Why the study?
What are the clinical predictors of ventricular arrhythmias in dogs with splenic masses?
What are the clinical predictors of ventricular arrhythmias in dogs with splenic masses?
In dogs with splenic masses, anemia is a significant clinical predictor of ventricular arrhythmias, which may be related to myocardial metastases or tissue hypoxia.
Anemia may warrant arrhythmia monitoring in dogs with splenic masses; leaves open causality and need for prospective validation.
Summary The records of 73 dogs with splenic masses were evaluated retrospectively to determine whether ventricular arrhythmias, in the absence of clinically apparent underlying heart disease, were a common clinical finding. Associated clinical, laboratory, and pathologic findings were evaluated to search for clinical predictors of ventricular arrhythmias. Age, breed, weight, sex, coagulation abnormalities, electrolyte abnormalities, and hemoabdomen were unrelated to the development of arrhythmias (p > 0.05). Anemia was associated with the presence of arrhythmias (p = 0.005). Myocardial necrosis (10/18) and metastatic hemangiosarcoma (3/18) were common myocardial histopathologic findings. Proposed causes for arrhythmias in dogs with splenic masses include myocardial metastases, tissue hypoxia secondary to anemia or hypovolemia, and local or systemic catecholamine release.
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Keyes et al. (1993) studied this question.
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