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Survival time with pacemaker implantation for dogs diagnosed with persistent atrial standstill
Authors:RM Cervenec  CD Stauthammer  DM Fine  HB Kellihan  BA Scansen
Institution:1. Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, 1365 Gortner Ave., St. Paul, MN 55108, USA;2. Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, 900 East Campus Drive, Clydesdale Hall, Columbia, MO 65211, USA;3. Department of Medical Sciences, University of Wisconsin, 2015 Linden Dr, Madison, WI 53706, USA;4. Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon L. Tharp Street, Columbus, OH 43210, USA
Abstract:

Objectives

To evaluate survival time in dogs with persistent atrial standstill after pacemaker implantation and to compare the survival times for cardiac-related vs. non-cardiac deaths. Secondary objectives were to evaluate the effects of breed and the presence of congestive heart failure (CHF) at the time of diagnosis on survival time.

Animals

Twenty dogs with persistent atrial standstill and pacemaker implantation.

Methods

Medical records were searched to identify dogs diagnosed with persistent atrial standstill based on electrocardiogram that underwent pacemaker implantation. Survival after pacemaker implantation was analyzed using the Kaplan–Meier method.

Results

The median survival time after pacemaker implantation for all-cause mortality was 866 days. There was no significant difference (p=0.573) in median survival time for cardiac (506 days) vs. non-cardiac deaths (400 days). The presence of CHF at the time of diagnosis did not affect the survival time (P=0.854). No difference in median survival time was noted between breeds (P=0.126).

Conclusions

Dogs with persistent atrial standstill have a median survival time of 866 days with pacemaker implantation, though a wide range of survival times was observed. There was no difference in the median survival time for dogs with cardiac-related deaths and those without. Patient breed and the presence of CHF before pacemaker implantation did not affect median survival time.
Keywords:Canine  Bradyarrhythmia  Congestive heart failure  Atrial myopathy
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