Topic:Cardiac Output
Cardiac output in horses refers to the volume of blood the heart pumps per minute. It is a critical parameter in understanding equine cardiovascular function and overall health. Cardiac output is determined by both heart rate and stroke volume, which is the amount of blood ejected by the left ventricle with each heartbeat. In horses, cardiac output can be influenced by various factors, including exercise, stress, and disease. Accurate measurement of cardiac output provides insights into the horse's circulatory efficiency and can aid in diagnosing and managing cardiac conditions. This page compiles peer-reviewed research studies and scholarly articles that explore the measurement, regulation, and implications of cardiac output in equine physiology and veterinary medicine.
Effect of body posture on cardiopulmonary function in horses during five hours of constant-dose halothane anesthesia. Cardiovascular and respiratory functions were serially characterized in 7 healthy, spontaneously breathing, adult horses (from which food had been withheld) during 5 hours of constant 1.06% alveolar halothane (end-expired halothane concentration of 1.06%; equivalent to 1.2 times the minimal alveolar anesthetic concentration for horses). To enable comparison of temporal results in relation to 2 body postures, horses were studied in lateral recumbency (LR) and dorsal recumbency (DR) on separate occasions. Temporal changes in results of measures of circulation previously reported from this labora...
Influence of preinduction methoxamine, lactated Ringer solution, or hypertonic saline solution infusion or postinduction dobutamine infusion on anesthetic-induced hypotension in horses. A controlled study of the cardiovascular responses in horses anesthetized with acepromazine (0.05 mg/kg of body weight, IV), guaifenesin (100 mg/kg, IV), thiamylal (5.0 mg/kg, IV), and halothane in O2 (1.2 to 1.4% end-expired concentration) was performed to determine whether hypotension could be prevented by use of various treatments. Six horses were given 5 treatments in a randomized sequence: no treatment (control), methoxamine (0.04 mg/kg, IV), lactated Ringer solution (20.0 ml/kg, IV), 7.5% hypertonic saline solution (4.0 ml/kg, IV), or constant infusion of dobutamine (5.0 mg/kg/min, IV) d...
Cardiopulmonary effects of ephedrine in halothane-anesthetized horses. The cardiopulmonary effects of intravenous (i.v.) administration of the sympathomimetic drug ephedrine during two different levels of halothane anesthesia [end-tidal concentration of 1.37% (light anesthesia) and 2.1% (deep anesthesia)] were studied in eight horses. Anesthesia was induced and maintained using only halothane in O2. Ventilation was controlled to maintain a Paco2 of 38-42 mmHg. Following instrumentation and stabilization of the horse at the halothane concentration being studied, baseline measurements of cardiac output (Q), arterial blood pressure (AP), pulmonary artery pressure, h...
Costal vs. crural diaphragmatic blood flow during submaximal and near-maximal exercise in ponies. The present study was carried out 1) to compare blood flow in the costal and crural regions of the equine diaphragm during quiet breathing at rest and during graded exercise and 2) to determine the fraction of cardiac output needed to perfuse the diaphragm during near-maximal exercise. By the use of radionuclide-labeled 15-micron-diam microspheres injected into the left atrium, diaphragmatic and intercostal muscle blood flow was studied in 10 healthy ponies at rest and during three levels of exercise (moderate: 12 mph, heavy: 15 mph, and near-maximal: 19-20 mph) performed on a treadmill. At re...
Ventilation-perfusion relationships in the standing horse: an inert gas elimination study. The multiple inert gas elimination technique was adapted for use in the conscious standing horse. The modifications included increased infusion rate of the inert gases (30 ml/min), extended infusion time (60 mins) in order to reach steady state, and construction of a nose mask mixing box system for collection of expired gas. Eight adult horses with a mean weight of 454 kg and a mean age of 6.1 years were studied while standing under resting conditions. Ventilation was 65.2 liters/min and cardiac output measured by thermodilution 40.2 liters/min. Systemic and pulmonary artery mean pressures wer...
Cardiovascular and respiratory measurements in awake and isoflurane-anesthetized horses. Circulatory and respiratory function was monitored in nonmedicated, spontaneously breathing horses (n = 7) immediately before, during, and 1 hour after 85 +/- 4.1 (X +/- SEM) minutes of constant 1.57% isoflurane in O2 anesthesia. Comparison of values during anesthesia with those obtained while horses were awake revealed a significant (P less than 0.05) decrease in arterial blood pressure that was related to a slight, but insignificant, decrease in cardiac output and peripheral vascular resistance. Although isoflurane anesthesia and recumbency resulted in a significant (P less than 0.05) decrea...
Cardiovascular and pharmacokinetic effects of isoxsuprine in the horse. Isoxsuprine (0.6 mg/kg) administered IV to 6 standing horses produced substantial, transient decreases in systemic blood pressure, systemic vascular resistance, and stroke volume. It also produced substantial, transient increases in heart rate, cardiac output, and purposeful movement. Plasma concentrations of isoxsuprine peaked soon after the drug was administered IV and then decreased over a 12-hour period in a biexponential manner, with distribution and elimination half-lives of 14 minutes and 2.67 hours, respectively. Total body clearance and steady-state volume of distribution were calcula...
Hemodynamics before and after conversion of atrial fibrillation to normal sinus rhythm in horses. Hemodynamic measurements were obtained from 17 horses with atrial fibrillation or flutter. Eight horses had atrial fibrillation of unknown duration. In 7 horses, atrial fibrillation developed during anesthesia. Atrial flutter developed during recovery from anesthesia in 2 horses. Hemodynamic measurements were considered normal in 7 of 8 conscious horses with atrial fibrillation. Cardiac output was decreased and pulmonary arterial blood pressure and right atrial pressure were increased in 1 conscious horse which had signs of congestive heart failure. Arterial blood pressure decreased in 5 of 7 ...
Endotoxin-induced hemodynamic changes in ponies: effects of flunixin meglumine. A study was made of flunixin meglumine, an analgesic agent with antiinflammatory and antiprostaglandin activity, for the management of endotoxin-induced cardiovascular derangements. Three groups of 5 ponies each were used: controls--group 1; given endotoxin but not treated--group 2; and given endotoxin and treated with flunixin meglumine--group 3. Shock was induced in anesthetized ponies with IV injection of Escherichia coli endotoxin. Hemodynamic changes were monitored, and regional blood flow was determined at 4 different times, using microspheres labeled with 1 of 4 nuclides. There were ext...
Systemic and digital vascular effects of intravenous histamine in the pony. The effects of a 60-minute IV infusion of histamine (0.5 mg of histamine base/minute) on the systemic, pulmonary, and digital vasculature were investigated in mature ponies. Immediately after the start of histamine infusion, there were a transient decrease in systemic pressure lasting less than 1 minute and then a brief period of systemic hypertension. Systemic pressure then returned to preinfusion levels for the remainder of the infusion period. Pulmonary arterial pressure increased transiently coincident with systemic hypotension. Histamine increased cardiac output and decreased both total p...
Cardiopulmonary effects of butorphanol tartrate in horses. The cardiopulmonary and behavioral effects of butorphanol were evaluated in pain-free adult horses. Butorphanol tartrate was administered IV in doses of 0.1, 0.2, and 0.4 mg/kg to the same horses on 3 separate occasions. There were no significant (P less than 0.05) changes in heart rate, mean and diastolic arterial pressure, mean and diastolic pulmonary arterial blood pressure, or cardiac output recorded in the horses given these doses. Systolic arterial blood pressure was significantly (P less than 0.05) increased in only the horses given the 0.2 mg/kg dose. Significant (P greater than 0.05) ...
Intravenous anaesthesia in horses after xylazine premedication. The effects of combining large doses of xylazine (1.1 mg per kg intravenously) with ketamine, methohexitone and thiopentone were studied in four experimental ponies. Onset of anaesthesia was more delayed after ketamine than after the barbiturates. Assessment of smoothness of induction and recovery indicated that all three combinations were effective and acceptable. Injection of xylazine was followed by atrioventricular (A-V) block which could be prevented by the prior administration of atropine. Blood pressure was well maintained with all three combinations of drugs. Arterial oxygen tension de...
Comparison of circulatory and respiratory effects of isoflurane and halothane anesthesia in horses. Circulatory and respiratory effects of alveolar concentrations of 1.31, 1.97, and 2.62 vol% of isoflurane in oxygen were studied in eight young, healthy horses during spontaneous and controlled ventilation. These isoflurane concentrations were equivalent, respectively, to 1.0, 1.5, and 2.0 times the minimal alveolar concentration of isoflurane, which prevents movement in horses in response to a standard pain stimulus. Results of the isoflurane studies were compared with similarly derived findings in these same horses during equipotent halothane in oxygen anesthesia. Isoflurane, similar to halo...
Evaluation of the demand valve for resuscitation of horses. Arterial blood gas values, rate of pulmonary nitrogen washout, respiratory rate, arterial blood pressure, heart rate, and cardiac output were determined during ventilation of six anesthetized horses, with a demand valve. The horses were allowed to ventilate spontaneously, or intermittent positive pressure ventilation was utilized. When compared with spontaneous ventilation, intermittent positive pressure ventilation caused a significant increase in the rate of pulmonary nitrogen washout and a significant decrease of arterial carbon dioxide. It was concluded that intermittent positive pressure ...
Hemodynamic and respiratory effects of xylazine-morphine sulfate in horses. The cardiopulmonary effects of two xylazine-morphine sulfate drug combinations (mixtures) given IV were evaluated in horses. In horses given xylazine (0.66 mg/kg of body weight) and morphine sulfate (0.12 mg/kv) IV (experiment 1), there were significant (P less than 0.05) decreases in heart rate, cardiac output, and respiratory rate. Central venous pressure was significantly (P less than 0.05) increased. Arterial and pulmonary arterial blood pressures increased significantly (P less than 0.05) but transiently. Arterial blood gas tensions (PaCO2 and PaO2) and pH remained unchanged. In the horse...
Cardiopulmonary effects of narcotic agonists and a partial agonist in horses. The cardiopulmonary effects of the narcotic agonists morphine, meperidine, oxymorphone, and methadone and of the partial agonist pentazocine were examined in the pain-free adult horse. The drugs produced dysphoric followed by euphoric effects. Increases in heart rate, arterial blood pressure, and cardiac output were observed in all horses with all drugs. Arterial blood pressure remained increased even after heart rate and cardiac output had returned to base-line values. Respiratory rate generally remained unchanged or increased shortly after drug administration and then decreased insignificant...
Cardiovascular, acid-base, electrolyte, and plasma volume changes in ponies developing alimentary laminitis. Twelve Shetland ponies were fed a high-starch ration. Seven ponies which had a transitory metabolic acidosis developed laminitis 56 hours (+/- 3.5, SEM) after overfeeding. These ponies also developed persistent hypokalemia, hyperthermia, and increased heart rate 24 hours before the onset of lameness. Serum sodium, serum chloride, hematocrit, plasma volume, and blood volume were unchanged. At the onset of clinical signs of laminitis, cardiac output and blood pressure increased, but total peripheral resistance was unchanged. None of the measured or calculated values predicted the onset of lamini...
Acute hemodynamic effects of furosemide administered intravenously in the horse. Intravenous administration of furosemide in the horse resulted in an immediate and significant decrease in right atrial pressure, pulmonary arterial pressure, pulmonary arterial wedge pressure, cardiac output, and stroke volume (P less than 0.05). There was a significant increase in total systemic vascular resistance and heart rate (P less than 0.05). There were no significant alterations in mean arterial pressure. Coincidental with these hemodynamic changes were increased urine production and associated increase in packed cell volume and total serum protein. All variables except cardiac outpu...
Effects of azaperone on cardiovascular and respiratory functions in the horse. 1 The butyrophenone tranquilizer, azaperone, was administered intramuscularly, at dose levels of 0.4 and 0.8 mg/kg, to ponies and its effects on cardiovascular and respiratory functions assessed. 2 Arterial blood pH, CO2 tension (PaCO2) and O2 tension (PaO2) remained relatively constant throughout the course of action of azaperone. 3 Azaperone did not modify plasma protein concentration but venous blood packed cell volume and haemoglobin concentration were reduced by 5 to 10% for at least 4 hours. These changes were probably caused by uptake of erythrocytes into the splenic reservoir. 4 Small ...
Hypoxic pulmonary hypertension in the pony. Hemodynamic measurements were made in 6 ponies at low altitude (Madison, WI, altitude, 250 m) and after 1, 2, 4, and 6 weeks at high altitude (Climax, CO, altitude, 3,400 m). The salient findings were that ponies maintain an increased heart rate and cardiac output and develop significant pulmonary hypertension at high altitude. The average control resting mean pulmonary artery pressure (BPpul) was 25.1 mm of Hg at 250 m; this value increased to 56.3 mm of Hg after 6 weeks at 3,400 m. An additional finding was that the pulmonary vascular response to acute hypoxia seemed to increase with time at...