Large Animal: Uncommon, but more common then ventricular premature complexes
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a. '''Atrial Premature Complexes (APC)='''As the name suggests, an APC is an abnormal ectopic premature beat occurring in the atrial tissue outside the SA node and above the AV node.
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b. '''Junctional Premature Complexes (JPC)='''As the name suggests, a JPC is an abnormal ectopic premature beat occurring in the AV nodal region.
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====Causes====
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APCs and JPCs can arise as the result of pathological conditions in the cardiac atria, or electrolyte and acid-base disturbances.
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'''ECG Appearance:''' Premature ectopic P wave +/-; Premature QRS complex
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====Treatment====
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'''Small Animals'''
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*Treat underlying cause
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*Treat with antiarrhythmic drugs if clinical signs remain
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Antiarrhythmic drugs: e.g digoxin, diltiazem
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'''Large Animals'''
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*Treat underlying cause
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*Box rest with heart rate and rhythm monitoring
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*If + for heart failure, give digoxin
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*Vagal manoeuvres (e.g. carotid sinus or ocular massage)