Reversible third-degree atrioventricular block in a Poodle-Toy with degenerative mitral valve disease and pyometra

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Gustavo Luiz Gouvêa Almeida
Marcelo Barbosa de Almeida
Ana Carolina Mendes dos Santos
Ângela Vargas
Valéria Duarte Reis


Third degree atrioventricular block is a severe arrhythmia, being the most common   indication for artificial cardiac pacing in dogs. Spontaneous reversion to normal sinus rhythm is very rare or exceptional. A 12-year-old Poodle-Toy was referred because of history of abdominal enlargement, anorexia, vomiting and weakness. Abdominal ultrasonography revealed large pyometra. Then, a six-lead electrocardiogram presented third-degree atrioventricular block, while transthoracic Doppler echocardiography showed myxomatous mitral valve disease, presence of mitral, tricuspid and aortic regurgitation, accompanied by mitral and tricuspid diastolic insufficiency. Two days after the ovariohysterectomy, a new electrocardiogram revealed spontaneous reversal to the sinus rhythm, while the diastolic reflux of mitral and tricuspid valves disappeared. The patient showed rapid clinical amelioration and eight months after surgery was still alive, on treatment for heart failure. As far as we know, this is the first canine case of third-degree heart block, secondary to endocardiosis and pyometra, which was spontaneously reverted to sinus rhythm after surgery.

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Gouvêa Almeida, G. L. ., Barbosa de Almeida, M. ., Mendes dos Santos , A. C. ., Vargas, Ângela ., & Duarte Reis, V. . (2020). Reversible third-degree atrioventricular block in a Poodle-Toy with degenerative mitral valve disease and pyometra. Brazilian Journal of Veterinary Medicine, 42(1), e109920.
Case report


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