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Created page with '===Types of Sinus Cardiac Rhythms=== ====1. Sinus Rhythms==== ====2. Sinus Arrhythmias==== *Normal arrhythmia in dogs associated with respiration (heart rate increases w…'
===Types of Sinus Cardiac Rhythms===
====1. [[Sinus Rhythms]]====




====2. Sinus Arrhythmias====

*Normal arrhythmia in dogs associated with respiration (heart rate increases with inspiration and decreases with expiration).

*The associated changes in P wave height with respiration are called a wandering pacemaker.


====3. Sinus Bradycardias====

*Characterised as a normal sinus rhythm with an abnormally slow heart rate

*Caused by: pathologic conditions, drug reactions, physiologic conditions: athletic animals, calm animals, sleeping animals


'''Treatment:''' Usually unnecessary unless clinical signs due to reduced cardiac output remain

*Treat the underlying condition

*Drugs used to treat sinus bradycardias: atropine, isoprenaline, glycopyrrolate

====4. Sinus Tachycardia====

*Characterised as a normal sinus rhythm with an abnormally fast heart rate

*Caused by: pathological conditions, drug reactions, physiologic conditions: pain, exercise, excitement


'''Treatment:''' Usually unnecessary unless clinical signs remain

*Treat the underlying condition


====5. Sinus Arrest & Sinus Block====

*Sinus arrest occurs when the sinoartial node fails to discharge resulting in a pause of the normal heart rhythm.

*Sinus block occurs when the sinoatrial node fails to conduct the wave of depolarisation resulting in a pause of the normal heart rhythm.

*The presence of a sinus arrest on an ECG would be characterised by an absence of P-QRS-T complexes for more than two R-R intervals.

*The presence of a sinus block on an ECG would be characterised by an absence of P-QRS-T complexes for twice the R-R interval.


'''Treatment:'''

*Treat the underlying condition

*Drugs used in the treatment of sinus arrest and sinus blocks are the following: glycopyrrolate, isoprenaline, atropine
[[Category:Arrhythmia]]
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