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Ventricular Arrhythmias in Dogs Undergoing Splenectomy: A Prospective Study

1994; Wiley; Volume: 23; Issue: 2 Linguagem: Inglês

10.1111/j.1532-950x.1994.tb00453.x

1532-950X

Dominic J. Marino, David T. Matthiesen, Phillip R. Fox, Michael B. Lesser, Mark E. Stamoulis,

Trauma Management and Diagnosis

Fifty dogs undergoing splenectomy for splenic masses (n = 40), torsion of the splenic pedicle (n = 5), and immune‐mediated disease (n = 5) were evaluated preoperatively and postoperatively for ventricular arrhythmias and the relationship between ventricular arrythmia and splenic disease. The ability of 1 ‐minute electrocardiograms recorded every 6 hours (ECGs/q6hr) to detect ventricular arrythmia was compared with continuous 48‐hour Holter monitoring. Based on continuous Holter monitoring, splenectomized dogs had a high incidence (22 of 50) of rapid ventricular tachycardia. The incidence of rapid ventricular tachycardia was significantly higher in dogs with ruptured splenic masses (16 of 23) than without rupture (1 of 17) ( P < .001). When the results of ECG/q6hr were compared with the results of continuous Holter monitoring, ECG/q6hr was normal in 29% (4 of 14) of dogs with rapid ventricular tachycardia at > 3,000 ventricular extrasystoles (VE)/hr; 50% (4 of 8) of dogs with rapid ventricular tachycardia at 1,000 to 3,000 VE/hr and 100% (6 of 6) of dogs with 10 to 300 VE/hr without rapid ventricular tachycardia. Although dogs undergoing splenectomy had a high incidence of ventricular arrythmias, one‐minute ECGs/q6h were unreliable for detection of ventricular arrythmias even when high‐frequency extrasystoles occurred.