pre-anesthetic cardiovascular compromise.     

A Clinical Survey Evaluating the Prevalence of Incisor Disorders in Zamorano-Leonés and Mirandês Donkeys (Equus asinus)

Recent clinical and post-mortem studies documented a high prevalence of dental disorders in donkeys, but less information appears to be available specifically about incisor disorders in donkeys. A study to investigate the prevalence of oral and dental disorders affecting incisor teeth was performed, in two endangered breeds of donkeys: the Mirandês Donkey and the Zamorano-Leonés Donkey, through a prospective cross-sectional study in 800 donkeys, divided in 7 age groups (ranging 0-34 years), in 86 villages inside their geographic area of distribution, thinking on welfare and genetic preservation issues. The 74% of donkeys suffer from incisors disorders, ranging from 56.8% in the youngest group to 90.3% in group 7. Craniofacial abnormalities (49.25%), abnormalities in the occlusal surface (21.63%), fractures (17%), periodontal disease (16.13%) and diastemata (14.38%) were the main disorders recorded. Incisors disorders are significant, presenting at a much higher prevalence when compared to other studies involving the incisor teeth of equids, affecting all ages but particularly in older animals. This study provide essential information in dentistry applied to donkeys but also highlighted the importance of regular dental care in endangered breeds, improving their welfare and preserving a unique genetic heritage.     

Individual and Diurnal Variations in Rectal Temperature,Respiration, and Heart Rate of Pack Donkeys during the Early Rainy Season

Six Nubian pack donkeys were used to determine variations in rectal temperature (RT), respiratory rate (RR), and heart rate (HR) during the early rainy season. The donkeys exhibited a diurnal range of RT, RR, and HR of 34.7 to 38.7°C, 15 to 75 breaths/minute, and 36 to 72 beats/minute, respectively, with peak mean values at 2:00 pm and a trough shortly after sunrise (7:00 am). The amplitude of the diurnal rhythm of RT and RR was not correlated with the diurnal range of ambient temperature (AT) and relative humidity (RH). Although mean diurnal RTs were positively correlated with corresponding ATs, mean daily RTs were not significantly correlated with corresponding ATs. Diurnal and daily variations in RT of donkeys, like those of other ungulates, therefore, appear to reflect an endogenous rhythm, which may be largely independent of fluctuations in environmental thermal load. The mean maximum AT and RH, and the corresponding RR and HR values, fell above the normal range for donkeys in the tropics. The season was meteorologically stressful to the donkeys, imposing significant changes in the RT, RR, and HR parameters requiring responses to maintain homeostasis. The values of the amplitude in RT, RR, and HR obtained in individual donkeys were higher than the corresponding values obtained during the hourly recordings, indicating that it is more important to evaluate the individual's vital parameters in reaching conclusion of fitness for work in donkeys. The hourly recordings have shown the hours of the day (11:00 am to 4:00 pm) that are potentially meteorologically stressful for donkeys to be used for packing during the season.     

Effect of the Depth of Insertion of the Thermometer on the Rectal Temperature of Donkeys During the Hot-Dry Season in a Tropical Savannah

The objective of the present study was to evaluate the effect of the depth of insertion and environmental parameters on the rectal temperature (RT) in donkeys during the hot-dry season in a tropical savannah zone of Nigeria. The experimental subjects were comprised of thirty donkeys divided into three groups based on age: group I, 10 foals (40.67 ± 2.20 kg; 1.50 ± 0.02 months); group II, 10 yearlings (91.53 ± 0.54 kg; 1.51 ± 0.01 years); and group III, 10 adults (140 ± 0.71 kg; 8.03 ± 0.06 years). Each group was divided into 5 male and 5 female donkeys. Measurements of the RT were recorded with a digital thermometer probe (model HI935007, Hanna Instruments), which was inserted into the rectum at varying depths of 3.5, 7, 10.5, and 14 cm in the same animal in each group. There was a gradual increase in the RT in donkeys as the depth of insertion was increased from 3.5 cm (36.60°C) to 14 cm (38.40°C). Data obtained from the study were subjected to repeated-measures analysis of variance, followed by Tukey's post-hoc test to compare mean values between different depths of RT measurements. Overall, there was a variation in the RT by the depth of insertion with the shallow depth of 3.5 cm having a lower RT than the depths of 7, 10.5, and 14 cm. The variation of the RT observed in donkeys showed that there is need to standardize the probe-insertion depth in veterinary clinical practice for accurate measurement of the RT in donkeys in the Northern Guinea savannah zone of Nigeria.     

Holter monitoring in clinically healthy Cavalier King Charles Spaniels, Wire-haired Dachshunds, and Cairn Terriers

Background: Few reported studies describe normal values from 24‐hour ECG (Holter) recordings of small breed dogs. Objectives: To investigate influence of breed, age, sex, body weight, degree of recording artifact, and mitral valve prolapse (MVP) on Holter recordings of 3 breeds of small dogs that have differing predispositions for myxomatous mitral valve disease. The study also assessed if heart rate (HR) at clinical examination (HRex) was associated with HR during Holter monitoring and evaluated the reproducibility of Holter variables. Animals: Fifty clinically healthy, privately owned dogs of the breeds Cavalier King Charles Spaniel (CKCS), Wire‐haired Dachshund (wD), or Cairn Terrier (CT). Methods: Prospective, longitudinal observational study. Dogs were recruited for clinical examination, echocardiography, and Holter monitoring. In 8 CKCS, Holter recordings were performed twice with a 7‐day interval. Arrhythmia and heart rate variability (HRV) analysis (time and frequency domain analysis) were performed on Holter recordings. Results: Fifteen out of 27 Holter derived variables were significantly associated with breed (P < .03), but not with age (P > .7), sex (P > .2), body weight (P > .7), degree of recording artifact (P > .4), or MVP (P > .6). During Holter recording, minimum (P= .0001) and mean HR (P= .0001) were higher in CKCS compared with wD. CKCS had significantly lower values than wD, CT, or both in 10 out of 13 HRV variables (P < .03). Minimum and mean HR during Holter recording were correlated with HRex (r= 0.55, P= .0003). HR and time domain variables had a coefficient of variation <10%. Conclusions and Clinical Importance: There is an influence of breed on Holter‐derived variables in 3 breeds of small dogs. Arrhythmia and HRV analysis can be performed on 24‐hour ambulatory ECG (Holter) recordings. Arrhythmia analysis includes HR measurements and identification of arrhythmias.     

Seroprevalence and risk factors associated with Equine piroplasmosis in North Egypt

Equine piroplasmosis (EP) is caused by Theileria equi and/or Babesia caballi and has economic importance particularly in equines reared in poor management systems. This study is based on cELISA test to study the seroprevalence of EP among 370 horses and 150 donkeys in four Governorates north Egypt. Additionally, its risk factors were studied for the first time. The seroprevalence rates 36.5 %, 20 %, and 5.6 % for T. equi, B. caballi, and mixed infections, respectively. The highest antibody levels against T. equi were detected in Kafr ElSheikh (40 %) and Giza (40.1 %) Governorates, whereas those of B. caballi were detected in Qalyubia (25 %) and Kafr ElSheikh (24.1 %) Governorates. Concerning T. equi, animals >10 years (OR = 2.06) were more likely to be infected with EP than those <5 years old. In addition, the seropositivity increased among grazing (OR = 5.7, 95 % CI: 1.73−19.27) males (OR = 1.8, 95 % CI: 1.23−2.61) infested with ticks (OR = 2.3, 95 % CI: 1.60−3.48) during summer (OR = 4.3, 95 %CI: 2.53−7.46); whereas the seropositivity of animals for B. caballi increased among grazing equines (OR = 7.8, 95 % CI: 1.05−58.25) over 10 years old (OR = 2.08, 95 % CI: 1.10−3.94) and infested with ticks (OR = 2.4, 95 % CI: 1.54−3.76) during summer (OR = 7.12, 95 % CI: 3.15–16.06). Therefore, EP is an important prevalent disease in Egypt and deserves further attention regarding the management system, treatment, and vector control.     

Cardiovascular effects of intravenous diltiazem in dogs with iatrogenic atrial fibrillation

Atrial fibrillation (AF) was induced in anesthetized Beagle hounds to determine the dose of diltiazem (D) that resulted in hemodynamic function similar to that observed during sinus rhythm (SR). Dogs were instrumented to record hemodynamic and electrophysiological parameters. Six dogs were given D, IV at cumulative doses of 0.063, 0.188, 0.438, 0.938, and 1.938 mg/kg, whereas 6 other dogs received vehicle in equivalent volumes. Plasma concentrations (PC) of D were measured. A cumulative dose of D between 0.438 and 0.938 mg/kg produced PC of 67.8 to 117.4 ng/mL and resulted in a heart rate (HR) closest to that observed during SR. At doses up to 0.938 mg/kg, no parameter of systolic function fell below that obtained during SR. At a dose of 0.938 mg/kg, the left ventricular end-diastolic and right atrial pressures exceeded those during SR. The rate-pressure product did not differ from that during SR at a dose of 0.938 mg/kg and fell below that during SR at the dose of 1.938 mg/kg. Left ventricular efficiency decreased from SR to AF, returned to values not different from those during SR at a dose of 0.938 mg/kg, and increased to values above those observed during SR at a dose of 1.938 mg/kg. In AF, slowing the HR with 0.438-0.938 mg/kg of D with resultant PC of 67.8-117.4 ng/mL results in cardiovascular function not different from that observed during SR.     

持续干旱下四种地被植物对土壤水分利用的比较研究

于2010年6～11月期间利用盆栽试验研究了持续干旱胁迫对德国景天、中华景天、早开堇菜、草地早熟禾四种地被植物种群的日均蒸腾量及其动态、萎蔫系数、土壤水分利用率、耗水指数的影响。结果表明:两种景天种群的日均蒸腾量都显著低于草地早熟禾和早开堇菜,存活时间都远远大于后两种植物。德国景天、中华景天、草地早熟禾种群的萎蔫系数无显著差异,三者均显著低于早开堇菜。景天种群的平均土壤水分利用率为72.35%,显著高于早开堇菜。德国景天、中华景天的耗水指数显著低于其他两种植物,不同植物的抗旱性为德国景天>中华景天>早开堇菜>草地早熟禾。     

泄泻驴的血液动力流变学研究

首次应用无创检测技术，对３５头健康驴及１４头泄泻驴的血液动力流变进行了探讨，建立了２５项有关参数，并进行统计分析，结果ＰＲ，ＣＯ，ＣＬ，ＬＶＷＬ，ＰＡＷＰ，ＰＰ，ＢＶ，η差异显著，其余均不显著。     

Effect of cilobradine in cats with a first episode of congestive heart failure due to primary cardiomyopathy

IntroductionHeart rate (HR) is often elevated in cats with cardiomyopathies (CMPs). Pharmacologic modulation of HR may reduce cardiac morbidity and mortality.ObjectivesTo investigate the effects of cilobradine vs. placebo, regarding time to cardiac mortality or morbidity in cats with first episode of congestive heart failure (CHF) due to primary CMP.AnimalsThree hundred and sixty-seven client-owned cats with primary CMP that had presented with a first episode of CHF at 50 centers in Europe. Per-protocol population comprised 193 cats (n = 89 cilobradine, n = 104 placebo). An interim analysis for futility was planned.MethodsProspective, randomized, placebo-controlled, double-blinded, multicenter clinical trial. Primary outcome variable was the time to a composite of cardiac mortality or cardiac morbidity.ResultsMedian time to primary outcome was 84 days (95% confidence interval [CI]: 63–219 days) in the cilobradine group (CG) and 203 days in the placebo group (95% CI: 145–377 days) with observed hazard ratio of 1.44, indicating a higher hazard for the CG (P = 0.057). Mean HR was 28 beats per minute (bpm) lower at Day 7 (P < 0.0001) and remained 29 bpm lower at Day 360 (P = 0.026) in the CG than that in the placebo group. Although the number of adverse events did not differ, there were more serious adverse events in the CG.ConclusionsHeart rate reduction by cilobradine in cats with a first episode of CHF due to primary CMP did not reduce cardiac mortality and morbidity.     

Cortisol Release in Mares Treated With Oxytocin Because of Retained Fetal Membranes

Mares give birth under high parasympathetic tone as indicated by increased heart rate variability (HRV) and atrioventricular blocks. These changes might be induced by oxytocin released at foaling. In this short communication, the cardiac (n = 4) and cortisol response (n = 3) of mares treated with oxytocin infusions because of fetal membrane retention are reported. A marked cortisol release occurred during oxytocin infusion in two mares but not in a third mare which was infused for 6 minutes only. Oxytocin-induced cortisol release was neither accompanied by an increase in heart rate nor a decrease in HRV, and heart rate even decreased during oxytocin infusions. Preliminary data indicate that cortisol release in oxytocin-treated mares is not a stress response. Treatment of retained membranes in mares with oxytocin does not induce cardiovascular side effects.     

Decreased sympathetic tone after short-term treatment with enalapril in dogs with mild chronic mitral valve disease

Heart rate variability (HRV) and echocardiography were performed in 14 dogs with mitral regurgitation (MR) before and after 14 days of 0.5 mg/kg/day of enalapril treatment. All dogs were in heart failure stages B1 and B2. After enalapril treatment, left ventricular end diastolic diameter (LVEDd), left ventricular end diastolic diameter normalized for body weight (LVEDdN) and percent mitral regurgitant jet decreased (P < 0.05). The diastolic blood pressure decreased (P < 0.05). Increased time domain parameters of HRV were found. For frequency domain analysis, the total frequency (TF) increased significantly (P < 0.05). The normalized low frequency (LF norm) decreased while normalized high frequency (HF norm) increased causing significant reduction in LF/HF (P < 0.05). Before enalapril treatment, LF was correlated with end diastolic volume (EDV) (P < 0.01) and LVEDd (P < 0.05). In conclusion, MR dogs receiving enalapril treatment for 14 days had increased cardiac parasympathetic tone while sympathetic tone was suppressed. The decreased sympathetic activity corresponded to the reduction in cardiac preload and afterload.     

Evaluation of a technique to measure heart rate variability in anaesthetised cats

Analysis of heart rate (HR) and heart rate variability (HRV) are powerful tools to investigate cardiac diseases, but current methods, including 24-h Holter monitoring, can be cumbersome and may be compromised by movement artefact. A commercially available data capture and analysis system was used in anaesthetised healthy cats to measure HR and HRV during pharmacological manipulation of HR. Seven healthy cats were subjected to a randomised crossover study design with a 7 day washout period between two treatment groups, placebo and atenolol (1 mg/kg, IV), with the efficacy of atenolol to inhibit β₁ adrenoreceptors challenged by epinephrine. Statistical significance for the epinephrine challenge was set at P < 0.0027 (Holm–Bonferroni correction), whereas a level of significance of P < 0.05 was set for other variables.Analysis of the continuous electrocardiography (ECG) recordings showed that epinephrine challenge increased HR in the placebo group (P = 0.0003) but not in the atenolol group. The change in HR was greater in the placebo group than in the atenolol group (P = 0.0004). Therefore, compared to cats pre-treated with placebo, pre-treatment with atenolol significantly antagonised the tachycardia while not significantly affecting HRV. The increased HR in the placebo group following epinephrine challenge was consistent with a shift of the sympathovagal balance towards a predominantly sympathetic tone. However, the small (but not significant at the critical value) decrease in the normalised high-frequency component (HF_norm) in both groups of cats suggested that epinephrine induced a parasympathetic withdrawal in addition to sympathetic enhancement (increased normalised low frequency component or LF_norm). In conclusion, this model is a highly sensitive and repeatable model to investigate HRV in anaesthetised cats that would be useful in the laboratory setting for short-term investigation of cardiovascular disease and subtle responses to pharmacological agents in this species.     

德州驴GDF10基因多态鉴定及其与生长性状的关联分析

[目的]研究将生长/分化因子-10(GDF10)作为候选基因,探讨其多态与不同性别的德州驴生长性状之间的关系.[方法]通过对440头德州驴进行多态检测,鉴定得到3个SNPs位点,并对SNP位点进行分型.利用SPSS 18.0软件分析3个SNPs位点的不同基因型与德州驴9个生长性状的关联分析.[结果]结果显示,3个位点均...