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Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs

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dc.contributor.authorBini, Martina
dc.contributor.authorVezzosi, Tommaso
dc.contributor.authorFernández del Palacio, Maria Josefa
dc.contributor.authorTalavera López, Jesús
dc.contributor.authorPatata, Valentina
dc.contributor.authorMarchesotti, Federica
dc.contributor.authorDomenech, Oriol
dc.contributor.departmentMedicina y Cirugía Animal
dc.coverage.spatialEspañaes
dc.coverage.temporal2022es
dc.date.accessioned2024-01-29T11:39:36Z
dc.date.available2024-01-29T11:39:36Z
dc.date.issued2022
dc.descriptionCopyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
dc.description.abstractPulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; p = 0.003). In lead II, P wave amplitude >0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; p = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; p = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; p = 0.006), and S wave > 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; p < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; p < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude >0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS.es
dc.formatapplication/pdfes
dc.format.extent11es
dc.identifier.citationVeterinary Sciences 2022, 9, 61.
dc.identifier.doihttps://doi.org/10.3390/vetsci9020061
dc.identifier.issnElectronic 2306-7381
dc.identifier.urihttp://hdl.handle.net/10201/137938
dc.languageenges
dc.relationSin financiación externa a la Universidades
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectCardiologyen
dc.subjectElectrocardiographyen
dc.subjectHeart murmuren
dc.subjectMean electrical axisen
dc.subjectQRS complexen
dc.subject.otherCDU::6 - Ciencias aplicadas::61 - Medicina::616 - Patología. Medicina clínica. Oncologíaes
dc.subject.otherCDU::6 - Ciencias aplicadas::63 - Agricultura. Silvicultura. Zootecnia. Caza. Pesca::636 - Veterinaria. Explotación y cría de animales. Cría del ganado y de animales domésticoses
dc.titleClinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogses
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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