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Effect of Transvenous Electrical Cardioversion on Plasma Cardiac Troponin I Concentrations in Horses with Atrial Fibrillation
Background: Whether electrical cardioversion of cardiac arrhythmias results in cardiomyocyte damage is unknown. Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses. Animals: All horses presented to the Cornell Unive...
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| Published in: | Journal of veterinary internal medicine 2009-09, Vol.23 (5), p.1103-1107 |
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| container_end_page | 1107 |
| container_issue | 5 |
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| container_title | Journal of veterinary internal medicine |
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| creator | Jesty, S.A. Kraus, M. Gelzer, A. Rishniw, M. Moïse, N.S. |
| description | Background: Whether electrical cardioversion of cardiac arrhythmias results in cardiomyocyte damage is unknown.
Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses.
Animals: All horses presented to the Cornell University Hospital for Animals for cardioversion of atrial fibrillation between May 2006 and October 2008 were eligible for inclusion in the study. Owners of 14 horses elected for TVEC and each horse was then enrolled (16 procedures).
Methods: Prospective observational study measuring concentrations of plasma cTnI before and after TVEC.
Results: Median cTnI concentration increased from 0.045 ng/mL at baseline (range 0.0–0.20 ng/mL) to 0.11 ng/mL after TVEC (range 0.0–3.73 ng/mL) (P= .036). This increase was not associated with the number of shocks delivered, maximal energy delivered, cumulative energy delivered, chronicity of atrial fibrillation before cardioversion, or positioning of the pulmonary artery catheter.
Conclusions: The increase in cTnI is unlikely to be clinically important. The increase might be correlated with persistent atrial dysfunction after TVEC, suggesting that a longer convalescent period after the procedure could be warranted. |
| doi_str_mv | 10.1111/j.1939-1676.2009.0369.x |
| format | article |
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Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses.
Animals: All horses presented to the Cornell University Hospital for Animals for cardioversion of atrial fibrillation between May 2006 and October 2008 were eligible for inclusion in the study. Owners of 14 horses elected for TVEC and each horse was then enrolled (16 procedures).
Methods: Prospective observational study measuring concentrations of plasma cTnI before and after TVEC.
Results: Median cTnI concentration increased from 0.045 ng/mL at baseline (range 0.0–0.20 ng/mL) to 0.11 ng/mL after TVEC (range 0.0–3.73 ng/mL) (P= .036). This increase was not associated with the number of shocks delivered, maximal energy delivered, cumulative energy delivered, chronicity of atrial fibrillation before cardioversion, or positioning of the pulmonary artery catheter.
Conclusions: The increase in cTnI is unlikely to be clinically important. The increase might be correlated with persistent atrial dysfunction after TVEC, suggesting that a longer convalescent period after the procedure could be warranted.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/j.1939-1676.2009.0369.x</identifier><identifier>PMID: 19678887</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Animals ; Arrhythmia ; Atrial Fibrillation - blood ; Atrial Fibrillation - therapy ; Atrial Fibrillation - veterinary ; Biomarker ; Electric Countershock - adverse effects ; Electric Countershock - methods ; Electric Countershock - veterinary ; Equine ; Female ; Heart ; Horse Diseases - blood ; Horse Diseases - therapy ; Horses ; Male ; Prospective Studies ; Statistics, Nonparametric ; Troponin I - blood</subject><ispartof>Journal of veterinary internal medicine, 2009-09, Vol.23 (5), p.1103-1107</ispartof><rights>Copyright © 2009 by the American College of Veterinary Internal Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4029-d5125bbd98c5d3431285aed7628bdd0a109e7665327c71cfd7e09ff19f1bebb13</citedby><cites>FETCH-LOGICAL-c4029-d5125bbd98c5d3431285aed7628bdd0a109e7665327c71cfd7e09ff19f1bebb13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1939-1676.2009.0369.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1939-1676.2009.0369.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,11562,27924,27925,46052,46476</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1939-1676.2009.0369.x$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19678887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jesty, S.A.</creatorcontrib><creatorcontrib>Kraus, M.</creatorcontrib><creatorcontrib>Gelzer, A.</creatorcontrib><creatorcontrib>Rishniw, M.</creatorcontrib><creatorcontrib>Moïse, N.S.</creatorcontrib><title>Effect of Transvenous Electrical Cardioversion on Plasma Cardiac Troponin I Concentrations in Horses with Atrial Fibrillation</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background: Whether electrical cardioversion of cardiac arrhythmias results in cardiomyocyte damage is unknown.
Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses.
Animals: All horses presented to the Cornell University Hospital for Animals for cardioversion of atrial fibrillation between May 2006 and October 2008 were eligible for inclusion in the study. Owners of 14 horses elected for TVEC and each horse was then enrolled (16 procedures).
Methods: Prospective observational study measuring concentrations of plasma cTnI before and after TVEC.
Results: Median cTnI concentration increased from 0.045 ng/mL at baseline (range 0.0–0.20 ng/mL) to 0.11 ng/mL after TVEC (range 0.0–3.73 ng/mL) (P= .036). This increase was not associated with the number of shocks delivered, maximal energy delivered, cumulative energy delivered, chronicity of atrial fibrillation before cardioversion, or positioning of the pulmonary artery catheter.
Conclusions: The increase in cTnI is unlikely to be clinically important. The increase might be correlated with persistent atrial dysfunction after TVEC, suggesting that a longer convalescent period after the procedure could be warranted.</description><subject>Animals</subject><subject>Arrhythmia</subject><subject>Atrial Fibrillation - blood</subject><subject>Atrial Fibrillation - therapy</subject><subject>Atrial Fibrillation - veterinary</subject><subject>Biomarker</subject><subject>Electric Countershock - adverse effects</subject><subject>Electric Countershock - methods</subject><subject>Electric Countershock - veterinary</subject><subject>Equine</subject><subject>Female</subject><subject>Heart</subject><subject>Horse Diseases - blood</subject><subject>Horse Diseases - therapy</subject><subject>Horses</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Troponin I - blood</subject><issn>0891-6640</issn><issn>1939-1676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNqNkE1v2yAcxlG1qc26foWV0272wDZgpF46K02zdS-HbJV2QZgXldQxKThteth3H56j7jqEBHr0PA9_fgCcY5TjtD6sc8xLnmHKaF4gxHNUUp7vj8DsRX8FZqjmOKO0QifgTYxrhApCCDsGJ5hTVtc1m4Hfc2uNGqC3cBVkHx9N73cRzrskBqdkBxsZtPOPJkTne5j2907GjZx0qVLMb33veriEje-V6Ycgh2SNMGnXPkQT4ZMb7uBlKkx9V64Nruv-et6C11Z20ZwdzlPw42q-aq6zm2-LZXN5k6kKFTzTBBekbTWvFdFlVeKiJtJoRou61RpJjLhhlJKyYIphZTUziFuLucWtaVtcnoL3U-82-IediYPYuKhMmqI36bsi4aoqgmkyssmogo8xGCu2wW1keBYYiZG8WIuRsBgJi5G8GMmLfUq-OzyxazdG_8sdUCfDxWR4cp15_t9e8enn8ku6pXg2xV0czP4lLsN9mr5kRNx-XYjF59WvpkAL8bH8AwVTo2Q</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Jesty, S.A.</creator><creator>Kraus, M.</creator><creator>Gelzer, A.</creator><creator>Rishniw, M.</creator><creator>Moïse, N.S.</creator><general>Blackwell Publishing Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Effect of Transvenous Electrical Cardioversion on Plasma Cardiac Troponin I Concentrations in Horses with Atrial Fibrillation</title><author>Jesty, S.A. ; Kraus, M. ; Gelzer, A. ; Rishniw, M. ; Moïse, N.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4029-d5125bbd98c5d3431285aed7628bdd0a109e7665327c71cfd7e09ff19f1bebb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Animals</topic><topic>Arrhythmia</topic><topic>Atrial Fibrillation - blood</topic><topic>Atrial Fibrillation - therapy</topic><topic>Atrial Fibrillation - veterinary</topic><topic>Biomarker</topic><topic>Electric Countershock - adverse effects</topic><topic>Electric Countershock - methods</topic><topic>Electric Countershock - veterinary</topic><topic>Equine</topic><topic>Female</topic><topic>Heart</topic><topic>Horse Diseases - blood</topic><topic>Horse Diseases - therapy</topic><topic>Horses</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Troponin I - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jesty, S.A.</creatorcontrib><creatorcontrib>Kraus, M.</creatorcontrib><creatorcontrib>Gelzer, A.</creatorcontrib><creatorcontrib>Rishniw, M.</creatorcontrib><creatorcontrib>Moïse, N.S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of veterinary internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Jesty, S.A.</au><au>Kraus, M.</au><au>Gelzer, A.</au><au>Rishniw, M.</au><au>Moïse, N.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Transvenous Electrical Cardioversion on Plasma Cardiac Troponin I Concentrations in Horses with Atrial Fibrillation</atitle><jtitle>Journal of veterinary internal medicine</jtitle><addtitle>J Vet Intern Med</addtitle><date>2009-09</date><risdate>2009</risdate><volume>23</volume><issue>5</issue><spage>1103</spage><epage>1107</epage><pages>1103-1107</pages><issn>0891-6640</issn><eissn>1939-1676</eissn><abstract>Background: Whether electrical cardioversion of cardiac arrhythmias results in cardiomyocyte damage is unknown.
Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses.
Animals: All horses presented to the Cornell University Hospital for Animals for cardioversion of atrial fibrillation between May 2006 and October 2008 were eligible for inclusion in the study. Owners of 14 horses elected for TVEC and each horse was then enrolled (16 procedures).
Methods: Prospective observational study measuring concentrations of plasma cTnI before and after TVEC.
Results: Median cTnI concentration increased from 0.045 ng/mL at baseline (range 0.0–0.20 ng/mL) to 0.11 ng/mL after TVEC (range 0.0–3.73 ng/mL) (P= .036). This increase was not associated with the number of shocks delivered, maximal energy delivered, cumulative energy delivered, chronicity of atrial fibrillation before cardioversion, or positioning of the pulmonary artery catheter.
Conclusions: The increase in cTnI is unlikely to be clinically important. The increase might be correlated with persistent atrial dysfunction after TVEC, suggesting that a longer convalescent period after the procedure could be warranted.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19678887</pmid><doi>10.1111/j.1939-1676.2009.0369.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of veterinary internal medicine, 2009-09, Vol.23 (5), p.1103-1107 |
| issn | 0891-6640 1939-1676 |
| language | eng |
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| source | Wiley Online Library Open Access |
| subjects | Animals Arrhythmia Atrial Fibrillation - blood Atrial Fibrillation - therapy Atrial Fibrillation - veterinary Biomarker Electric Countershock - adverse effects Electric Countershock - methods Electric Countershock - veterinary Equine Female Heart Horse Diseases - blood Horse Diseases - therapy Horses Male Prospective Studies Statistics, Nonparametric Troponin I - blood |
| title | Effect of Transvenous Electrical Cardioversion on Plasma Cardiac Troponin I Concentrations in Horses with Atrial Fibrillation |
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