Evaluation of atrial fibrillation induced during anesthesia with fentanyl and pentobarbital in German Shepherd Dogs with inherited arrhythmias

Romain Pariaut Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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N. Sydney Moïse Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Bethany D. Koetje Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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James A. Flanders Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Shari A. Hemsley Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Thomas B. Farver Department of Population Health and Reproduction, School of Veterinary Medicine, University of California, Davis, CA 95616

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Robert F. Gilmour Jr Department of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Anna R. M. Gelzer Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Marc S. Kraus Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Niels F. Otani Department of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853

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Abstract

Objective—To determine the type of atrial fibrillation induced by use of 2 pacing protocols during fentanyl and pentobarbital anesthesia before and after administration of atropine and to determine the organization of electrical activity in the left and right atria during atrial fibrillation in German Shepherd Dogs.

Animals—7 German Shepherd Dogs.

Procedures—Extrastimulus and pacedown protocols were performed before and after atropine administration. Monophasic action potential spectral entropy and mean dominant frequency were calculated during atrial fibrillation.

Results—Atrial fibrillation occurred spontaneously in 6 of 7 dogs. All 7 dogs had atrial fibrillation induced. Sustained atrial fibrillation occurred in 13 of 25 (52%) episodes induced by the extrastimulus protocol and in 2 of 12 episodes of atrial fibrillation induced by pacedown. After atropine administration, sustained atrial fibrillation did not occur, and the duration of the nonsustained atrial fibrillation (6 episodes in 2 dogs of 1 to 26 seconds) was significantly shorter than before atropine administration (25 episodes in 7 dogs of 1 to 474 seconds). The left atrium (3.67 ± 0.08) had lower spectral entropy than the right atrium (3.81 ± 0.03), indicating more electrical organization in the left atrium. The mean dominant frequency was higher in the left atrium in 3 dogs.

Conclusions and Clinical Relevance—Atrial fibrillation developed spontaneously and was induced in German Shepherd Dogs under fentanyl and pentobarbital anesthesia. Electrical activity was more organized in the left atrium than in the right atrium as judged by use of spectral entropy.

Abstract

Objective—To determine the type of atrial fibrillation induced by use of 2 pacing protocols during fentanyl and pentobarbital anesthesia before and after administration of atropine and to determine the organization of electrical activity in the left and right atria during atrial fibrillation in German Shepherd Dogs.

Animals—7 German Shepherd Dogs.

Procedures—Extrastimulus and pacedown protocols were performed before and after atropine administration. Monophasic action potential spectral entropy and mean dominant frequency were calculated during atrial fibrillation.

Results—Atrial fibrillation occurred spontaneously in 6 of 7 dogs. All 7 dogs had atrial fibrillation induced. Sustained atrial fibrillation occurred in 13 of 25 (52%) episodes induced by the extrastimulus protocol and in 2 of 12 episodes of atrial fibrillation induced by pacedown. After atropine administration, sustained atrial fibrillation did not occur, and the duration of the nonsustained atrial fibrillation (6 episodes in 2 dogs of 1 to 26 seconds) was significantly shorter than before atropine administration (25 episodes in 7 dogs of 1 to 474 seconds). The left atrium (3.67 ± 0.08) had lower spectral entropy than the right atrium (3.81 ± 0.03), indicating more electrical organization in the left atrium. The mean dominant frequency was higher in the left atrium in 3 dogs.

Conclusions and Clinical Relevance—Atrial fibrillation developed spontaneously and was induced in German Shepherd Dogs under fentanyl and pentobarbital anesthesia. Electrical activity was more organized in the left atrium than in the right atrium as judged by use of spectral entropy.

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