Investigation of the Relationship between Red Blood Cell Profiles and Electrocardiographic Changes in Dogs with Parvoviral Enteritis
Keywords:
Dog, ECG, Parvoviral enteritis, Red Blood Cell IndicesAbstract
Canine parvoviral enteritis (CPE) is a common viral disease in puppies that frequently results in severe gastrointestinal, hematological, and cardiac effects. This study aimed to look into the relationship between red blood cells parameters and ECG abnormalities, pointing out a potential connection between hematological changes and cardiac involvement in CPE. A total of 32 dogs of different breeds were incorporated in the data collected from animal hospital and classified into two main groups: 25 puppies with parvoviral enteritis and 7 healthy controls. The diseased group was divided into three subgroups based on ages and status of vaccination. Group 1: Eight puppies without vaccinations under 3 months of age; Group 2: Nine puppies without vaccinations over 3 months of age; Group 3: Eight puppies that had received vaccine but tested positive for parvovirus. Group I had microcytic hypochromic anemia and a significantly reduced hematocrit (%). Group I higher heart rate and shorter QT interval on the ECG were connected to red blood cell indices such as MCV, RDW, and MCH. Significant correlations were also established between the PR interval and RDW and between the QT/QTc interval and RDW, MCV, and MCH. In conclusion, this study revealed that hematological changes associated with canine parvoviral enteritis—especially changes in red blood cell indices such as RDW, MCV, and MCH—are strongly connected with electrocardiographic alterations. These results put forward that the change of these blood parameters could be created to variations in cardiac electrical activity during CPE. Accurate treatment strategies and monitoring of severity may be aided by an understanding of these links. Further studies are required to clarify the clinical usefulness of these hematological parameters as potential biomarkers in systemic viral infections.
Received: xx July 2025
Revised: xx October 2025
Accepted: xx October 2025
Published online first: xx November 2025
References
1. Hadden H, & Herron M. Effects of Deferred Puppy Intake on Incidence of Canine Parvovirus Infection and Survival: A Community Case Study. JSMCAH. 2025;4(1):1-6. 10.56771/jsmcah.v4.109
2. Zhou H, Cui K, Su X, Zhang H, Xiao B, Li S, et al. Overview of Recent Advances in Canine Parvovirus Research: Current Status and Future Perspectives. Microorganisms. 2024;13(1):47. 10.3390/microorganisms13010047
3. Tuteja D, Banu K, Mondal B. Canine parvovirology - A brief updated review on structural biology, occurrence, pathogenesis, clinical diagnosis, treatment and prevention. Comp Immunol Microbiol Infect Dis. 2022;82. 101765. 10.1016/j.cimid.2022.101765
1016/j.cimid.2022.101765
4. Ahmed AF, Odeisho SM, Karim ZA. Detection of Canine Parvovirus in Baghdad city by PCR technique. Proceeding of the Eleventh Veterinary Scientific Conference. 2012;36(0E):95-98. 10.30539/iraqijvm.v36i0E.387
5. Gulersoy E, Ok M, Yildiz R, Koral E, Ider M, Sevinc M, et al. Assessment of intestinal and cardiac-related biomarkers in dogs with parvoviral enteritis. Pol J Vet Sci. 2020;23(2):211-219. 10.24425/pjvs.2020.133635
6. Apoorva R, Premalatha N, Balakrishnan S, Kumaresan A, Yogeshpriya S. Prognostic Value of Cardiac Biomarker and Electrocardiography of Canine Parvovirus-2 Affected Kanni Pups: A Study of Eight Cases. Appl Biol Res. 2022;24(2):251-254.
5958/0974-4517.2022.00029.5
7. Mia MM, Hasan M. Update on canine parvovirus infection: a review from the literature. Veterinary Sciences: Research and Reviews. 2021;7:92-100. 10.17582/journal.vsrr/2021.7.2.92.100
8. Decaro N, Buonavoglia C, Barrs VR. Canine parvovirus vaccination and immunization failures: are we far from disease eradication? Vet. Microbiol. 2020; 247:108760. 10.1016/j.vetmic.2020.108760
9. Tilley LP, Smith FWK, Oyama MA, and Sleeper MM. Manual of Canine and Feline Cardiology (4th Edn.). 2008; Elsevier, St. Louis, Missouri, USA.
10. Kumiega E, A Kobak K, Noszczyk-Nowak A, Kasztura M. Iron parameters analysis in dogs with myxomatous mitral valve disease. BMC Vet Res. 2024;20(1):210. 10.1186/s12917-024-04071-2
11. Kumar N, Gupta SK, Singh RK. Electrocardiographic changes in anemic patients: diagnostic value and correlation with hematological severity. Eur J Cardiovasc Med. 2025;15:664-9. 10.5083/ejcm/25-02-75
12. Alkhafaji IJ, Mahmood AK. Electrocardiographic changes in Awassi diarrheic suckling lambs in Iraq. Iraqi J Vet Med 2019;43(1): 26-33. 10.30539/iraqijvm.v43i1.467
13. Kwon JM, Cho Y, Jeon KH, Cho S, Kim KH, Baek SD, et al. A deep learning algorithm to detect anemia with ECGs: a retrospective, multicenter study. Lancet Digit Health. 2020;2:e358-e367. 10.1016/S2589-7500(20)30108-4
14. Kabakci R. and Kara E. The Alterations of erythrocyte osmotic fragility and hematological parameters in puppies with parvoviral enteritis in Kirikkale, Türkiye. Int J Vet Anim Res. 2023;6:66-71. 10.5281/zenodo.8319020
15. Rana A, Sharma P. Electrocardiographic evaluation of Canine Parvovirus infection. Himachal J Agric Res. 2023;49(2):238-243. https://hjar.org/index.php/hjar/article/view/172493
16. Hassan MSM, Abdel-Saeed H, Abd El Aziz Ahmed K, Abdou OM. Clinical and hemato-biochemical studies on canine anemia. Adv Anim Vet Sci. 2022;10:838-844. 10.17582/journal.aavs/2022/10.4.838.844
17. Er C, Ok M. Levels of cardiac biomarkers and coagulation profiles in dogs with parvoviral enteritis. Kafkas Univ Vet Fak Derg. 2015; 21:383-388. 10.9775/kvfd.2014.12575
18. Olaifa O, Rachel KA, Akanbi OB, Ibironke OC, Victor T. Hematological and serum chemistry of canine parvoviral enteritis in diverse breeds of dogs. Medıa Kedokteran Hewan. 2025;36(1):21-29. 10.20473/mkh.v36i1.2025.21-29
19. Alves FS, Alonso FH, Horta RS, Barbosa BC, Beier S, Paes PRO. Prognostic values of physical and hematological parameters of dogs naturally infected with parvovirus PVC-2: retrospective study of 103 cases. ARQ BRAS MED VET ZOO. 2020;2127-2134.
1590/1678-4162-11517
20. Chalifoux NV, Parker SE, Cosford KL. Prognostic indicators at presentation for canine parvoviral enteritis: 322 cases (2001-2018). J Vet Emerg Crit Care. 2021; 31: 402-413. 10.1111/vec.13052
21. Chaudhry HS, Kasarla MR. Microcytic Hypochromic Anemia. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470252/
22. Merck Manual Professional Version. Evaluation of anemia [Internet]. Merck & Co., Inc.; Reviewed/Revised May 2024 [cited 2025 Mar 15]. Available from: https://www.merckmanuals.com/professional/hematology-and-oncology/approach-to-the-patient-with-anemia/evaluation-of-anemia#Testing_v968595
23. Turanoğlu, B., Alan, E. M., Or, E., Koenhemsi, L. Evaluation of red cell distribution with in dogs with parvoviral enteritis: a retrospective study. JIVS (Vetexpo-2022 Special Issue). 2023; 154-154.
24. Khare DS, Gupta DK, Shukla PC, Das G, Meena NS, Khare RK. Clinical and hemato-biochemical changes in canine parvovirus infection. J Pharmacogn Phytochem. 2020;9(4):1601-1604. DOI:10.13140/RG.2.2.35705.29285
25. Hosein H, El-Sherif A, Fadl S, Ewies S, Rouby S. Clinico-pathological and Molecular Investigations with Evidence of Circulation of a Highly Virulent Canine Parvovirus (CPV) Serotype in Egypt. EJVS. 2024; 1-13. 10.21608/ejvs.2024.332240.2459
26. Ekinci G, Tüfekçi E, Abozaıd A, Kökkaya S, Sayar E, Onmaz AC, et al. Efficacy of Filgrastim in Canine Parvoviral Enteritis Accompanied by Severe Leukopenia. Kafkas Univ Vet Fak Derg. 2024; 30 (4): 433-443. 10.9775/kvfd.2023.31456
27. Saxon B. The Anemic Patient: Update on Diagnosis and Treatment. Conferencia Veterinaria Latinoamericana 2022, Perú, Lima 05 al 08 JUNIO 2022 16.
28. Rivera AKB, Latorre AAE, Nakamura K, Seino K. Using complete blood count parameters in the diagnosis of iron deficiency and iron deficiency anemia in Filipino women. J Rural Med. 2023; 18(2):79-86. 10.2185/jrm.2022-047
29. Mazzaferro EM. Update on Canine Parvoviral Enteritis. Vet Clin Small Anim Pract. 2020; 50:1307-1325. 10.1016/j.cvsm.2020.07.008
30. Parrish CR, Sykes JE. Canine Parvovirus Infections and Other Viral Enteritides, Editor(s): Jane E. Sykes, Greene's Infectious Diseases of the Dog and Cat (Fifth Edition), W.B. Saunders, 2021; 341-351, ISBN 9780323509343. 10.1016/B978-0-323-50934-3.00029-X
31. De Abreu CB, Muzzi RA, de Oliveira LE, Schulien T, Coelho MDR et al. Systolic dysfunction by two-dimensional speckle tracking echocardiography in dogs with parvoviral enteritis. J Vet Cardiol. 2021; 34: 93-104, 2021. 10.1016/j.jvc.2021.01.006
32. Sleeper MM. An introduction to reading ECGs in veterinary patients. dvm360. 2020;51(2):42-6. Available from: https://cdn.sanity.io/files/0vv8moc6/dvm360/4d1d96a51dec1523350e157001bfadda30b7654e.pdf/0220_dvm360_Full_Issue_Feb_2020_web.pdf
33. Romito G, Castagna P, Sabetti MC, Cipone M. Electrocardiographic findings in healthy Cavalier King Charles Spaniels, Pugs, and English Bulldogs. J Am Vet Med Assoc. 2023;261(5):688-695. 10.2460/javma.22.12.0542
34. Saritha G, Swetha K, Reddy BS. Studies on Electrocardiographic Changes in Dogs with Canine Parvovirus Infection. Int J Curr Microbiol App Sci. 2022;11(11):2319-7706. 10.20546/ijcmas.2022.1111.030
35. Jankelson L, Karam G, Becker ML, Chinitz LA, Tsai MC. QT prolongation, torsades de pointes, and sudden death with short courses of chloroquine or hydroxychloroquine as used in COVID-19: A systematic review. Heart Rhythm. 2020; 17(9):1472-1479. 10.1016/j.hrthm.2020.05.008
36. Khode VH, Kammar KF. QTc changes in nonpregnant females with severe iron deficiency anemia. JCDR. 2012;6(5). JCDR/2012/3622:2216
37. Blackwell DJ, Schmeckpeper J, Knollmann BC. Animal Models to Study Cardiac Arrhythmias. Circ Res. 2022; 130(12):1926-1964.
1161/CIRCRESAHA.122.320258
38. Prystowsky EN, Gilge JL. Atrioventricular Conduction: Physiology and Autonomic Influences. Cardiol Clin. 2023; 41(3):293-306.
1016/j.ccl.2023.03.015
39. Romito G, Pelle NG, Cipone M. ECG of the Month. J Am Vet Med Assoc. 2022; 260(15):1-3. 10.2460/javma.21.06.0305
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