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RVC study reveals benefits of feline epicardial pacemakers
Cats are less likely to be considered for EP implantation.
EPs improved severe heart conditions in cats.

Research from the Royal Veterinary College (RVC) has found that epicardial pacemakers (EPs) can result in positive outcomes for cats suffering from severe heart conditions.

Findings revealed that EP implantation supported artificial cardiac pacing (ACP), which was effective in resolving symptoms such as abnormally slow heart rates (bradyarrhythmia).

Cats are less likely to be considered for EP implantation, as they are better at tolerating bradyarrhythmia. It is usually reserved for cats displaying symptoms such as loss of consciousness, lethargy or a congestive heart.

There was also a lack of research into performing the procedure and the outcomes on quality of life.

A research team, led by Matteo Rossanese, investigated the outcomes of implantations for 39 cats across four animal hospitals. Using a two-part survey, the team sought to identify the clinical signs and health-related quality of life by measuring cat activity and owner satisfaction.

The findings confirmed that EP was a beneficial surgery for cats, contributing to a longer, better quality of life for cats.

The primary reasons that cats were referred for treatment included bradycardia and collapsing episodes. A third-degree atrioventricular block was found to be the most common indicator of pacemaker placement.

Owners reported a good improvement in their cat’s condition, rating their satisfaction at 9.9 out of 10.

The research team says that their findings also highlight the importance of a joined up approach between cardiology and cardiothoracic specialists in these cases.

Dr Rossanese, senior lecturer in small animal soft tissue surgery, said: “I am incredibly proud of the work our team has done to explore the use of epicardial pacemakers in cats.

“This study not only highlights the potential for significant improvements in quality of life for feline patients but also provides valuable evidence to guide clinicians in making confident decisions about this life-changing procedure.

“It has been a privilege to lead this study alongside a dedicated team of colleagues, and I hope these findings will encourage further advancements in veterinary cardiology.”

The full study can be found in the Journal of the American Veterinary Medical Association.

Image © RVC

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Practices urged to audit neutering data

News Story 1
 RCVS Knowledge has called on vet practices to audit their post-operative neutering outcomes.

It follows the release of the 2024 NASAN benchmarking report, which collates data from neutering procedures performed on dogs, cats and rabbits.

The benchmarking report enables practices in the UK and Ireland to compare their post-operative outcomes to the national average. This includes the rate of patients lost to follow-up, which in 2024 increased to 23 per cent.

Anyone from the practice can submit the data using a free template. The deadline for next report is February 2026.

Visit the RCVS Knowledge website to complete an audit. 

Click here for more...
News Shorts
New guidance for antibiotic use in rabbits

New best practice guidance on the responsible use of antibiotics in rabbits has been published by the BSAVA in collaboration with the Rabbit Welfare Association & Fund (RWA&F).

The guidance is free and has been produced to help veterinary practitioners select the most appropriate antibiotic for rabbits. It covers active substance, dose and route of administration all of which are crucial factors when treating rabbits owing to the risk of enterotoxaemia.

For more information and to access the guide, visit the BSAVALibrary.