한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제24권3호
  • /
  • Pages.414-418
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  • 2007
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

경피적 접근을 이용한 영구 박동조절기(pacemaker) 장착을 통한 3도 방실 차단이 있는 비글종 개의 치료

Permanent Transvenous Cardiac Pacing in a Beagle Dog With a Third Degree Atrioventricular Block

  • 이승곤 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 문형선 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 이무현 (강원대학교 수의(학부)대학 소동물 내과교실) ;
  • 현창백 (강원대학교 수의(학부)대학 소동물 내과교실)
  • Lee, Seung-Gon (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Moon, Hyeong-Sun (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Lee, Moo-Hyun (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University) ;
  • Hyun, Chang-Baig (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University)
  • 발행 : 2007.09.30
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초록

2.8살 된 암컷 비글종 개 (체중 11kg)가 운동 불내성과 간헐적인 실신증상을 보여 내원하였다. 청진상 불규칙하게 불규칙한 심장박동과 지속적인 맥박결손이 청진되었다. 심전도상에 3도 방실차단 소견이 관찰되었다. 환자는 임상증상 개선을 위하여 경정맥을 통한 영구적인 박동조절기(pacemaker)를 장착하였다. 그 결과 환자는 더 이상 실신증상을 보이지 않았고 주인과 함께 산책을 나갈 수 있을 만큼 임상증상이 개선되었다. 현재까지 박동조절기 장착과 관련된 합병증 없이 잘 생존하고 있다.

A 2.8-year-old intact female Beagle dog (weighing 11kg) was referred with the primary complaint of exercise intolerance with occasional syncope. Physical examination revealed irregularly irregular heart rhythm with persistent pulse deficits. The 12-lead surface ECG showed a third degree heart block. Permanent transvenous cardiac pacing with a bipolar implantable pacemaker was performed in the right ventricle. After pacemaker implantation, the dog did not show syncopal episode and is currently able to take a walk with an owner. No side effects associated with permanent pacemaker implantation has been observed to date.

키워드

참고문헌

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