心律失常与肉鸡腹水综合征、猝死综合征发生的关系

对来自 2次试验的 34 0只 (公鸡 182只 ,母鸡 15 8只 )商品 AA肉鸡 ,分别在 7～ 9、2 1～ 2 3、35～ 37日龄 ;14～ 16、2 8～ 30、42～ 44日龄时心电描记中出现的心律失常的特征进行了研究 ,同时还对肉鸡腹水综合征 (AS)、肉鸡猝死综合征 (SDS)的发生进行了跟踪记录。结果表明 ,(1)肉鸡心律失常在 8日龄时即可发生 ,发生率随日龄增加而增高 ,在 42～ 44日龄时可达 16 .6 7% ,且公鸡较母鸡的发病率高 ;(2 )心律失常在肉鸡中最常见的是室性心律失常和窦房或房室传导阻滞 ;(3) 2次试验中 ,有 11只死于 SDS,死亡率 3.2 3% ;有 14只发展为 AS,发病率为 4.11%。对动态心电描记记录作回顾性分析发现 ,死于 SDS的肉鸡中 ,有 7只生前表现有室性心律失常病史 ;发展为 AS的 ,有 8只生前就有传导阻滞的病史。由此可以推测 ,室性心律失常、传导阻滞分别在 SDS和 AS的病理发生中起重要作用     

Comparison of N-terminal pro-atrial natriuretic peptide and three cardiac biomarkers for discriminatory ability of clinical stage in dogs with myxomatous mitral valve disease

Plasma N-terminal pro-atrial natriuretic peptide (NT-proANP) concentration increases with progression of myxomatous mitral valve disease (MMVD) in dogs. This multicentre, prospective study compared plasma NT-proANP, N-terminal pro-brain natriuretic peptide (NT-proBNP), ANP, and cardiac troponin I (cTnI) concentrations in dogs with MMVD for their characteristics and discriminatory ability to detect cardiac dilatation and congestive heart failure (CHF). Thirty-six healthy dogs and 69 dogs with MMVD were included. Clinical variables were obtained via physical examination, thoracic radiography, and echocardiography. The discriminatory ability of each cardiac biomarker (CB) to determine the presence or absence of cardiac dilatation (event 1) and CHF (event 2) was evaluated using the receiver operating characteristic curves. Plasma NT-proANP, NT-proBNP, and ANP concentrations showed a significant association with the left atrium/aorta ratio (P<0.01). The area under the curve of plasma NT-proANP and NT-proBNP concentrations were 0.72 and 0.75, respectively in event1 and 0.72 and 0.76, respectively in event2. Plasma NT-proANP and NT-proBNP concentrations showed sensitivity 80.0 and 80.0%; specificity 67.6 and 64.7% in event1 (cutoff value; 8,497.81 pg/ml and 1,453.00 pmol/l, respectively) and sensitivity 85.7 and 81.0%; specificity 60.4 and 64.6% in event2 (cutoff value; 8,684.33 pg/ml and 1,772.00 pmol/l, respectively). In dogs with MMVD, plasma NT-proANP, NT-proBNP, and ANP concentrations increase with left atrial enlargement. Particularly, plasma NT-proANP and NT-proBNP concentrations appeared to be equally useful in the discriminatory ability to detect cardiac dilatation and CHF.