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Peer-reviewed veterinary case report

Dog with heart muscle damage after severe seizures and treatment

By Dunham, Jacob et al.·Published in Frontiers in veterinary science·2024·Department of Veterinary Medicine and Surgery, United States·View original on PubMed

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Original publication title: Case report: Naturally occurring neurogenic stunned myocardium in a dog secondary to status epilepticus.

Species:
dog

Plain-English summary

A 4-year-old male neutered Boston Terrier was brought in for severe seizures, known as status epilepticus. While in the hospital, he developed heart rhythm problems and signs of heart muscle damage. The vet suspected a condition called neurogenic stunned myocardium, which can occur after seizures, and treated him with a medication called esmolol. After treatment, his heart function improved, and follow-up tests showed that the heart issues had resolved.

People also search for: Boston Terrier seizures treatment · dog heart problems after seizures · status epilepticus in dogs

Abstract

A 4-year-old male neutered Boston Terrier was presented with status epilepticus. He was diagnosed with idiopathic epilepsy and hospitalized with supportive care. During hospitalization, the patient developed both supraventricular and ventricular arrhythmias as well as focal left ventricular dyskinesis. Cardiac troponin I was significantly increased, which was supportive of myocardial damage. Neurogenic stunned myocardium was suspected, and the patient was treated and responded to esmolol. Follow-up echocardiography demonstrated the resolution of the ventricular dyskinesia. This report describes the clinical presentation, diagnostic findings, treatment, management, and outcome of the first reported case of naturally occurring neurogenic stunned myocardium in a dog. Electrocardiogram monitoring, cardiac troponin I, and echocardiography should be considered in patients presenting with seizure activity, especially when exhibiting cluster seizures or in status epilepticus.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38895716/