Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs

Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings i...
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Gespeichert in:

Autor*in:	Martina Bini [verfasserIn] Tommaso Vezzosi [verfasserIn] Maria Josefa Fernández Del Palacio [verfasserIn] Jesús Talavera [verfasserIn] Valentina Patata [verfasserIn] Federica Marchesotti [verfasserIn] Oriol Domenech [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	cardiology electrocardiography heart murmur mean electrical axis QRS complex

Übergeordnetes Werk:	In: Veterinary Sciences - MDPI AG, 2014, 9(2022), 2, p 61
Übergeordnetes Werk:	volume:9 ; year:2022 ; number:2, p 61

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/vetsci9020061

Katalog-ID:	DOAJ01984008X

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520			\|a Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS.
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allfields	10.3390/vetsci9020061 doi (DE-627)DOAJ01984008X (DE-599)DOAJ8b35e5ba17ba4d5aa7d9e84454437d47 DE-627 ger DE-627 rakwb eng SF600-1100 Martina Bini verfasserin aut Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS. cardiology electrocardiography heart murmur mean electrical axis QRS complex Veterinary medicine Tommaso Vezzosi verfasserin aut Maria Josefa Fernández Del Palacio verfasserin aut Jesús Talavera verfasserin aut Valentina Patata verfasserin aut Federica Marchesotti verfasserin aut Oriol Domenech verfasserin aut In Veterinary Sciences MDPI AG, 2014 9(2022), 2, p 61 (DE-627)785698477 (DE-600)2768971-2 23067381 nnns volume:9 year:2022 number:2, p 61 https://doi.org/10.3390/vetsci9020061 kostenfrei https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 kostenfrei https://www.mdpi.com/2306-7381/9/2/61 kostenfrei https://doaj.org/toc/2306-7381 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 2, p 61
spelling	10.3390/vetsci9020061 doi (DE-627)DOAJ01984008X (DE-599)DOAJ8b35e5ba17ba4d5aa7d9e84454437d47 DE-627 ger DE-627 rakwb eng SF600-1100 Martina Bini verfasserin aut Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS. cardiology electrocardiography heart murmur mean electrical axis QRS complex Veterinary medicine Tommaso Vezzosi verfasserin aut Maria Josefa Fernández Del Palacio verfasserin aut Jesús Talavera verfasserin aut Valentina Patata verfasserin aut Federica Marchesotti verfasserin aut Oriol Domenech verfasserin aut In Veterinary Sciences MDPI AG, 2014 9(2022), 2, p 61 (DE-627)785698477 (DE-600)2768971-2 23067381 nnns volume:9 year:2022 number:2, p 61 https://doi.org/10.3390/vetsci9020061 kostenfrei https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 kostenfrei https://www.mdpi.com/2306-7381/9/2/61 kostenfrei https://doaj.org/toc/2306-7381 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 2, p 61
allfields_unstemmed	10.3390/vetsci9020061 doi (DE-627)DOAJ01984008X (DE-599)DOAJ8b35e5ba17ba4d5aa7d9e84454437d47 DE-627 ger DE-627 rakwb eng SF600-1100 Martina Bini verfasserin aut Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS. cardiology electrocardiography heart murmur mean electrical axis QRS complex Veterinary medicine Tommaso Vezzosi verfasserin aut Maria Josefa Fernández Del Palacio verfasserin aut Jesús Talavera verfasserin aut Valentina Patata verfasserin aut Federica Marchesotti verfasserin aut Oriol Domenech verfasserin aut In Veterinary Sciences MDPI AG, 2014 9(2022), 2, p 61 (DE-627)785698477 (DE-600)2768971-2 23067381 nnns volume:9 year:2022 number:2, p 61 https://doi.org/10.3390/vetsci9020061 kostenfrei https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 kostenfrei https://www.mdpi.com/2306-7381/9/2/61 kostenfrei https://doaj.org/toc/2306-7381 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 2, p 61
allfieldsGer	10.3390/vetsci9020061 doi (DE-627)DOAJ01984008X (DE-599)DOAJ8b35e5ba17ba4d5aa7d9e84454437d47 DE-627 ger DE-627 rakwb eng SF600-1100 Martina Bini verfasserin aut Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS. cardiology electrocardiography heart murmur mean electrical axis QRS complex Veterinary medicine Tommaso Vezzosi verfasserin aut Maria Josefa Fernández Del Palacio verfasserin aut Jesús Talavera verfasserin aut Valentina Patata verfasserin aut Federica Marchesotti verfasserin aut Oriol Domenech verfasserin aut In Veterinary Sciences MDPI AG, 2014 9(2022), 2, p 61 (DE-627)785698477 (DE-600)2768971-2 23067381 nnns volume:9 year:2022 number:2, p 61 https://doi.org/10.3390/vetsci9020061 kostenfrei https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 kostenfrei https://www.mdpi.com/2306-7381/9/2/61 kostenfrei https://doaj.org/toc/2306-7381 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 2, p 61
allfieldsSound	10.3390/vetsci9020061 doi (DE-627)DOAJ01984008X (DE-599)DOAJ8b35e5ba17ba4d5aa7d9e84454437d47 DE-627 ger DE-627 rakwb eng SF600-1100 Martina Bini verfasserin aut Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS. cardiology electrocardiography heart murmur mean electrical axis QRS complex Veterinary medicine Tommaso Vezzosi verfasserin aut Maria Josefa Fernández Del Palacio verfasserin aut Jesús Talavera verfasserin aut Valentina Patata verfasserin aut Federica Marchesotti verfasserin aut Oriol Domenech verfasserin aut In Veterinary Sciences MDPI AG, 2014 9(2022), 2, p 61 (DE-627)785698477 (DE-600)2768971-2 23067381 nnns volume:9 year:2022 number:2, p 61 https://doi.org/10.3390/vetsci9020061 kostenfrei https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 kostenfrei https://www.mdpi.com/2306-7381/9/2/61 kostenfrei https://doaj.org/toc/2306-7381 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2446 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2022 2, p 61
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callnumber-first	S - Agriculture
author	Martina Bini
spellingShingle	Martina Bini misc SF600-1100 misc cardiology misc electrocardiography misc heart murmur misc mean electrical axis misc QRS complex misc Veterinary medicine Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs
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topic_title	SF600-1100 Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs cardiology electrocardiography heart murmur mean electrical axis QRS complex
topic	misc SF600-1100 misc cardiology misc electrocardiography misc heart murmur misc mean electrical axis misc QRS complex misc Veterinary medicine
topic_unstemmed	misc SF600-1100 misc cardiology misc electrocardiography misc heart murmur misc mean electrical axis misc QRS complex misc Veterinary medicine
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title	Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs
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title_full	Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs
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author_browse	Martina Bini Tommaso Vezzosi Maria Josefa Fernández Del Palacio Jesús Talavera Valentina Patata Federica Marchesotti Oriol Domenech
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title_sort	clinical and electrocardiographic findings for predicting the severity of pulmonary valve stenosis in dogs
callnumber	SF600-1100
title_auth	Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs
abstract	Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS.
abstractGer	Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS.
abstract_unstemmed	Pulmonary valve stenosis (PS) in dogs is usually suspected due to the presence of a heart murmur and clinical signs. Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). In conclusion, a systolic murmur with intensity ≥IV/VI, a P wave amplitude <0.35 mV, low amplitude of Q and R waves, deep S waves in lead II, and right axis deviation of the QRS complex in a young dog are predictive of severe PS.
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title_short	Clinical and Electrocardiographic Findings for Predicting the Severity of Pulmonary Valve Stenosis in Dogs
url	https://doi.org/10.3390/vetsci9020061 https://doaj.org/article/8b35e5ba17ba4d5aa7d9e84454437d47 https://www.mdpi.com/2306-7381/9/2/61 https://doaj.org/toc/2306-7381
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author2	Tommaso Vezzosi Maria Josefa Fernández Del Palacio Jesús Talavera Valentina Patata Federica Marchesotti Oriol Domenech
author2Str	Tommaso Vezzosi Maria Josefa Fernández Del Palacio Jesús Talavera Valentina Patata Federica Marchesotti Oriol Domenech
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Echocardiography is needed to confirm the diagnosis and define the severity of PS. This retrospective study evaluated the utility of clinical and electrocardiographic (ECG) findings in the prediction of PS severity. Data regarding heart murmur and ECG analysis were gathered. Ninety-seven dogs with PS were included. A murmur grade ≥IV/VI was predictive of severe PS (area under curve (AUC) = 0.71; sensitivity (Se) = 95%; specificity (Sp) = 33%; <i<p</i< = 0.003). In lead II, P wave amplitude <0.35 mV (AUC = 0.67; Se = 31%; Sp = 100%; <i<p</i< = 0.038), Q wave < 0.15 mV (AUC = 0.70; Se = 70%; Sp = 59%; <i<p</i< = 0.0015), R wave < 0.87 mV (AUC = 0.66; Se = 67%; Sp = 69%; <i<p</i< = 0.006), and S wave < 0.37 mV (AUC = 0.80; Se = 72%; Sp = 85%; <i<p</i< < 0.0001) were predictive of severe PS. The extent of right deviation of the mean electrical axis of the QRS complex was correlated with the pulmonary pressure gradient (r = 0.648; <i<p</i< < 0.0001). 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