0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Synchronous Myocardial and Diaphragmatic Contractions In a Dog

Stephen Ettinger, DVM; Peter F. Suter, DVM; Lawrence Gould, MD
JAMA. 1969;208(13):2475. doi:10.1001/jama.1969.03160130059019.
Text Size: A A A
Published online

To the Editor:—  Persistent vomiting in a dog evoked an unusual syndrome consisting of simultaneous contraction of the heart and left hemidiaphragm. The condition, positively diagnosed by cinefluorography, was successfully treated with an intravenous infusion of phenobarbital.The etiology and signs of synchronous contractions of the heart and diaphragm are similar in both man1 and dog.2,3 Intravenous administration of Ringer's solution has been reported to be effective in treating this condition in the dog.2 In man the administration of calcium salts,4 phrenic nerve blockade,5 and quinidine therapy6 have occasionally been associated with successful relief of the condition.

Report of a Case:—  Following ingestion of an unknown toxic substance, an adult dog vomited persistently for 24 hours, after which forceful, rhythmic abdominal contractions were observed. The electrocardiogram was normal. Fluoroscopic image intensification and cinefluorograms demonstrated the synchronous contraction of the heart and left hemidiaphragm.Since intravenous

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();