Created page with 'Small Animal: Common Large Animal: Uncommon, but more common then ventricular premature complexes a. '''Atrial Premature Complexes (APC)='''As the name suggests, an APC is an …'
Small Animal: Common

Large Animal: Uncommon, but more common then ventricular premature complexes


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.


b. '''Junctional Premature Complexes (JPC)='''As the name suggests, a JPC is an abnormal ectopic premature beat occurring in the AV nodal region.


====Causes====
APCs and JPCs can arise as the result of pathological conditions in the cardiac atria, or electrolyte and acid-base disturbances.


'''ECG Appearance:''' Premature ectopic P wave +/-; Premature QRS complex


====Treatment====

'''Small Animals'''

*Treat underlying cause

*Treat with antiarrhythmic drugs if clinical signs remain

Antiarrhythmic drugs: e.g digoxin, diltiazem


'''Large Animals'''

*Treat underlying cause

*Box rest with heart rate and rhythm monitoring

*If + for heart failure, give digoxin

*Vagal manoeuvres (e.g. carotid sinus or ocular massage)

*Quinidine sulfate[[Category:Altered_Supraventricular_Impulse_Formations]][[Category:To_Do_-_Cardiovascular]]
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