Paroxysmales Vorhofflimmern und klinisch reversibles Cor pulmonale bei einem Pferd mit komplizierter rezidivierender Atemwegsobstruktion

Zusammenfassung

Die Entstehung eines Cor pulmonale stellt eine seltene Komplikation bei Pferden mit rezidivierender Atemwegsobstruktion (RAO) dar. Dieser Fallbericht beschreibt Vorgeschichte, Ergebnisse klinischer und weiterführender Untersuchungen, Behandlung und Kranhkeitsverlauf eines Pferdes mit Cor pulmonale und paroxysmalem Vorhofflimmern von 2 Tagen Dauer aufgrund einer Exazerbation einer RAO. Unseres Wissens nach ist dies der erste Bericht eines durch RAO verursachten Lungenhochdrucks beim Pferd, der zu Vorhofflimmern führte. Dennoch scheinen auch schwere Herzveränderungen aufgrund von Atemwegsproblemen beim Pferd größtenteils reversibel zu sein.

Summary

Cor pulmonale is considered an uncommon complication in horses with recurrent airway obstruction (RAO). This case report describes the history, clinical and further examination findings, treatment, progression and outcome of a horse diagnosed with cor pulmonale and paroxysmal atrial fibrillation of 2 days duration due to a severe exacerbation of RAO. To our best knowledge, this is the first report of RAO induced pulmonary hypertension in a horse causing atrial fibrillation. However, even severe cardiac changes due to respiratory dysfunction seem to be largely reversible in horses.

Schlüsselwörter

Lungenhochdruck - Herzkatheteruntersuchung - Dämpfigkeit - Herzerkrankung

Keywords

Pulmonary hypertension - heart catheterization - heaves - cardiac disease

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