Topic:Cardiovascular Health
Cardiovascular health in horses encompasses the study of the heart and blood vessels, focusing on their structure, function, and associated disorders. The equine cardiovascular system is responsible for the circulation of blood, delivering oxygen and nutrients to tissues, and removing waste products. Research in this area includes the examination of cardiac anatomy, the electrophysiology of the heart, and common cardiovascular conditions such as arrhythmias, valvular diseases, and heart murmurs. Diagnostic tools such as echocardiography, electrocardiography, and cardiac biomarkers are utilized to assess cardiovascular function and detect abnormalities. This page compiles peer-reviewed research studies and scholarly articles that explore the physiological mechanisms, diagnostic approaches, and therapeutic strategies related to cardiovascular health in horses.
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise. Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
Cardiac morphologic changes induced by a 10-week water treadmill training for show jumping horses: A preliminary evaluation. This study aimed to investigate cardiac adaptations and energy expenditure of jumping horses after water treadmill (WT) training. Six trained horses were evaluated before (PRETR) and after (TR) a WT training (20 min, twice/week, water at carpus height) for 10 weeks. Transthoracic echocardiography was performed at PRETR and TR with phased array transducer (1.9-4 MHz) to obtain interventricular septal thickness (IVS), LV internal diameter (LVID), and posterior wall thickness (LVPW) at end-diastole (d) and systole (s) and heart rate (HR). Left ventricule end diastolic volume (Vd) and end syst...
QT interval and cardiac restitution dynamics in racehorses: Observations during maximal effort. Sudden cardiac death is a leading cause of athletic death in both humans and horses, making racehorses a potentially valuable model for investigating sudden cardiac death. Cardiac restitution ratio (QT/TQ interval) is used to assess arrhythmia risk in humans, but investigations in athletes are scarce. The objective was to characterize QT interval and cardiac restitution ratio in Thoroughbred racehorses during maximal effort. Automated restitution analysis was performed using 2709 pairs of cardiac cycles from 30 Thoroughbred horses during races. Cardiac cycles were obtained during: pre-race; ac...
Vectorcardiography at rest and during exercise in horses using the Delta (Δ) 12-lead configuration. Twelve-lead electrocardiography (ECG) is essential in human cardiology but remains poorly investigated in equine medicine due to a lack of standardization and inconsistent findings. Objective: Describe the normal vectorcardiogram (VCG) variation in horses at rest and during exercise using Delta 12-lead ECG, including repeatability and intra- and interobserver variations. Methods: One hundred two healthy Warmblood horses, aged 3-20 years, were examined at rest, of which 30 also during exercise. Methods: Prospective, observational study. Electrocardiograms were recorded using a Δ 12-lead confi...
Utility of dynamic preload indices of hypovolemia in isoflurane-anesthetized horses. To evaluate the utility of the dynamic indices, systolic pressure variation (SPV%), pulse pressure variation (PPV%) and plethysmographic variability index (PVI%) during induced hypovolemia, and to determine their correlation with cardiac output (CO) in anesthetized horses. Methods: Prospective experimental study. Methods: A group of eight healthy adult research horses. Methods: After sedation with intravenous (IV) xylazine, anesthesia was induced with IV ketamine and diazepam and maintained with constant-dose isoflurane delivered in 100% oxygen. Horses were positioned in dorsal recumbency, par...
Physiological adaptations to 6 weeks of high-intensity interval and moderate-intensity continuous training in horses: A randomized crossover study. This study tested the hypothesis that 6 weeks of high-intensity interval training (HIIT) would induce greater physiological adaptations than moderate-intensity continuous training (MICT) in Thoroughbred horses. Seven untrained horses completed two distance-matched treadmill training protocols (three sessions per week) in a randomized crossover design, separated by a three-month washout: MICT (6 min at 70% ) and HIIT (6 × [30 s at 100% with 30 s at 30% ]). Incremental exercise tests were conducted at weeks 0, 3, and 6 to assess exercise performance and physiological responses. M...
Comparison of two doses of lidocaine constant rate infusion on cardiopulmonary function and recovery in isoflurane-anesthetized horses. To compare cardiopulmonary variables and recovery scores in isoflurane-anesthetized horses undergoing arthroscopy using two different intravenous (IV) lidocaine constant rate infusions (CRIs; 50 or 100 μg kg minute) under intermittent positive pressure ventilation (IPPV) or spontaneous ventilation (SV). Methods: Prospective, randomized, clinical study. Methods: A group of 30 client-owned horses, 8-156 months old (range), with body masses of 280-550 kg. Methods: Anesthesia protocol consisted of xylazine, ketamine and diazepam, and maintenance with isoflurane and a CRI of dexmedetomidine. All g...
Left and right-side echocardiographic measurement of pulmonary artery stiffness in thoroughbred racehorses. Pulmonary Artery Stiffness (PAS) is a non-invasive echocardiographic index of pulmonary artery elasticity. In horses, PAS has been measured only from the right parasternal short-axis view, while the influence of alternative imaging windows remains unknown. Objective: To assess the repeatability and reproducibility of Acceleration Time (AT), Maximal Frequency Shift (MFS), and PAS measurements from the left parasternal angled view of the right ventricular inflow/outflow, and to compare these parameters with those obtained from the right parasternal short-axis view in Thoroughbred racehorses. Met...
Endurance exercise induces distinct skeletal and cardiac mitochondrial adaptations in racehorses. Mitochondrial respiration sustains the high energy demands of endurance exercise, yet the extent to which atrial, ventricular, and skeletal muscle mitochondria adapt remains uncertain. At the same time, endurance athletes face an increased risk of atrial fibrillation (AF), but the role of cardiac metabolism in arrhythmia susceptibility is poorly understood. Here, we compared mitochondrial respiration in skeletal muscle and across all four cardiac chambers between trained and untrained racehorses ( = 34) to investigate adaptations associated with long-term endurance exercise. We further examine...
Effect of a Constant Rate Infusion of Ketamine on a Variable Rate Infusion of Xylazine in Standing Horses Undergoing Ventriculocordectomy and Laryngoplasty. Standing sedation in horses provides immobilization and analgesia for surgery while avoiding the high risks of general anesthesia. Ketamine at subanesthetic doses may enhance sedation and reduce xylazine requirements, but evidence in clinical settings is limited. In a randomized blinded trial, we evaluated whether adding a low-dose ketamine infusion could reduce the xylazine dose required for effective sedation during standing ventriculocordectomy and laryngoplasty. Fifty-one horses were randomly assigned to sedation with xylazine alone (SX group) or xylazine plus ketamine (KX group) in a cont...
Parasympathetic tone, cardiovascular variables, and behavioral alterations in conscious horses before and after castration and during anesthesia: A pilot study. Parasympathetic tone activity (PTA) and its association with behavior in conscious versus anesthesia in horses are unknown. Objective: To study PTA, heart rate (HR), minimum alveolar concentration (MAC), and mean arterial pressure (MAP) during castration under anesthesia. To study PTA, HR, Horse Grimace Scale (HGS), locomotor activity (LA), and behavior in conscious horses before and after castration. Methods: Pilot study including seven healthy adult horses. After habituation (days 1, 2, and 3), PTAm, HR, HGS, LA, and behavior were investigated during pre-surgery (days 4-, 5-, and one-hour pr...
Traumatic Ventricular Septal Defect Caused by a Horse Kick Injury: 2 Rare Pediatric Cases. We present 2 cases of traumatic ventricular septal defects (VSDs), both caused by horse kick injuries. Given this rare but critical condition, we decided to share our experiences and the lessons learned managing these cases. Methods: The first patient, a 12-year-old girl, was trampled by a horse, sustained a traumatic apical ventricular septal defect with pseudoaneurysm, was stabilized first, and underwent surgical closure 19 days after the injury. The second patient, a 9-year-old girl, was kicked by a horse in the chest; developed profound cardiogenic shock; and was found to have multiple lar...
Morphological and morphometric characterization of the aorta of Brazilian horses (Equus ferus caballus, Linnaeus-1758): Comparative analysis of the aortic bulb and ascending aorta. We examined 52 horse aortas to characterize the morphological aspects of the aortic bulb wall and the ascending aorta. The morphometric data were analyzed using ImageJ®-Fiji 1.5 software. The Tunica intima was composed of endotheliocytes with scarce cytoplasm and ellipsoid nuclei, supported by a collagenous subendothelial stratum. The Tunica media was composed entirely of fascicles of vascular smooth muscle cells interspersed with bundles of collagen fibers and elastic lamellae, characterizing the aortic medial lamellar unit. The Tunica adventitia consisted of two distinct sub-layers: the ext...
Cardiac arrhythmia prevalence and risk factors in 24-h electrocardiograms of sedentary horses. Cardiac arrhythmias are common in horses, but their clinical relevance remains controversial. Objective: To describe prevalence and identify risk factors for arrhythmias that may warrant additional screening in a sedentary mixed-breed population of horses. Methods: Prospective cross-sectional. Methods: Ninety-four clinically healthy, university-owned, sedentary horses underwent 24-h ambulatory electrocardiograms and echocardiograms. Potential risk factors were recorded for all horses. Affected individuals were defined as those with >1 supraventricular premature complex/h or with any ventric...
Orthodromic Atrioventricular Reentry Bradycardia and Tachycardia Caused by an Accessory Pathway in Horses. Accessory pathways (APs) are muscular bundles directly connecting the atria and ventricles, bypassing the atrioventricular (AV) node-His-Purkinje system. Anterograde conduction along the AP results in ventricular preexcitation. A retrograde conducting AP allows ventriculo-atrial (VA) conduction, creating a reentry circuit that mediates orthodromic atrioventricular reentry tachycardia (OAVRT). This condition is well described in humans and small animals, but has not been reported previously in horses. Objective: Describe clinical and electrocardiographic findings of horses with retrograde AP co...
Colombian Criollo horses’ trot, trocha, and gallop are submaximal oxygen consumption gaits with unique locomotory-respiratory coupling. Colombian Criollo horses are bred for their smooth gaits that emphasize full collection and rapid footfall. The physiological demands of these gaits remain unknown. Our objective was to determine if oxygen consumption, ventilation, locomotor-respiratory coupling, and running economy differed between the trot or trocha and the gallop. Unassigned: 7 competition horses completed a controlled design standardized field test between January 10 and 20, 2025. Horses wore a cardiotachometer and ergospirometer to measure heart rate, oxygen consumption, and ventilation at the trot or trocha and the gallo...
Application of Acoustic Cardiography in Assessment of Cardiac Function in Horses with Atrial Fibrillation Before and After Cardioversion. Left atrial mechanical dysfunction is common in horses following the treatment of atrial fibrillation (AF). This study aimed to evaluate the use of an acoustic cardiography monitor (Audicor) in quantifying cardiac mechanical and hemodynamic function in horses with AF before and after treatment and to correlate these findings with echocardiographic measures. Twenty-eight horses with AF and successful transvenous electrical cardioversion were included. Audicor recordings with concomitant echocardiographic examinations were performed one day before, one day after, and two to seven days after card...
Evaluation of Subjective Assessment of Right Heart Size and Function Using Standard 2D-Echocardiographic Recordings in Horses With and Without Pulmonary Hypertension. Echocardiographic evaluation of right heart (RH) size and function in horses is challenging and relies on subjective assessment. Objective: Evaluate inter- and intra-rater agreement of subjective assessment of RH size, RH function, and the presence of pulmonary hypertension (PHT) in horses. Assess subjective RH changes with and without PHT and the influence of observer experience. Methods: Healthy horses (n = 30) and horses with Doppler measurements suggesting the presence or absence of PHT (n = 30 each). Methods: Nine standard echocardiographic recordings were analyzed by experienced ...
Effects of Induced Endotoxaemia on Global Cardiovascular, Oxygenation and Haematologic Variables and the Integrity of the Endothelial Glycocalyx in the Horse. Endotoxaemia is a significant cause of morbidity and mortality in equids due to perfusion impairment and possible destruction of the glycocalyx. To evaluate our hypothesis that endotoxaemia induces changes in global cardiovascular and haematologic parameters and compromises glycocalyx integrity, evidenced by an early rise in plasma shedding products. In vivo experiments METHODS: In a prospective, randomised, controlled experimental trial, endotoxaemia was induced with E. coli B55:O5 LPS 30 ng kg over 30 min IV in six healthy adult horses ventilated with oxygen supplemented with isoflurane. St...
A 6-Week Training Protocol Reduces Energy Consumption in Young Lusitano Horses Used in Dressage. The present work aimed to evaluate the influence of a training programme on energy expenditure (EE), cost of transport (COT, cardiac beats to move the body mass during exercise) and metabolic power (Pmet) in young Purebred Lusitano horses used in dressage. With this purpose, nine male horses, ~4 years old, were evaluated before (M1) and after 6 weeks (M2) of a training programme that included 40-80 min of preparatory dressage exercises, 6×/week, individually adjusted. In M1 and M2, the animals were examined in a dressage field test (DFT), when heart rate (HR) and respiratory rate (RR), body...
A single session of whole-body vibration did not affect cardiovascular autonomic recovery after a high intensity exercise in horses. Whole-body vibration (WBV) has the potential to enhance post-exercise recovery in humans. Heart rate variability (HRV), a well-established biomarker of cardiac autonomic regulation (CAR), provides insight into autonomic reactivity during recovery from exercise. Objective: To investigate CAR in healthy horses during post-exercise recovery following an acute intensive exercise bout (AIEB) with WBV intervention. Methods: A single AIEB was prescribed at velocities corresponding to lactate threshold (VLT), and the eight horses performed on treadmill with 5 % slope, 2 min at 110 % VLT followed by 3 ...
Can Acute Neurological Disease Cause Cardiomyopathy in Horses? In human medicine, neurological diseases have been associated with transient cardiac abnormalities. In horses, myocardial disease is rarely diagnosed and has been associated with a wide variety of causes. The aim of this article is to describe three horses with no previous cardiac disease, which all developed severe cardiomyopathy following neurological disease. A 5-year-old Shetland pony stallion was diagnosed with cardiomyopathy with arrhythmias following an episode of seizures caused by an accidental intra-arterial xylazine injection. A 20-year-old crossbred mare was hospitalised for an ope...
Volume kinetics of lactated Ringer’s solution in adult horses. Fluid therapy in horses is primarily empirical. Evidence-based quantification of the disposition of intravenous (IV) crystalloids used in clinical practice could enhance the effectiveness of fluid therapy. Objective: To determine the pharmacokinetics (i.e., volume kinetics: VK) and associated haemodynamic effects of IV lactated Ringer's solution (LRS) in adult euvolemic horses. Methods: Unmasked multiple subjects, single baseline design. Methods: Thirteen healthy, euvolemic adult female horses were administered an IV bolus of LRS and monitored over 4 h. Haemoglobin, albumin and haematocrit c...
Morphological variations of the interatrial septum and potential implications in equine cardiology. The interatrial septum morphology, shaped by the septum primum and secundum fusion, results in the formation of the fossa ovalis (FO) and its limbus. Incomplete fusion can lead to a patent foramen ovale (PFO), while complete fusion may produce septal ridges and pouches (SPs), with SPs in humans linked to ischemic stroke and atrial arrhythmias. In horses, atrial tachycardia and fibrillation often originate near the FO. This study examines adult equine interatrial septum morphology to enhance understanding the region and guide electrophysiological interventions for equine cardiac arrhythmias. Po...
Performance horses as a model for exercise-associated cardiac arrhythmias and sudden cardiac death. This paper reviews the myocardial substrate of horses relative to that of humans and discusses the utility of performance horses as a model of exercise-associated cardiac arrhythmias and sudden cardiac death in athletes. The coronary circulation is similar between the species while coronary artery anomalies and myocardial bridging appear to only be associated with athletic mortality in human athletes and not in performance horses. There are subtle differences in the histology of the sinus and atrioventricular nodes, of unknown clinical significance, while the His bundle is more highly innervat...
Changes in measurable ultrasonographic parameters in growing Arabian foals from birth to 1 year. Utrasonographic measurements of the abdominal viscera and the heart in growing Arabian foals have not been described. Objective: To establish normal intervals for ultrasonographic measurements of cardiac indices and abdominal viscera in growing Arabian foals from birth to 1 year of age. Methods: Prospective longitudinal descriptive study. Methods: Ultrasonographic images were captured from 15 foals every 3 months from 1 week to 1 year of age. During each examination, at least three images were obtained at each location and measurements were obtained using standardised ultrasonographic approa...
Novel Intracardiac Ultrasound Images Developed on a Cardiac Ultrasound Simulator and Validated in Live Horses. Ultrasonographic guidance of catheter-based interventions in horses is based primarily on transthoracic echocardiography (TTE). Intracardiac echocardiography (ICE) has the potential to provide detailed imaging of specific cardiac regions. Insight and training in echocardiographic guidance can be acquired using an echocardiography simulator. Objective: Use an echocardiography simulator for horses to determine specific ICE views for catheter-based interventions and validate these in live horses. Methods: Six adult healthy experimental horses. Methods: Observational study. An echocardiographic ph...
Histological and morphometric changes in cardiac conduction fibers after spontaneous myocardial infarction in horses and dogs. Arrhythmic sudden cardiac death in dogs and horses often results from ventricular arrhythmia secondary to myocardial damage. Despite this, limited data exist on the histomorphometric changes in cardiac conduction fibers (CCFs) and cardiac conduction cells (CCCs) following spontaneous myocardial infarction (MI). This study aimed to characterize morphometric and histological alterations in conduction fibers and their junctions with cardiomyocytes in infarcted hearts of horses and dogs. Unassigned: Ten hearts from horses and 10 from dogs that had died suddenly were examined. Histological and immu...
Dynamic Adaptation of Heart Rate and Autonomic Regulation During Training and Recovery Periods in Response to a 12-Week Structured Exercise Programme in Untrained Adult and Geriatric Horses. Changes in resting heart rate (HR) and HR variability (HRV) are utilised to assess training effects in horses. However, limited research has examined how these variables reflect training effects during exercise sessions and recovery periods, particularly in horses of different ages. This study investigated how HR and HRV changed during exercise sessions and recovery periods in untrained adult horses (UAHs; = 9) and geriatric horses (UGHs; = 9). HR and HRV were measured before and during a 54 min exercise bout over a 12-week training programme. Mixed-effects model with Greenhouse-Geisser corr...