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Sinus tachycardia

Sonopath Forum

Sonopath Forum

Sinus tachycardia

  • 10 year old border collie, presented 2 weeks prior with sudden onset weakness and ataxia
  • Tachycardic with strong apex beat and soft right sided murmur on exam, seemed to partially respond to ACE-I and pimobendan but still tachycardic and quiet
  • Echo – TR with velocity 2.8m/s, Chamber sizes seem normal, do you think the TR is due to degenerative valve disease?

    • 10 year old border collie, presented 2 weeks prior with sudden onset weakness and ataxia
    • Tachycardic with strong apex beat and soft right sided murmur on exam, seemed to partially respond to ACE-I and pimobendan but still tachycardic and quiet
    • Echo – TR with velocity 2.8m/s, Chamber sizes seem normal, do you think the TR is due to degenerative valve disease?
    • Abdo scan – nodular liver no HV distension, spleen and pancreas normal, left adrenal normal/small, I thought the right adrenal was normal during the exam but now I am querying a nodule on the cranial pole due to altered echogenicity, do you think this is real?
    • Pending bloods and BP assessment
    • What do you think is causing the tachycardia, is the tricuspid regurg significant?

Comments

Peter
November 7, 2018 at 9:46 pm -

Hi!
No, I’m quite sure that

Hi!

No, I’m quite sure that the tachycardia NOT caused by compensatory mechanisms. The TI is mild and not significant. Was it a sinus-tachycardia?  Do you have an ECG of this patient?

Thx

 

Peter

veteurope1
November 7, 2018 at 9:53 pm -

Only that was running on echo

Only that was running on echo machine unfortunately. 

veteurope1
November 7, 2018 at 9:59 pm -

Thanks Peter. 
Is a holter

Thanks Peter. 

Is a holter monitor indicated at this stage? Could it be a primary arrhythmia or must be secondary to systemic disease?

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