Evidence map›Paper›PMID 40056024›Full record

ArticleJournal of veterinary internal medicine

Daily Heart Rate Variability in Dogs With Atrial Fibrillation.

Joao Escalda, Brigite Pedro, Jose Novo Matos, Antonia Mavropoulou, Christopher Linney, Joao Neves, Joanna Dukes-McEwan, Anna R Gelzer

Abstract readMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joao EscaldaThe Queen's Veterinary School Hospital, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0002-5035-753X
Brigite PedroWillows Veterinary Centre and Referral Service, West Midlands, UK.ORCID https://orcid.org/0000-0003-3027-0020
Jose Novo MatosThe Queen's Veterinary School Hospital, University of Cambridge, Cambridge, UK.ORCID https://orcid.org/0000-0001-8128-8111
Antonia MavropoulouPlakentia Veterinary Clinic, Athens, Greece.
Christopher LinneyWillows Veterinary Centre and Referral Service, West Midlands, UK.ORCID https://orcid.org/0000-0002-9126-8605
Joao NevesWillows Veterinary Centre and Referral Service, West Midlands, UK.
Joanna Dukes-McEwanSmall Animal Teaching Hospital, Department of Small Animal Clinical Science, University of Liverpool Leahurst Campus, UK.ORCID https://orcid.org/0000-0002-0326-8251
Anna R GelzerDepartment of Clinical Studies and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7997-5374

Funding

Clinical Studies Funding of the European College of Veterinary Internal Medicine - Companion Animals (ECVIM-CA)
6 · The paper itself

Abstract

backgroundDaily variability of heart rate in 24-h Holter recordings in dogs with atrial fibrillation (AF) receiving antiarrhythmic drugs (AAD) is unknown and could influence medical decisions. HYPOTHESIS/

objectivesDogs with AF, Holter-derived mean heart rate (meanHRHolter) over 24 h is not significantly different from a subsequent, consecutive 24-h period. ANIMALS: Twenty-five dogs with AF.

methodsProspective, descriptive, multicenter study. MeanHRHolter rate and ventricular arrhythmias (VAs) were prospectively analyzed after starting AAD. Clinically relevant difference (defined as ≥ 10 bpm in the meanHRHolter), success of rate control (defined as meanHRHolter ≤ 125 bpm). A Bland-Altman analysis and intra-class correlation coefficient (ICC) were calculated to compare two consecutive 24-h Holter recordings. VAs percentage difference [(maximum daily value-minimum daily value)/maximum daily value × 100] and grading variability between recordings were also investigated.

resultsSmall BIAS with ICC 0.98 (95% confidence interval [CI] 0.95-0.99) on meanHRHolter with no statistical difference between two consecutive 24-h Holter recordings (95% CI [-2.84-2.92], degree of freedom 24, p = 0.98). Only 2/25 dogs (8%; 95% CI [2%-25%]) had clinically significant variation, while 1/25 (4%; 95% CI [0%-20%]) dogs showed different classifications in the success of rate control between the consecutive recordings. The VAs percentage difference was 52%, with 7/25 (28%; 95% CI [14%-47%]) dogs showing a VAs grading difference of ≥ 2. CONCLUSION AND CLINICAL IMPORTANCE: The daily heart rate variability in dogs with AF receiving AAD is low, suggesting that a single 24-h Holter recording is adequate to assess rate control. Daily variability might be an important consideration when assessing VAs in dogs with concomitant AF.

Indexed as

Atrial FibrillationDog DiseasesHeart RateAnimalsAnti-Arrhythmia AgentsDogsElectrocardiography, AmbulatoryFemaleMaleProspective StudiesAnti-Arrhythmia Agentsantiarrhythmic therapyelectrocardiographyholterrate controlventricular arrhythmias

Identifiers

PMID40056024
PMCPMC11889461

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.