Browse > Article

Sick Sinus Syndrome (SSS) in a Maltese Dog Concurrent with Mitral Valve Endocardiosis (MVE)  

Park Chul (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Jung Dong-in (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Kim Ha-Jung (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Kang Byeong-Teck (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Kim Ju-Won (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Lim Chae-Young (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Yoo Jong-Hyun (Department of Veterinary internal medicine, College of veterinary medicine, Seoul National University)
Park Hee-Myung (Department of Veterinary internal medicine, College of veterinary medicine, Konkuk University)
Publication Information
Journal of Veterinary Clinics / v.22, no.4, 2005 , pp. 396-400 More about this Journal
Abstract
A 13-year old, female Maltese dog was presented due to a five-month history of episodic syncope. A diagnosis of sick sinus syndrome (SSS) with mitral valve endocardiosis (MVE) was made based on history takings, physical and cardiac examination, complete blood count (CBC), serum chemistry profiles, radiography, electrocardiography (ECG), atropine response test, hormonal assay, and echocardiography. In this case, SSS was definitely diagnosed by evaluation of ECG recording following atropine administration. Clinical signs were improved with medical management of theophylline (THEOLAN, KunWha Pharm, Seoul, Korea, 20 mg/kg, PO, BID). After 10 more month survival, the dog, died of respiratory distress and shock during the operation of abdominal mass removal in local animal hospital. Unfortunately, we were not able to perform necropsy after death due to owner's decline. This case demonstrates that theophylline can be used in management oF dog with SSS.
Keywords
sick sinus syndrome; syncope; atropine response test;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Sneddon JF, Camm AJ. Sinus node disease: current concepts in diagnosis and therapy. Drugs 1992; 44: 728-737   DOI   ScienceOn
2 Saito D, Matsubara K, Yamanari H, Obayashi N, Uchida S, Maekawa K, Sato T, Mizuno K, Kobayashi H, Haraoka S. Effects of oral theophylline in sick sinus syndrome. J Am College Cardio 1993a; 21: 1199-1204   DOI   ScienceOn
3 Kavanagh K. Sick sinus syndrome in a bull terrier. Can Vet J 2002; 43: 46-48
4 Boon JA. Acquired heart disease. In: Manual of Veterinary echocardiography, 1st ed. Baltimore: Lippincott Williams & Wilkins. 1998: 276
5 Sisson DD. Bradyarrhythmias and cardiac pacing. In: Current Veterinary Therapy X. Philadelphia : WB Saunders. 1989: 286-294
6 Jordan JL, Mandel WJ. Disorders of sinus function. In: Cardiac Arrhythmias, 3rd ed. Baltimore: J. B. Lippincott. 1995: 245-295
7 Bolton GR. Bradycardia. In: Current Veterinary Therapy VII. Philadelphia: WB Saunders. 1980: 376-381
8 Corcoran BM, Cobb M, Martin MW, Dukes-McEwan J, French A, Fuentes VL, Boswood A, Rhind S. Chronic pulmonary disease in West Highland white terriers. Vet Rec 1999; 144: 611-616   DOI   ScienceOn
9 Zipes DP. Specific arrhythmias: Diagnosis and treatment. In: Heart Disease: A Textbook of Cardiovascular Medicine, 4th ed. Philadelphia: WB Saunders. 1992: 677-679
10 Tilley LP. Sick sinus syndrome. In: Essentials of Canine and Feline Electrocardiography, 3rd ed. Philadelphia: Lea & Febiger. 1992: 184-187
11 Miller MS, Tilley LP. ECG of the month. J Am Vet Med Assoc 1984; 184: 423-425
12 Moneva-Jordan A, Corcoran BM, French A, Dukes-McEwan J, Martin MW, Luis Fuentes V, Hitchcock LS, Bonagura JD. Sick sinus syndrome in nine West Highland white terriers. Vet Rec 2001; 148: 142-147   DOI   ScienceOn
13 Tilley LP, Goodwin JK. Arrhythmias and Conduction Disturbances. In: Manual of Canine and Feline Cardiology. 3rd ed. Philadelphia: WB Saunders. 2001: 391-392
14 Hamlin RL, Smetzer DL, Breznock EM. Sinoatrial syncope in miniature Schnauzers. J Am Vet Med Assoc 1972; 161: 1022-1028
15 Goodwin JK. Holter monitoring and cardiac event recording. Vet Clin Nor Am Small Anim Pract 1998; 28: 1391-1407