marți, 19 martie 2013

ELECTROCARDIOGRAM IN CATTLES


Buletin  USAMV - CN, 65 (1-2) /2008  (155-159)
ISSN 1454-2382



STUDIES  REGARDING  THE  ELECTROCARDIOGRAM IN CATTLES IN  DUBOIS  LEAD

Brăslaşu M.C., Elena Daniela Brăslaşu, Silvia Joiţa,  M. Ghiţă, S. Ionescu

Faculty of Veterinary Medicine Bucharest. Splaiul Independenţei 105, 76201, V, Bucureşti, România. Cardiologie_Veterinară@yahoo.com

Key words: cattle, electrocardiogram, Dubois leads.

Abstract

            There were electrocardiographic examined 203 cattle using Dubois system; the animals were in standing position and clinical healthy. The ECG’s parameters were as follow: 1 mV=10 mm and the paper speed of 25 mm/sec.
The cattle electrocardiogram takes part from electrocardiography group B. The component’s values in Dubois leads are: A. Amplitude (mV, II lead): P wave = 0,176 ± 0,004; ventricular complex = 1,183  ± 0,019 and T wave = 0,454 ± 0,011; B duration (seconds): P wave = 0,086 ± 0,0009; P-R interval = 0,199 ± 0,001; ventricular complex = 0,082 ± 0,0007; Q-T interval = 0,383 ±0,002; T wave = 0,095 ± 0,001; R-R interval = 0,784 ± 0,008; P-T interval = 0,588 V 0,003; TP segment = 0,191 ± 0,006. The heat frequency was 78,48 ± 0,855 beats/min. The electrical axes are: P wave = + 77,17 ± 0,960; ventricular complex = - 85,21 ± 0,620 and T wave = + 89,84 ± 0,670.

Introduction

Electrocardiography  is a method of diagnosis usually used in cardiovascular diseases: cardiac arrhythmias, atrial and ventricular enlargements,  heart ischemia.
It doesn’t exist yet an electrocardiography’ lead standard in cattle; in this way many authors had been suggested different systems of leads.
In this work it has been studied the ECG in cattle in lead’s system, both unipolar and bipolar lead suggested by Dubois.

Materials and Methods

There have been examined 203 cattle from Holstein breed and Brown breed with ages between 1,6 and 9 years old.
The ECG were made in the animals in standing position, the simple fixation was used to set down the animals.
The electrocardiograms were made with a KENZ 107 machine. The parameters were: mV’s amplitude 10 mm and paper speed of 25 mm/sec. An alcohol solution was used to establish good skin-to clip-contact. The ECG electrodes were alligator clips.
Alligator clips were attached to the skin as follow (figure 1,2) (3) :
-         red electrode (right anterior member) just before the right shoulder;
-         yellow electrode (left anterior member) just before left shoulder;
-         green electrode (left posterior member) ventral, at the midline between the navel and xiphoid process;
-         black electrode – out of the triangle made by the three electrodes (left side of the neck).



Fig. 1
The place of alligator clips electrodes in Dubois leads
R – right forelimb; F – left forelimb; N – neuter electrode; ECG – electrocardiograph




Statistic interpretation  was based on calculating:
-         average: x = ∑ x/n
-         variance: s2 =     n∑x2 – (∑x)2
                                        n ( n-1)
-         standard deviation: s = √s2
-         error average: ∆x = s/√n
-         coefficients of variation: V% = s/x  ∙ 100.

Results and discussion

   Cattle’ electrocardiogram is from B electrocardiograph group: P and T waves are in the opposite plan of ventricular complex. In “aVR” lead the aspect is overflow (figure 2).
Fig. 2
Electrocardiogram’s aspect in cattle in Dubois leads



                                           

            In Dubois system, I leads present reductions of P-QRS-T voltage  (figure 3).
Fig. 3
Electrocardiogram aspect in I lead in cattle in Dubois system



The study  has also followed the ECG’s parameters calculation, too:
A.     P wave amplitude, ventricular complex and T wave.
B.     Duration: 1. P wave, ventricular complex and T wave; TP segment, P-R interval, Q-T interval, P-T and R-R intervals. The heart frequency has been calculated based on R-R interval.
C.     The electrical axes of P waves, ventricular complex and T wave.
The amplitude values, the duration and the electrical axes are presented in table 1-5.
Table 1
P wave amplitude in cattle in Dubois leads system


Dubois leads
P wave (mV)
I.
II.
III.
„aVR”
„aVL”
„aVF”
n.
110
195
194
186
182
191
Average
0,027
0,176
0,145
0,105
0,043
0,158
Variance
0,001
0,003
0,019
0,003
0,004
0,001
Standard deviation
0,038
0,058
0,141
0,060
0,067
0,043
Error average
0,003
0,004
0,010
0,004
0,004
0,003
Coefficients  of variation %
140,74
32,95
97,24
57,14
155,81
27,21


Table 2
Ventricular complex amplitude in cattle in Dubois leads system


Dubois leads
Ventricular complex  (mV)
I.
II.
III.
„aVR”
„aVL”
„aVF”
n.
149
200
200
194
195
196
Average
0,177
1,183
1,285
0,538
0,709
1,243
Variance
0,014
0,076
0,079
0,037
0,035
0,077
Standard deviation
0,121
0,277
0,281
0,193
0,187
0,278
Error average
0,009
0,019
0,019
0,013
0,013
0,019
Coefficients  of variation %
68,36
23,41
21,86
35,87
26,37
22,36


Table 3
T wave amplitude in cattle in Dubois leads system


Dubois leads
T wave (mV)
I.
II.
III.
„aVR”
„aVL”
„aVF”
n.
113
198
199
191
192
194
Average
0,037
0,454
0,452
0,214
0,214
0,465
Variance
0,002
0,026
0,023
0,004
0,005
0,024
Standard deviation
0,050
0,161
0,050
0,070
0,074
0,155
Error average
0,004
0,011
0,010
0,005
0,005
0,011
Coefficients  of variation %
135,13
35,46
33,40
32,71
34,57
33,33


Table 4
Duration of the ECG components in cattle

Dubois leads
Duration (s.)
 P
P-R
QRS
Q-T
T
R-R
P-T
TP
H.R.
n.
200
200
202
202
201
201
199
199
201
Average
0,086
0,199
0,082
0,383
0,095
0,784
0,588
0,191
78,48
Variance
0,0001
0,0006
0,0001
0,001
0,0004
0,014
0,002
0,008
147,03
Standard deviation
0,013
0,025
0,011
0,040
0,021
0,121
0,053
0,089
12,12
Error average
0,0009
0,001
0,0007
0,002
0,001
0,008
0,003
0,006
0,855
Coefficients  of variation
15,11
12,56
13,41
10,44
22,10
15,43
9,01
46,59
15,44

Table 5
Electrical axes values in the ECG’s waves in cattle in Dubois system


 Dubois leads
Electrical axes (0)
P
QRS
T
n.
196
197
196
Average
77,17
- 85,21
89,84
Variance
181,49
75,83
90,61
Standard deviation
13,47
8,708
9,519
Error average
0,96
0,620
0,679
Coefficients  of variation %
17,45
10,21
10,59

Based on examinations the amplitude had the biggest increase of the ECG’s wave in “II”, “III” and “aVF” leads, as the I lead where the amplitude’s waves is the least, and for many times an interpretation couldn’t be possible.
In ECG’s waves amplitude the variation is grater than + 20% in all leads. However this greater variation is normal when the increase of ECG waves is based on many factors as follow: the value of cardiac axes, ventricular  contraction strength, cardiac enlargement et al.
It’s showed that the variation in ECG duration term is between 10-20%, except the P-T segment period (the length of the heart electrical activity) in which the variation is less than 10%.
In T wave and TP segment the variation is greater than 20%.
A greater variation of T wave shows why many cases is hard to appreciate when T wave begins, that’s why we do not calculate the duration. In TP segment the variations is  46,59% because any of changes in cardiac frequency it’s showed that the general diastole is modified. Also, it is possible that the T wave duration and/or ventricular wave o be modified.
Regarding electrical axes of the heart it is showed an average variation, less in ventricular complex and T wave and greater in P wave.
The fact that the variation of ECG components duration is in general less than the other cases.
Regarding the bibliographical dates these show that the amplitude of ECG waves is not being too often calculate because it didn’t exist yet a leads system accepted by everyone in large animals (cattle, horses, sheep, pigs).
In this way, in table 6 present some dates giving by different authors.

Table 6
Duration of ECG duration (average)(sec.)  (bibliographical dates)


ECG
Antohi  C., 1995
(1)
DeRoth 

(8)
Blood   D.C., 1983
(2)
Meli F., 1980
(7)
Edwards J., 1993
     (5)
Ghergariu   S., 1970
       (6)
Personal studies
(4)
P
0,054
0,100
0,1
0,04
0,10
0,054
0,086
P-R
0,171
0,208
0,208
0,11
0,16 –0,3
0,111
0,199
QRS
0,074
0,088
0,088
0,055
0,08-0,14
0,047
0,082
Q-T
0,361
0,398
0,398
0,23-0,26
0,32 -0,64
-
0,383
T
0,085
0,114
0,114
0,06-0,12
-
-
0,095
R-R
0,970
-
-

-
-
0,784
F.C.
61,62
75 ± 7
-

30 - 50
-
78,48

Conclusion

1.      The place to fix the traps is: the electrode of right forelimb – in front of the right shoulder, the electrode of the left forelimb – in front of the left shoulder; the electrode of the left posterior limb – ventrally, on the median line, between the umbilicus and the xiphoid; the electrode of the right posterior limb – on the skin, forth of the triangle realized by the other three traps.
2.      The general aspect of the ECG in bovine corresponds to the group B: P and T wave are in an opposite plan to the ventricular complex.
3.      The values of the ECG waves in bovine in the II-nd lead (mV) are: P wave   =0,176±0,004; ventricular complex=1,183±0,019 and T wave=0,454±0,011. The variance in all cases is increased.
4.      The values of ECG components duration (in seconds) in bovine are: P wave = 0,086±0,0009; P-R interval = 0,199±0,001; ventricular complex = 0,082±0,0007; Q-T interval = 0,383±0,002; T wave = 0,095±0,001M, R-R interval = 0,784±0,008; P-T interval = 0,588±0,003 and T-P segment = 0,191±0,006. Heart rate calculated using R-R interval is 78,48±15,44. There is a mean variance, excepting P-T interval where the variance is low and T wave and TP segment, where the variance is high.
5.      The values of cardiac axis are: P wave = 77,17±0,96; ventricular complex =   - 85,21±0,62 and T wave = 89,94±0,67. The variance in the case of cardiac electrical cases is mean. The values of the ECG components duration in adult bovine is similar to the data proposed by other authors.

Bibliography

1.        Antohi C.C., Mihaela Antohi, M. Cotruţ, 1995,  Observaţii privind  electrocardiograma la vaci de lapte. Rev. Rom. Med. Vet., 5, 4, 363-373.
2.        Blood D.C., J.A. Henderson, 1983,  Veterinary Medicine. Ed. IV. Bailiere Tindall, London.
3.        Bonal  C.,  F. Schelcher, H.P. Lefebvre, J.F. Valarcher, J. Espinasse, 1993,  La fibrillation auriculaire chez les bovines. Rev. Méd. Vét., 144, 5, 399 – 404.
4.        Brăslaşu Elena Daniela, Anişoara Stavarache,  Al. Popescu, L. Ioniţă, Dinu Cristina, M.C: Brăslaşu, Petronela Roşu, 2001, Standardizarea electrocardiografiei la bovinele adulte. Simpozion la 140 de ani Alma Mater Veterinaria Bucurescensis. Rev. Rezumate,  p. 98.
5.        Edwards N.J., 1993,  ECG. Manual for the Veterinary technician. W.B.Saunders Co., Harcourt Brace Jovanovich Inc., Philadelphia, London, Toronto, Montreal, Sydney, Tokyo.
6.        Ghergariu S., A. Moldovan, N. Danielescu, 1970,  L’ electrocardiographie  chez les bovins sains et en divers états de maladie. Zentralblatt für Vet. Med., 17A, 598- 612.
7.        Meli F., O. Catarsine, 1980,  Electrocardiographie study in calves with new derivation method. Annali della Facolta di Medicina Veterinaria, Messina, 17, 81-100.
8.        DeRoth L., 1972,  Correction de la fibrillation auriculaire, par la quinidine, chez une vache Holstein. Can. Vet.J., 13, 8, 184 – 187.

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