Atrial Fibrillation in Eight New World Camelids

J Vet Intern Med. 2016 Jan-Feb;30(1):335-8. doi: 10.1111/jvim.13798. Epub 2015 Dec 9.

Abstract

Background: There is limited information on the incidence of clinical signs, concurrent illness and treatment options for atrial fibrillation (AF) in New World Camelids (NWC).

Objective: Describe clinical signs and outcome of AF in NWC.

Animals: Eight New World Camelids admitted with AF.

Methods: A retrospective observational study of camelids diagnosed with AF based on characteristic findings on electrocardiogram (ECG).

Results: All animals had an irregularly irregular heart rhythm detected on physical examination and 4 cases had obtunded mentation on admission. Three camelids were diagnosed with AF secondary to oleander intoxication, 3 animals had underlying cardiovascular disease, 1 was diagnosed with lone AF and 1 had AF diagnosed on examination for a urethral obstruction. Five of eight animals survived to discharge and nonsurvivors consisted of animals which died or were euthanized as a result of cardiovascular disease (2/8) or extra-cardiac disease unrelated to the AF (1/8).

Conclusions and clinical importance: Atrial fibrillation occurs in NWC in association with cardiovascular disease, extra-cardiac disease or as lone AF. Amiodarone and transthoracic cardioversion were attempted in one llama with lone AF, but were unsuccessful. Atrial fibrillation was recorded in 0.1% of admissions.

Keywords: Alpaca; Arrhythmia; Cardiac; Llama.

MeSH terms

  • Animals
  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / therapy
  • Atrial Fibrillation / veterinary*
  • Camelids, New World*
  • Electric Countershock / veterinary
  • Female
  • Male
  • Nerium / toxicity
  • Quinidine / therapeutic use

Substances

  • Anti-Arrhythmia Agents
  • Quinidine