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Peer-reviewed veterinary case report

Conversion of atrial dissociation with lidocaine in a dog.

Journal:
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology
Year:
2017
Authors:
Thorn, C L et al.
Affiliation:
Department of Clinical Studies · United States
Species:
dog

Abstract

A 3-year-old healthy dog was presented for abdominal surgery following ingestion of razor blades. An electrocardiogram revealed a regular sinus bradycardia with normal P waves at a heart rate of 45 bpm. In addition, low-amplitude positive deflections (p' waves) were visualized at a regular interval and rapid rate of 250 bpm, dissociated from the normal sinus P waves. A tentative diagnosis of atrial dissociation was proposed. Administration of lidocaine abolished the p' waves. This case describes atrial dissociation observed following premedication that was successfully terminated using lidocaine in a healthy dog.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/28566246/