Persistent sinus arrest that is not due to the use of a drug is often indicative of sick sinus syndrome (SSS) - a disorder of the heart’s electrical impulse formation within the sinus node. The sinoatrial node (SA Node, or SAN), also called the sinus node, is the initiator of electrical impulses within the heart, triggering the heart to beat, or contract, by firing off electrical surges. Sinus arrest is a disorder of heart beat impulse formation caused by a slowing down or cessation of spontaneous sinus nodal automaticity – the automatic behavior of the tissues that set the pace for the heart's rhythm. It is the failure of the sinoatrial (SA) node to initiate an impulse at the expected time that leads to sinus arrest.
Sinoatrial block is a disorder of impulse conduction. This is when an impulse formed within the sinus node fails to be conducted through the atria (the interior of the heart), or when it is delayed in doing so. More commonly, the basic rhythm of the sinus node is not disturbed when the impulses fail to conduct properly.
Sinoatrial block is classified into first, second, and third-degree SA block (similar to degrees of atrioventricular [AV] block). It is difficult to diagnose first and third-degree SA block from an electrocardiogram (ECG) reading only.
Second-degree SA block is the most common type of SA block, and the only degree that can be recognized on a surface ECG. In addition, there are two types of second-degree SA blocks: Mobitz type I (also called Wenckebach periodicity) and Mobitz type II.
First-degree sinoatrial block
Second-degree sinoatrial block
Third-degree sinoatrial block
Your veterinarian will perform a complete physical exam on your dog, with a blood chemical profile, a complete blood count, an electrolyte panel and a urinalysis. The electrolyte panel may show hyperkalemia, abnormal levels of potassium in the blood, which can lead to arrhythmias. You will need to give a thorough history of your dog's health, including a history of symptoms, and their onset.
Thoracic (chest) x-rays and/or a cardiac ultrasound imaging may be taken by your veterinarian to confirm or rule out heart disease and abnormal tissue growth (neoplasia).
A provocative atropine response test may be done to assess sinus node function. This test uses the drug atropine to stimulate the firing action of the SA Node. Dogs with SSS generally will have no response, or will have an incomplete response to the atropine.
A cavity in the mouth where the respiratory systems and gastrointestinal systems come together
A lump of tissue inside the right atrium; it helps to regulate the beat of the heart
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
A bundle of fibers that are used in the process of sending impulses through the body
A cavity within a bone; may also indicate a flow or channel
An attachment of the zygote inside the uterus
Term used to refer to a condition of having a disease or affliction but not displaying symptoms of it.
A record of the activity of the myocardium
Too much potassium in the blood
A large blood vessel that transports blood out of the heart.
A wave that is transmitted through nerves and nervous tissue