
The Lorenz plot (LP), a graphical representation of heart rate variability, has been poorly studied in dogs to date. The present study aimed to describe the graphic features of LP in dogs with sinus rhythm (SR) and tachyarrhythmias, and to analyze the usefulness of its pattern recognition. One hundred and nineteen canine Holter recordings were retrospectively evaluated. Cardiac rhythms were classified as: SR; SR with frequent (>100) premature ectopies (atrial, SR-APCs; ventricular, SR-VPCs; atrial and ventricular, SR-APCs-VPCs); atrial fibrillation (AF); and AF with frequent VPCs (AF-VPCs). Lorenz plots were studied qualitatively and quantitatively, and classified by distinct LP patterns (LPPs). Repeatability and reproducibility of LPP classification and diagnostic value were determined. Recordings included: 48 SR, 9 SR-APCs, 35 SR-VPCs, 5 SR-APCs-VPCs, 4 AF, and 18 AF-VPCs. Ten LPPs were identified: comet (n = 12), torpedo (n = 3), Y-shaped (n = 6), diamond (n = 10), diamond with a central silent zone (n = 17), double side-lobe (DSL) (n = 47), triple side-lobe (n = 1), quadruple side-lobe (n = 2), fan (n = 18), and fan with DSL (n = 3). Repeatability and reproducibility of LPP classification were excellent. The DSL pattern was both highly sensitive (91.3%) and specific (94.5%) for SR with frequent premature ectopies, either APCs, or VPCs, or both. The remaining LPPs had lower diagnostic value (high specificity but low sensitivity). Distinct rhythms imprint distinct and reproducible LPPs in dogs. The majority of canine LPPs are specific but insensitive indicators of SR and tachyarrhythmias.
electrocardiography; Holter; Poincare plot; heart rate variability; canine, 10253 Department of Small Animals, 630 Agriculture, General Veterinary, 3400 General Veterinary, electrocardiography, Veterinary medicine, Holter, heart rate variability, canine, Poincaré plot, Article, QL1-991, SF600-1100, 570 Life sciences; biology, Animal Science and Zoology, Canine; Electrocardiography; Heart rate variability; Holter; Poincaré plot, 1103 Animal Science and Zoology, Zoology
electrocardiography; Holter; Poincare plot; heart rate variability; canine, 10253 Department of Small Animals, 630 Agriculture, General Veterinary, 3400 General Veterinary, electrocardiography, Veterinary medicine, Holter, heart rate variability, canine, Poincaré plot, Article, QL1-991, SF600-1100, 570 Life sciences; biology, Animal Science and Zoology, Canine; Electrocardiography; Heart rate variability; Holter; Poincaré plot, 1103 Animal Science and Zoology, Zoology
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