Emergency Presentations Associated with Cardiovascular Disease in Exotic Herbivores

Non-invasive blood pressure measurement in conscious rabbits: A comparison of Doppler ultrasonic and oscillometric devices

BACKGROUND

This study aimed to compare Doppler (the most commonly used technique for non-invasive indirect blood pressure [NIBP] measurement in rabbits) and oscillometric devices for NIBP measurements in conscious rabbits.

METHODS

Blood pressure (BP) measurements were obtained for 49 conscious rabbits using the Doppler and oscillometric devices. Each measurement was repeated in triplicate. Three rabbits were excluded from the study because it was not possible to obtain BP measurements using the oscillometric device. The American College of Veterinary Internal Medicine (ACVIM) guidelines were followed to compare the results obtained with the two devices.

RESULTS

A total of 164 systolic BP measurements were obtained with the Doppler device and 182 were obtained with the oscillometric technique. The mean of the three values obtained for each animal with each device was used for statistical analysis. The analysis demonstrated a poor level of agreement between the measurements obtained with the two devices.

LIMITATIONS

Oscillometric devices rely on built-in software algorithms to perform calculations and produce their measurements. However, the oscillometric devices currently available only have the software for dogs and cats installed. Therefore, these conclusions should be revised when a device with software specifically for rabbits is commercialised.

CONCLUSIONS

This study indicates that oscillometric devices should not be used as a substitute for the Doppler technique when measuring BP in rabbits.

Cardiology in Rabbits and Rodents-Common Cardiac Diseases, Therapeutic Options, and Limitations

Information about heart diseases and their treatment is still sparce for rabbits and rodents. Dilated cardiomyopathy seems to occur more frequently in rabbits, whereas in guinea pigs pericardial effusion is often diagnosed. There are still no available therapeutic studies for heart diseases in rabbits and rodents, and treatment is often extrapolated from dogs and cats. Consideration should be given to the off-label use of drugs, mostly not licensed in the species mentioned in this article.

Clinical and pathological findings in rabbits with cardiovascular disease: 59 cases (2001-2018)

OBJECTIVE

To determine epidemiological features of cardiovascular disease in rabbits examined at a veterinary teaching hospital and characterize clinical and pathological findings.

ANIMALS

59 rabbits.

PROCEDURES

Medical records from 2001 to 2018 were reviewed, and data were collected. Echocardiographic images and histologic diagnoses were reviewed.

RESULTS

The prevalence of cardiovascular disease was 2.6% (59/2,249). Clinical signs related to cardiac disease included heart murmur (n = 25 rabbits), arrhythmia (22), tachypnea or dyspnea (13), hyporexia or anorexia (13), and muscle wasting (9). Radiographic (n = 39) abnormalities included cardiomegaly (19) and peritoneal (12) and pleural (11) effusion. Common echocardiographic (n = 37) diagnoses included degenerative valve disease (15), dilated cardiomyopathy (7), unclassified cardiomyopathy (4), restrictive cardiomyopathy (3), and hypertrophic cardiomyopathy (2). On ECG (n = 19), supraventricular arrhythmias (16) were more common than ventricular arrhythmias (12). Thirty-five necropsy reports were available, and diagnoses included cardiomyopathy (n = 14), myocarditis (10), and arteriosclerosis (9). Medical management (n = 20) included a wide range of drugs and dosages with few adverse effects. Survival times (n = 36 rabbits) ranged from 1 to 2,353 days with a median cardiac disease-specific survival time of 306 days.

CONCLUSIONS AND CLINICAL RELEVANCE

The findings provided information on the prevalence of cardiovascular disease in rabbits and survival times for affected rabbits. Right-sided, left-sided, and biventricular congestive heart failure occurred equally. Median survival time was lower than that reported for other species. Further research on the diagnosis and treatment of cardiovascular disease in rabbits is needed.

Ambulatory Emergency Medicine

While practicing exotic animal medicine as an ambulatory practitioner, veterinarians need to be prepared for the inevitable emergency call. Emergencies in exotic animal medicine come in all shapes and sizes and the veterinarian must be prepared for a variety of situations. With the proper training, equipment, and managing client expectations, an ambulatory exotics animal practitioner can successfully address emergencies. This article provides a brief overview in managing emergency cases in an ambulatory exotics animal practice.

Common Emergencies in Small Rodents, Hedgehogs, and Sugar Gliders

Small exotic mammal pets such as rats, mice, hamsters, gerbils, degus, hedgehogs, and sugar gliders are becoming more popular. Because these animals are prone to a variety of health problems, and require specialized husbandry care to remain healthy, they may present to emergency hospitals in critical condition. This article provides a basic overview of common emergency presentations of these species.

The static electrocardiogram in clinically healthy, anesthetized, zoo-kept black-tailed prairie dogs (Cynomys ludovicianus)

OBJECTIVES

The goal of this study was to evaluate the static electrocardiograms of clinically healthy black-tailed prairie dogs (Cynomys ludovicianus), and suggest normal values.

ANIMALS

Thirteen clinically healthy black-tailed prairie dogs were included in the study. They were anesthetized for physical examination, and complete laboratory data including troponin I concentration, thoracic radiographs, echocardiograms, and static ECG were recorded.

MATERIAL AND METHODS

Static electrocardiograms were recorded using standard, six-limb leads from each of the 13 apparently healthy prairie dogs. Each prairie dog was anesthetized with isoflurane via facemask. Electrocardiograms were recorded in right lateral recumbency. The data were retrospectively analyzed. Lead II was used for waveform analysis.

RESULTS

The median heart rate was 250 bpm (range 147-320). Median P-wave amplitude was 0.05 mV (range 0.01-0.06) and P-wave duration was 0.03 s (range 0.02-0.03). The PR interval was 0.06 s (range 0.04-0.06). The R-wave amplitude was 0.5 mV (range 0.1-1.15) and the QRS duration was 0.02 s (range 0.02-0.03). The QT interval was 0.12 s (range 0.1-0.14). Sixty-two percent of the QRS complexes were of Rs configuration.

CONCLUSIONS

Static electrocardiograms can be performed and evaluated in anesthetized prairie dogs. This report provided normal values in clinically healthy black-tailed prairie dogs.