Pseudo-flutter atrial em paciente com insuficiência cardíaca – Relato de caso

Autores

DOI:

https://doi.org/10.33448/rsd-v14i5.48772

Palavras-chave:

Pseudo-flutter atrial; Insuficiência cardíaca; Cão.

Resumo

Este artigo tem como objetivo apresentar um caso de pseudo-flutter atrial em uma cadela sem raça definida, de 13 anos, encaminhada após exame positivo para dirofilariose. O exame clínico e o ecocardiograma identificaram doença valvar mitral degenerativa estágio ACVIM- B2. O ECG seriado da paciente mostrou, na linha de base, em vez de ondas P verdadeiras, surtos de pequenas deflexões repetitivas semelhantes a ondas dente de serra, com frequência de 300/min (5 Hz), identificadas como pseudoflutter atrial. Os complexos QRS-P estavam dentro da faixa de referência normal para a espécie canina.

Referências

Al-Hamdi Amar, T. (2020). Artifacts in electrocardiogram interpreted as cardiac arrhythmias: Reports of clinical cases. J. Fac. Med. Baghdad. 62(4), 104-8.

Areen, S., Nayyar, M., Wheeler, B., Skelton, M. & Khouzam, R. N. (2018). Electrocardiographic artifact potentially misleading to the wrong management. Ann Transl Med. (1): 17. doi: 10.21037/atm.2017.11.33.

Baranchuk, A. & Kang, J. (2009). Pseudo-atrial flutter: Parkinson tremor. Cardiol J. 16(4), 373-4. doi:10.1080/13668803.2014.970128.

Barrett, C. D., Kelly, P. J., Halley, C. & Sugrue, D. (2007). Pseudo atrial flutter. Eur J Intern Med. 18(8), 603-4. doi: 10.1016/j.ejim.2007.02.028. Epub 2007. PMID: 18054714.

Buchanan, J. W. (1965). Spontaneous Arrhithmias and Conduction Disturbances in Domestic Animals. Annals of The New York Academy of Sciences. 27(1), 224-38.

Cheng, T. O. & Efpraxiades, J. (1970). Electrocardiogram of the month. Pseudo-atrial flutter. Chest. 57(3):290–2.

Detweiler, K. & Patterson, D. F. (1965). The prevalence and types of cardiovascular diseases of dogs. Annals of the New York Academy of Sciences. (127), 481–516.

Ettinger, S. & Sutter P. F. (1970). Electrocardiography in: Canine Cardiology. WB Sauders Company, Philadelphia. USA. p. 102-69.

Goodwin, K. J. (2002). Electrocardiography. In: Tilley, L. P. & Goodwin, K. J. (2002). Manual de Cardiologia de Cães e Gatos. Terceira Edição. Editora Roca. São Paulo.

Jagadish, A. & Hiremagalur, S. (2023) Global Pseudo-Atrial Flutter on Electrocardiogram and the Importance of Clinical Correlation. Cureus. 15(3), e35982. DOI 10.7759/cureus.35982.

Keene, B. W. et al. (2019). ACVIM consensus guidelines for the diagnosis and treatment of myxomatous mitral valve disease in dogs. Journal of Veterinary Internal Medicine 33(3), 1127-40. doi: 10.1111/jvim.15488. PMID: 30974015; PMCID: PMC652408e.

Kittlesson, M. D. (2025). Heart Disease: Conduction Abnormalitie and Dogs and Cats. in: MSD Manual. Merck & Co., Inc., Rahway, NJ, USA.

Madden, G. R. & Chang J. J. (2017). Pseudo-Atrial Flutter Secondary to a Chest Wall Percussion Device. Conn Med. 81(4), 231-3. PMID: 29714409;PMCID: PMC7874240.

Mendonça, D. A., Paiva, J. P., Knackfuss Bendas, A. & Alberigi, B. (2022). Risk of arrhythmias in dogs with structural heart disease. Pesq. Vet. Bras. (42), e07153, 202.

Miller, M. S., Tilley, L. P., Smith Jr., F. C. & Fox, P. F. (1999). Electrocardiography. In: & Fox PF, Sisson D & Moise S.S. Texbook of Canine and Feline Cardiology. Principles and Clinical Practice. Second Edition. W.B Saunders Company. Philadelphia, Pensilvania. p.67-195.

Nam, M. C., Best, L., Greaves, K. & Dayananda, N. (2016). Global pseudo-atrial flutter ECG appearance secondary to unilateral parkinsonian tremor. BMJ Case Rep. Doi: http://doi.org/10.1136/bcr-2015-2140485.

Oliveira P. (2018). Atrial Rythms. In: Guide to Canine and Feline Electrocardiography. Ruth Willis, Pedro Oliveira & Antonia Mavropoulou.Wiley & Sons Ltd. John Wiley & Sons Ltd.

Osman, W., Hanson, M. & Baranchuk, A. (2019). Pseudo–Ventricular Tachycardia, Pseudo–Atrial Fibrillation, and Pseudo–Atrial Flutter in a Patient With Parkinson Disease: Two's Company, Three's a Crowd. JAMA Intern Med. 179(6), 824–6.

Özsoylu, S., Akyıldız, B. N., Dursun, A. & Pamukçu, Ö. (2019). Could you say that was an atrial flutter or not? Turk J Pediatr. 61(4), 608-10. doi:10.24953/turkjped.2019.04.021. PMID: 31990482.

Patterson, D. F., Detweiler,D. K., Hubben,K. & Botts, R. P. (1961). Spontaneous abnormal cardiac arrhythmias and conduction disturbances in the dog (a clinical and pathologic study of 3.000 dogs). American Journal of Veterinary Research. (22), 355–69.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Editora da UAB/NTE/UFSM.

Pérez-Riera, A. R., Barbosa-Barros, R., Daminello, R. & Abreu, L. C. (2017). Main artifacts in electrocardiography. Annals of Noninvasive Electrocardiol. (23), e12494. https://doi.org/10.1111/anec.12494.

Sareen, S., Nayyar, M., Wheeler, B., Skelton, M. & Khouzam, R. N. (2018). Electrocardiographic artifact potentiallymisleading to the wrong management. Ann Transl Med. 6: 17. Doi: http://doi.org/10.21037/atm.2017.11.332023.

Tilley, L. P. & Smith Jr., F. C. (2016). Electrocardiography. In: Manual of Canine and Feline Cardiology Fifth Edition. Elsevier. Riverport Lane St. Louis, Missouri. 63043, 49-76.

Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2ed.). Editora da UFRGS.

Vanerio, G. (2007). Tremor As a Cause of Pseudoatrial Flutter. American Journal of Geriatric Cardiology. 16(2), 106-8.

Varshney, J. P., Sutaria, P. V. V., Deshmukh, V. V. & Chaudhary, P. S. (2013). Prospective Study of Cardiac Arrhythmias. A survey of 20,000 canines. Intas Polivet. 14(1), 129-36.

Willis, R. (2018). Electrocardiography. In: Willis R., Mavropoulus, Pedro B., Guide to Canine and Feline Electrocardiography. Wiley & Sons Ltd. Hoboken, USA., 109-26.

Yin, R.K. (2015). O estudo de caso. Porto Alegre: Bookman.

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Publicado

08/05/2025

Como Citar

BALLOT, S.; ALMEIDA, M. B. de; SANTOS, A. C. M. dos; SILVA, Ângela V. da; ALMEIDA, G. L. G. de. Pseudo-flutter atrial em paciente com insuficiência cardíaca – Relato de caso. Research, Society and Development, [S. l.], v. 14, n. 5, p. e3114548772, 2025. DOI: 10.33448/rsd-v14i5.48772. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/48772. Acesso em: 18 jun. 2025.

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Ciências da Saúde