Bradycardic yt

Re: Bradycardic yt

ilanit — Tue, 26 Feb 2013 16:17:27 GMT

[quote user="David Mills"]Any chance you could post the ECG?

[/quote]

I will try tomorrow when I'm at work. Thanks

Re: Bradycardic yt

David Mills — Tue, 26 Feb 2013 08:57:55 GMT

Any chance you could post the ECG?

Re: Bradycardic yt

ilanit — Tue, 26 Feb 2013 05:26:21 GMT

Blood glucose was normal.

In the beginning I was convinced it was Addisons! Checked electrolytes twice, because didn't believe readings machine! But after 24 hours potassium was even little below reference. Apart from that we didn't see the expected response from steroid and NaCl drip. Just the same we were planning an ACTH stim.What put us on a different track was that when the dog was given atropine last and 'woke' up he was behaving odd, showing signs of forebrain disease (pacing, blindness, walking into the wall and unresponsive to environment). We shouldn't see that with Addison?

Hypothyroidism is a thought as well. Might be worth checking. Thanks!

Re: Bradycardic yt

Clive Ansell — Mon, 25 Feb 2013 22:04:17 GMT

Need to rule out Addison's and hypothyroidism, and possibly an ECG Holter to record and evaluate any further attacks.

Re: Bradycardic yt

KathW — Mon, 25 Feb 2013 22:03:00 GMT

Atypical addisons with normal electrolytes? Could have then improved with the steroid injection it got. Last one I saw had hypoglycaemia as well on initial presentation - did you check the blood glucose?

Re: Bradycardic yt

Catherine Hemingway — Mon, 25 Feb 2013 20:47:14 GMT

Addison's would spring to mind too. Worth checking for hypothyroidism as well as we had a case last week with similar signs

Re: Bradycardic yt

Julie Innes — Mon, 25 Feb 2013 19:37:44 GMT

My immediate first thought in a yt with bradycardia was Addison's, but I can't see why that would have responded to atropine. Could it be a primary heart problem with secondary neurological signs due to hypoxia??