Members' NAVLE study guide

Feline Cardiac Arrhythmias and ECG

2,887 words 12 min read 1 figure Reviewed November 13, 2026

An arrhythmia is any rhythm other than normal sinus rhythm. In cats most clinically important arrhythmias are a sign of structural heart disease, usually a cardiomyopathy, or of a systemic problem such as hyperkalemia, so finding one should start a search for the cause rather than end it.

Key facts

Arrhythmias at a glance
  • Species and system: cat; cardiovascular.
  • Usual causes: cardiomyopathy (HCM is the most common), hyperkalemia (urethral obstruction), hyperthyroidism, drugs and anesthesia, high vagal tone, hypothermia.
  • Most common arrhythmia in subclinical cardiomyopathy: ventricular premature complexes (VPCs).
  • Atrial fibrillation: every cat with AF has severe underlying heart disease.
  • Classic presentation: irregular rhythm, pulse deficits, weakness, collapse or "seizure-like" episodes, or an incidental finding.
  • Not zoonotic, not reportable.

What's inside

13 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. What is normal in a cat?
  5. Clinical signs
  6. Diagnosis
  7. Differential diagnoses
  8. Treatment and management
  9. Prevention and control
  10. Prognosis
  11. Quick review
  12. Test yourself
  13. References
The full guide also has 5 tables, 1 figure, 3 self-test questions and 17 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Arrhythmias on the NavleExam blog.