Veterinary Medicine - January 2008 - (Page 37)

CE You can earn two hours of Continuing Education credit from Kansas State University by answering the following questions on Holter monitoring. Circle only the best answer for each question, and transfer your answers to the form on page 51. c. Every year d. Every two years e. This screening is unnecessary. maker malfunction by examining the patient’s rhythm during daily activities. Article #1 1. Which is an indication for a Holter recording? a. Assessment of the severity of cardiac arrhythmias detected during a static ECG recording or auscultation b. Assessment of the effectiveness of antiarrhythmic therapy c. Diagnosis of the cause of syncope when there is no apparent rhythm disturbance on a static ECG and event recording is unavailable. d. Screening Doberman pinschers and boxers for evidence of cardiomyopathy e. All of the above 4. For patients with cardiac disease, the goal of atrial ﬁbrillation is a ventricular response rate below which heart rate and what percentage of the 24-hour Holter monitoring period in the home environment? a. 140 beats/min for 90% of the period b. 140 beats/min for 50% of the period c. 180 beats/min for 90% of the period d. 180 beats/min for 50% of the period e. None of the above 8. Which is a disadvantage of a Holter recording? a. It is expensive. b. The results are not immediate. c. Not all services offer canine ECG analysis. d. The client must return the dog to the clinic twice in one week. e. All of the above. 9. Which statement about Holter scanning services is false? a. There are numerous commercial Holter scanning services available in the United States. b. The arrhythmia analysis systems provided by scanning services are not designed for canine ECGs. c. Fully automated computer scanning systems for Holter analyses are reliable. d. You should choose a service that employs a technician or doctor who is competent in analyzing canine ECGs. e. The fee for a Holter recording is about $140 to $150. 5. Which disorder is commonly associated with hemodynamically insigniﬁcant ventricular tachyarrhythmia? a. Dilated cardiomyopathy b. Subaortic stenosis c. Congenital ventricular tachycardia in German shepherds d. Chest trauma e. All of the above 2. Which statement regarding the indication for Holter recording during antiarrhythmic therapy is true? a. If a post-treatment static ECG reveals numerous VPCs or ventricular tachycardia, then Holter recording is indicated. b. If a post-treatment static ECG reveals numerous VPCs or ventricular tachycardia, then Holter recording is probably not indicated. c. If a post-treatment static ECG reveals no or only occasional VPCs, it is reasonable to assume that the arrhythmia is well-controlled and Holter recording is not indicated. d. If a post-treatment static ECG reveals no or only occasional VPCs, Holter recording is deﬁnitely not indicated. e. Holter recordings are not the most accurate noninvasive method of verifying antiarrhythmic efﬁcacy in veterinary patients. 6. How long is the typical Holter monitoring period? a. 6 hours b. 12 hours c. 24 to 48 hours d. One week e. Two weeks 10. Which statement about Holter monitors is true? a. It is not necessary to clip the hair at the electrode sites. b. Cutting the tape wrapped around the recorder is the best method of removal. c. Five-electrode recorders are better able to differentiate movement artifact from pathologic arrhythmia and VPCs from supraventricular premature contractions. d. Three-electrode recorders are easy to apply and usually provide sufﬁcient data. e. Both C and D 7. Which is not an advantage of Holter recording over static electrocardiographic recording? a. Holter recording is less expensive. b. Holter recording permits extended ambulatory activity and evaluation in a variety of situations and environments. c. Holter recording is more sensitive in detecting spontaneous arrhythmias. d. Holter recording can help distinguish between atrial ﬁbrillation and ventricular tachycardia as causes of syncope. e. Holter recording can detect pace- 3. How frequently do the authors recommend that all apparently healthy adult Doberman pinschers and boxers be examined for cardiomyopathy by cardiac ultrasonography and Holter recording? a. Every three months b. Every six months VETERINARY MEDICINE January 2008 37

Table of Contents Feed for the Digital Edition of Veterinary Medicine - January 2008

Veterinary Medicine - January 2008 Contents Digital Extra Letters Toxicology Brief Idea Exchange A Challenging Case: Phimosis in a Young Adult Dog The Indications and Technique for Continuous Ambulatory Electrocardiographic Recording in Dogs A Review of Selected Systemic Antifungal Drugs for Use in Dogs and Cats CE Form Advertiser Index Marketplace/Classifieds Mind Over Miller

Veterinary Medicine - January 2008

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