Topic:Cardiac Arrhythmias
Cardiac arrhythmias in horses refer to irregularities in the heart's rhythm, which can affect the efficiency of blood circulation. These arrhythmias can result from various factors, including electrolyte imbalances, structural heart changes, or systemic diseases. Common types of arrhythmias in horses include atrial fibrillation, ventricular tachycardia, and premature ventricular contractions. The presence and type of arrhythmia can influence a horse's performance and overall health. Diagnostic tools such as electrocardiography (ECG) are used to identify and assess these irregular heart rhythms. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms, diagnosis, and management of cardiac arrhythmias in equine medicine.
Electrocardiography in the horse. (A report of findings in 138 horses). Over a period of approx. 3 years, electrocardiograms (ECG) were recorded from 138 horses referred as patients to the Medical Clinic. Of these, 22 horses (approx. 16 per cent) has ECG alterations. The 22 ECG's revealed a total of 29 ECG abnormalities. The most frequent ECG alteration was incomplete AV block, that was seen in 9 horses (31 per cent of the ECG abnormalities). Abnormal (i.e. broad, tent-like and, sometimes, inverted) T waves and deviations of the ST segment were seen each in 5 ECG's from 7 horses, 3 of which had both abnormalities which were associated with severe underlying diseas...
Ventricular defibrillation with myocardial electrodes in the dog, calf, pony, and pig. The defibrillation effectiveness of 4-msec rectangular wave shocks was evaluated using myocardial electrodes with 25-kg dogs and (nominally) 100-kg calves, ponies, and pigs as part of an evaluation of the suitability of these animals as models for automatic implanted defibrillator research. The percent success of defibrillation attempts in dogs ranged from 44% with 4-A, 6-J shocks to 93% with 8-A, 16-J shocks. The success achieved in calves with scaled electrodes was uniformly lower and reached a maximum of 28% with 23-A, 107-J shocks. Pigs defibrillated with scaled electrodes at a success lev...
Plasma cortisol in the horse, diurnal rhythm and effects of exogenous ACTH. Peripheral blood plasma Cortisol concentration and its diurnal variation was measured in 4 horses. Mean concentration of Cortisol during 24 hrs. was 42 ng/ml (s ± 20 ng/ml). Peak values occurred at 6 a.m. and the lowest values were observed at about 6 p.m. (mean 65 ng/ml and 20 ng/ml, respectively). Long-acting ACTH at a dose of 150 i.u. was given by intramuscular injection to the 4 horses. Peak Cortisol concentrations markedly exceeding the prestimulation level were obtained between 2 and 4 hrs. after injection. During the immediate 24 hrs. after these peaks, the mean Cortisol level was mark...
Haemodynamics in the horse: 2. Intracardiac, pulmonary arterial and aortic pressures. The paper reports the changing pressure values during the cardiac cycle recorded from various chambers of the heart and great vessels using 2 catheter-mounted transducers, 9 cm apart. Pulse pressures are calculated. Transvalval pressure differences are determined taking account of the effect of hydrostatic pressure between the 2 sensors. The effects of some valvular lesions and arrhythmias and of changes in intrathoracic pressure are also described.
Haemodynamics in the horse: 3. Duration of the phases of the cardiac cycle. The paper reports observations on the duration of various phases of the cardiac cycle using a bipole ECG record as a time base from which to measure the timing of pressure changes in the chambers of the heart and great vessels. From the findings the likely sequence of mechanical events during the cardiac cycle in the atria and ventricles is described.
Cardiopathological observations on histopathogenesis of wandering pacemaker in horses. Histopathololgical observations were performed on the heart and cardiac nervous system of 5 horses affected with wandering pacemaker. The histopathological lesions common to all the animals were as follows: (1) Focal fibrosis in the atrial myocardium just beneath the subendocardium and/or in the endo- and subendocardium, and existence of atrial Purkinje-like fibers within the fibrotic lesions, (2) Microvascular altetation, characterized by edematous-loosening and/or fibrous swelling of the walls of the small and minute arteries, in both the atria, (3) Edema in the intracadiac nerves of both th...
Paroxysmal atrial fibrillation in a racehorse. A 4-year-old thoroughbred stallion with a history of loss of racing form was studied over a period of approximately 7 months. At the initial examination he showed positive T waves in 1 chest lead and wandering of the pacemaker. This was followed by an episode of paroxysmal atrial fibrillation which disappeared spontaneously and was replaced by significant T wave changes in all the chest leads. During a period when these changes persisted, there was progressive lengthening of the P wave and the P-R interval. Because the last ECG showed evidence of intra-atrial block, first degree A-V block and ...
Pacing techniques in assessing cardiac function in the horse. The problem of transitory cardiac arrhythmias in equidae is discussed particularly with regard to the referral of suspect cases to specialist institutions for second opinion. Recently developed electro-stimulation techniques designed to uncover problem arrythmias, are briefly described and their potential in the analysis of cardiac electrical function under varying conditions is reviewed. The author cautions on the too rapid evaluation of the techniques for this purpose while remaining optimistic of the potential of electro-stimulation in the objective analysis of cardiac electric parameters.
Treatment of atrial fibrillation in three racehorses. Three young Standardbred pacers with atrial fibrillation were treated with quinidine sulphate (QS) by stomach tube. They were given 10g QS every 2 hours until cardioversion was achieved. Total doses varied between 20 and 30 g. No premedication was given nor any follow up treatment after return to sinus rhythm. All horses were given 3 months rest after the treatment, and when electrocardiographed then, and at 6 months, showed normal sinus rhythm. As all 3 horses won races after cardioversion and showed subsequent normal electrocardiograms it seems likely that atrial fibrillation can occur witho...
Cardiac Arrhythmias in the horse. Electrocardiograms were obtained from normal horses and from horses with cardiac or other organic disease that affected the cardiac rhythm. Tracings were obtained from a base-apex bipolar monitor lead, with the negative electrode attached to the skin in the right jugular furrow and the positive electrode attached to the skin on the ventral medline, beneath the apex of the heart. Each arrhythmia was discussed relative to importance and probable cause.
[Single-lead bipolar electrocardiography in the diagnosis of heart diseases]. Sixty seven thoroughbred race horse of various age categories were examined electrocardiographically by bipolar leak-apex of the heart -- withers; length of training corresponded to the age categories. Basic time and voltage criteria of EKG were statistically evaluated according to electrocardiographic curves: TF = 35.1 = %/- 6.82 pulses per min., time P = 0.16 +/- 0.03 sec., PQ = 0.03 +/- 0.04 sec., QRS = 0.12 +/- +/- 0.01 sec., TQc = 0.50 sec., R = 2.83 +/- 0.63 mV, Q = 0.38 +/- 0.31 mV. Repolarization phase of the chamber complex, mainly the T wave, is the most variable component of the who...
Estimation of cardiac output in the horse by thermodilution techniques. An evaluation and comparison of thermodilution technique with dye dilution technique was made in the computation of cardiac output in 39 conscious adult horses (av body wt, 450 kg). Estimation of cardiac output by thermodilution was found to compare favorably with values obtained from dye dilution when a volume of 30 to 40 ml at a temperature of 0 C was used. Difficulties in obtaining accurate thermodilution curves in the horse seem predominantly associated with errors in mixing and observation.
Behaviour of the heart rate of horses with auricular fibrillation during exercise and after treatment. Cardioversion through varying quinidine sulphate treatments was achieved in 3 riding horses with auricular fibrillation. The horses were subjected to continual telemetric ECG registration before and after reversion in a uniform exercise-tolerance-test. A comparison of the heart rate curves showed a strong decline of the heart beat frequency during the exercise phase after synchronisation. The decrease in heart rate during exercise was greater than 30% in all 3 patients. Anti-arrhythmic treatment is, therefore, recommended for horses with auricular fibrillation and without concurrent heart dise...
Cardiovascular effects of amphetamine in the horse. Each of nine horses was treated with amphetamine alone, with atropine alone, and with amphetamine and atropine in combination. Cardiac effects of these drugs were studied by electrocardiography during resting and exercising states and immediately after exercise. Although each treatment increased heart rate significantly during the resting state, only the amphetamine plus atropine treatment increased heart rate significantly during exercise. Decrease in heart rate immediately after exercise differed significantly for each treatment; the most rapid decrease in heart rate was found after the amph...