May 20, 2013


CLINICAL CARDIOLOGY CONCEPTS
for the dog and cat

Michael R. O'Grady, DVM, MSc, Diplomate ACVIM (Cardiology)
M. Lynne O'Sullivan, DVM, DVSc, Diplomate ACVIM (Cardiology)

 
  Antiarrhythmic Agents
Amiodarone   Dog 10-20 mg/kg SID (PO) for 7-10 days (loading dose), then 3-15 mg/kg SID   Pulmonary fibrosis, GI, hepatitis, leukopenias, bradycardia  
Cat Unknown  
Aprindine   Dog 0.5-2.0 mg/kg (IV); TID (PO)   GI, seizure, hepatitis  
Cat Unknown  
Digoxin   Dog 0.22 mg/m2 BID (PO)   GI, depression, anorexia, bradycardia, arrhythmias  
Cat 1/4 of 0.125 mg (PO) q 48h - SID  
Flecainide   Dog 1-5 mg/kg BID-TID (PO); Dr. Fox suggests 3-10 mg/kg TID (PO) 1-2 mg/kg (IV) slowly   GI, weakness, confusion, depression  
Cat Unknown  
Lidocaine   Dog 2-4 mg/kg slow (IV), repeat q 10 min. to maximum of 8 mg/kg; 25-75 ug/kg/min (CRI)   Seizures, CNS excitation (seizures), GI, arrhythmias, hypotension  
Cat 0.25-1.0 mg/kg slow (IV) over 5 minutes  
Mexiletine   Dog 2-5 mg/kg BID-TID (PO) (oral lidocaine) Dr. Fox suggests 5-10 mg/kg BID-TID (PO)   As for lidocaine  
Cat unknown  
Phenytoin   Dog 5-10 mg/kg (IV) slow; 35 mg/kg TID (PO)   Depression, seizures  
Cat None  
Procainamide   Dog 6-8 mg/kg (IV) over 5 min; 25-40 ug/kg/min (CRI); 8-20 mg/kg q 4-6 hr (IM), TID (PO) (slow release formulation)   Weakness, hypotension, negative inotropic, GI, bradycardia  
Cat 8-20 mg/kg TID (PO)  
Propafenone   Dog 3-6 mg/kg q8 hrs   Transient arrhythmia & hypotension  
Cat unknown  
Quinidine   Dog gluconate 6-20 mg/kg QID (IM); Extentab (sulfate) 6-16 mg/kg TID (PO); Quinaglute, Cardioquin 8-20 mg/kg TID-QID (PO); 5-10 mg/kg (IV)   As per procainamide, interacts with digoxin  
Cat Sulfate 5.5-11.0 mg/kg TID (PO)  
Sotalol   Dog 0.5-2 mg/kg BID (PO)   As per beta-blockers  
Cat Unknown  
Tocainide   Dog 5-10 mg/kg TID-QID (PO); (oral lidocaine) Dr. Hamlin suggests 25 mg/kg QID (PO)   As for lidocaine  
Cat unknown