Page 92 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Cardiology                                                                                                                                                                                                                Cardiology
       e                                                                                                                                                                                                                                e

       Innere Medizin
  VetBooks.ir




                                                                                        Abnormal
                                                                                          pulse



                                                     Changes in                                                                                                                            Change in
                      No pulse
                                                  frequency/rhythm                                                                                                                        pulse quality



                       Aortic                      â Bradycardia       â Tachycardia
                     thrombosis     Arrhythmic         p. 84               p. 85                                                                                           Weak                                        Pounding




                                                                                                                                                                                                                     Large difference
                                                         Synchronous                                                                                         Extracardiac               Cardiac                     between diastolic
          Pulse deficit
                                                           with heart                                                                                          causes                    causes                        and systolic
                                                                                                                                                                                                                        pressure



                           Premature contractions                                                                                                                                                               Vascular
         – Premature                                            2 degree                         Sinus                                                      – Shock            Decreased       Decreased
                                                                 nd
           contractions   (dependent on frequency                AV block                      arrhythmia                                                   – Hypotension       preload       cardiac output   resistence    Cardiac causes
           (dependent        also pulse deficit)                                                                                                            – Partial                                           reduced
           on                                                                                                                                                thrombosis
           frequency       Supra-                    High         Mobitz       Mobitz                                                                                         – Pericardial   – DCM           – Fever        – PDA
           also          ventricular  Ventricular    grade        type II       type I                                                                                         effusion         (dog)         – Anaemia      – Severe
           synchronous                                                                       Respiratory sinus                                                                                – Aortic                         aortic
           with heart)                                                                         arrhythmia
                                                                                                                                                                                                                               insufficiency
         – Atrial                                                                            (normal in dogs)                                                                                   stenosis                     – Arterio-
           fibrillation                                                     – Normal in
                                                                              puppies                                                                                                                                          venous
                                                                            – Increased                                                                                                                                        fistula (rare)
                                                                              vagal tone































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