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Peer-reviewed veterinary case report

Pacemaker success and survival in 104 dogs with heart block or syncope

By Johnson, M S et al.·Published in The Journal of small animal practice·2007·Veterinary Cardiorespiratory Centre·View original on PubMed

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Original publication title: Results of pacemaker implantation in 104 dogs.

Species:
dog

Plain-English summary

A group of 104 dogs, mostly Labradors, underwent pacemaker implantation due to heart issues like atrioventricular block and sick sinus syndrome. Most dogs improved significantly, with 93 showing resolution of their symptoms after the procedure. While there were some complications, including a few serious ones, the majority of dogs survived and had a good quality of life afterward. The survival rates were promising, with 86% of dogs alive one year after the surgery. Overall, pacemaker implantation proved to be an effective treatment for these heart conditions in dogs.

People also search for: dog pacemaker surgery · Labrador heart problems · sick sinus syndrome treatment in dogs

Abstract

OBJECTIVES: To document the outcome, survival and complications involved in pacemaker implantation in dogs in a retrospective study. METHODS: Case records for all dogs in which pacemaker implantation was performed were reviewed. RESULTS: A total of 104 dogs underwent pacemaker implantation. Dogs were presented with atrioventricular (AV) block (71), sick sinus syndrome (25) or vasovagal syncope (eight). Age at presentation varied from six months to 13 years with a median age of seven years and two months. The Labrador was the most commonly represented breed (17 cases). All but one dog survived pacemaker implantation, with 93 showing resolution of their clinical signs while 10 dogs showed intermittent residual signs. One-, three- and five-year survival estimates were 86, 65 and 39 per cent, respectively. Major complications after implantation were documented in 15 dogs and three of these led to fatalities. Minor complications were noted in 23 dogs. Sudden death occurred in six dogs three to 55 months following successful pacemaker implantation. CLINICAL SIGNIFICANCE: Transvenous pacemaker implantation was successful in reducing or eliminating clinical signs in over 90 per cent of dogs with third-degree atrioventricular (AV) block or sick sinus syndrome. In dogs with vasovagal syncope, six of eight dogs had greatly reduced frequency of collapse and two became asymptomatic. Although the procedure was associated with complications, these were rarely life threatening and good survival was documented in the majority of cases.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17212742/