Evidence of cardiac injury and arrhythmias in dogs with acute kidney injury

OBJECTIVES Cardiac involvement in the course of acute kidney injury is described in humans as cardiorenal syndrome type 3 but has received only limited attention in dogs. This study was designed to evaluate cardiac injury and dysfunction in acute kidney injury in dogs and its association with outcome. METHODS This prospective cohort study enrolled 24 client-owned dogs with acute kidney injury. Cardiac disorders were evaluated with thoracic radiographs, echocardiography, 24-hour Holter monitoring and cardiac troponin I concentrations within 2 days of admission and 7 to 10 days later. RESULTS Most dogs were diagnosed with leptospirosis (n=18, 75%) and presented with moderate-to-severe acute kidney injury, International Renal Interest Society grades III to V. Dogs with ê100 ventricular premature complexes per 24 hour in the first examination (n=8) had significantly higher initial cTnI concentrations (P=0·007) compared to dogs with fewer than 100. In receiver operating characteristic curve analysis, the number of ventricular premature complexes was predictive of outcome (AUC 0·83, P<0·001). CLINICAL SIGNIFICANCE Acute kidney injury seems to be associated with cardiac injury and arrhythmias in dogs. The data do not indicate a cardiac cause of poor outcome in dogs with increased number of ventricular premature complexes but the association may reflect the severity of disease.

Long Term Outcomes Following Catheter Ablation of Ventricular Tachycardia in Patients with and without Structural Heart Disease.

BACKGROUND Long-term outcomes following ventricular tachycardia (VT) ablation are sparsely described. OBJECTIVES To describe long term prognosis following VT ablation in patients with no structural heart disease (no SHD), ischemic (ICM) and non-ischemic cardiomyopathy (NICM). METHODS Consecutive patients (n=695; no SHD 98, ICM 358, NICM 239 patients) ablated for sustained VT were followed for a median of 6 years. Acute procedural parameters (complete success [non-inducibility of any VT]) and outcomes after multiple procedures were reported. RESULTS Compared with patients with no SHD or NICM, ICM patients were the oldest, had more males, lowest left ventricular ejection fraction (LVEF), highest drug failures, VT storms and number of inducible VTs. Complete procedure success was highest in no SHD, compared ICM and NICM patients (79%, 56%, 60% respectively, P<0.001). At 6 years, ventricular arrhythmia (VA)-free survival was highest in no SHD (77%) than ICM (54%) and NICM (38%, P<0.001) and overall survival was lowest in ICM (48%), followed by NICM (74%) and no SHD patients (100%, P<0.001). Age, LVEF, presence of SHD, acute procedural success (non-inducibility of any VT), major complications, need for non-radiofrequency ablation modalities, and VA recurrence were independently associated with all cause mortality. CONCLUSIONS Long term follow up following VT ablation shows excellent prognosis in the absence of SHD, highest VA recurrence and transplantation in NICM and highest mortality in patients with ICM. The extremely low mortality for those without SHD suggests that VT in this population is very rarely an initial presentation of a myopathic process.

The menace of a premature peace : an address /

Cover title.

Les lois du mouvement énergétique dans les muscles en contraction volontaire statique; nouvelle méthode pour l'étude des phénomènes physico-chimiques de la respiration ...

Thèse--Univ. de Paris.

Premature subdivision and its consequences; a study made for the State planning council of New York of the premature subdivision for urban purposes of outlying lands in selected metropolitan areas of New York state,

"Authorized reprint of the official report."

Premature church-membership,

Mode of access: Internet.

Program for care of premature infants.

Mode of access: Internet.

Recherches experimentales sur la contraction musculaire chez le...

Thesis (doctoral)--

On overwork and premature mental decay: its treatment.

Mode of access: Internet.

Muscular contraction and the reflex control of movement,

"A chronological list of important contributions to the physiology of muscle": p. 53-55.

Premature burial : fact or fiction?

Mode of access: Internet.

Premature deindustrialization in Latin America

Defining deindustrialization as a situation of falling share of manufacturing employment and value added in total employment and GDP, respectively, and a rising specialization in primary goods, this paper provides an empirical analysis of the recent (and in some cases historical) path of four Latin American countries (Argentina, Brazil, Chile and Mexico), contributing to the debate on the matter of premature deindustrialization. We argue that Argentina, Brazil and Chile face premature deindustrialization, increasing their specialization in commodities, resource-based manufactures and low productivity services, while Mexico urges a deeper analyze of its structure.

Decisional Considerations in Left Ventricular Assist Device for Destination Therapy

Thesis (Ph.D.)--University of Washington, 2016-06

Three lenses into the cardiac dyad: calcium signaling, microtubule trafficking, and junctional sarcoplasmic reticular mobility

Thesis (Ph.D.)--University of Washington, 2016-06