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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.
Prevalence and clinical importance of heart murmurs in racehorses.
Journal of the American Veterinary Medical Association    May 9, 2000   Volume 216, Issue 9 1441-1445 doi: 10.2460/javma.2000.216.1441
Kriz NG, Hodgson DR, Rose RJ.To determine the prevalence of various types of heart murmurs in Thoroughbred racehorses and assess their association with performance by echocardiography and review of the horses' race records for the preceding 2 years. Methods: Clinical and retrospective study. Methods: 846 Thoroughbred racehorses. Methods: Cardiac auscultations were performed by 3 individuals; for 30 horses, Doppler echocardiographic examinations were also performed. Statistical analyses of race records for 753 horses were performed to assess association of heart murmurs with performance. Results: Heart murmurs were detecte...
Cardiorespiratory and metabolic effects of xylazine, detomidine, and a combination of xylazine and acepromazine administered after exercise in horses.
American journal of veterinary research    May 3, 2000   Volume 60, Issue 10 1271-1279 
Hubbell JA, Hinchcliff KW, Schmall LM, Muir WW, Robertson JT, Sams RA.To determine sedative, cardiorespiratory and metabolic effects of xylazine hydrochloride, detomidine hydrochloride, and a combination of xylazine and acepromazine administered i.v. at twice the standard doses in Thoroughbred horses recuperating from a brief period of maximal exercise. Methods: 6 adult Thoroughbreds. Methods: Horses were preconditioned by exercising them on a treadmill to establish a uniform level of fitness. Each horse ran 4 simulated races, with a minimum of 14 days between races. Simulated races were run at a treadmill speed that caused horses to exercise at 120% of their ma...
Susceptibility of equine erythrocytes to oxidant-induced rheologic alterations.
American journal of veterinary research    May 3, 2000   Volume 60, Issue 10 1301-1306 
Baskurt OK, Meiselman HJ.To evaluate the rheologic responses of equine versus human RBC to oxidant stress induced by superoxide anions. Methods: Equine blood samples were obtained from 8 healthy, 3- to 6-year-old various breed horses of either sex; human blood samples were obtained from 8 healthy adults. Methods: Washed RBC were exposed to superoxide anions generated by the xanthine oxidase (XO)-hypoxanthine system (XO activity of 0 to 0.1 U/ml). Deformability of RBC was assessed by ektacytometry, and RBC aggregation was measured in autologous plasma or 3% solution of dextran 70 via a defined-shear photometric techniq...
Effects of intravenously administered yohimbine on antinociceptive, cardiorespiratory, and postural changes induced by epidural administration of detomidine hydrochloride solution to healthy mares.
American journal of veterinary research    May 3, 2000   Volume 60, Issue 10 1262-1270 
Skarda RT, Muir WW.To determine effects of i.v. administered yohimbine on perineal analgesia, cardiovascular and respiratory activity, and head and pelvic limb position in healthy mares following epidural administration of detomidine hydrochloride solution. Methods: 8 healthy mares. Methods: Each mare received detomidine hydrochloride (0.06 mg/kg of body weight), administered in the caudal epidural space, followed 61 minutes later by yohimbine (0.05 mg/kg; test) or sterile saline (0.9% NaCl) solution (control), administered i.v., in a randomized, crossover study design with > or = 2 weeks between treatments. ...
Cardiorespiratory impact of the nitric oxide synthase inhibitor L-NAME in the exercising horse.
Respiration physiology    April 25, 2000   Volume 120, Issue 2 151-166 doi: 10.1016/s0034-5687(00)00096-7
Kindig CA, Gallatin LL, Erickson HH, Fedde MR, Poole DC.To investigate the role of nitric oxide, NO, in facilitating cardiorespiratory function during exercise, five horses ran on a treadmill at speeds that yielded 50, 80 and 100% of peak pulmonary oxygen uptake (V(O(2)) peak) as determined on a maximal incremental test. Each horse underwent one control (C) and one (NO-synthase inhibitor; N(G)-L-nitro-arginine methyl ester (L-NAME), 20 mg/kg) trial in randomized order. Pulmonary gas exchange (open flow system), arterial and mixed-venous blood gases, cardiac output (Fick Principle), and pulmonary and systemic conductances were determined. L-NAME red...
Duplex-ultrasonographic evaluation of the common carotid artery in the resting, sedated and anesthetized horse. Schmucker N, Schatzmann U, Budde K, Gundel M, Jäggin CE, Meier H.The aim of this study was to determine the blood flow in the carotid artery during halothane anaesthesia by means of duplex-sonography. Seventeen warm blood horses were evaluated in dorsal and lateral recumbency and the results were compared with the values of the same horses resting and under sedation. The cross sectional area of the vessels, the time-averaged maximal blood velocity, time-averaged maximal blood flow and the resistance index were determined and the flow profile was evaluated. During halothane anesthesia the total blood flow shows a significant increase which is not dependent o...
Combination of continuous intravenous infusion using a mixture of guaifenesin-ketamine-medetomidine and sevoflurane anesthesia in horses.
The Journal of veterinary medical science    April 19, 2000   Volume 62, Issue 3 229-235 doi: 10.1292/jvms.62.229
Yamashita K, Satoh M, Umikawa A, Tsuda A, Yajima Y, Tsubakishita S, Seno T, Katoh S, Izumisawa Y, Kotani T.The anesthetic and cardiovascular effects of a combination of continuous intravenous infusion using a mixture of 100 g/L guaifenesin-4 g/L ketamine-5 mg/L medetomidine (0.25 ml/kg/hr) and oxygen-sevoflurane (OS) anesthesia (GKM-OS anesthesia) in horses were evaluated. The right carotid artery of each of 12 horses was raised surgically into a subcutaneous position under GKM-OS anesthesia (n=6) or OS anesthesia (n=6). The end-tidal concentration of sevoflurane (EtSEV) required to maintain surgical anesthesia was around 1.5% in GKM-OS and 3.0% in OS anesthesia. Mean arterial blood pressure (MABP)...
Mitral valve dysplasia in a foal.
Equine veterinary journal    April 1, 2000   Volume 32, Issue 2 170-173 doi: 10.2746/042516400777591589
Schober KE, Kaufhold J, Kipar A.No abstract available
The effect of oxytocin on contractility of the equine oesophagus: a potential treatment for oesophageal obstruction.
Equine veterinary journal    April 1, 2000   Volume 32, Issue 2 151-155 doi: 10.2746/042516400777591660
Meyer GA, Rashmir-Raven A, Helms RJ, Brashier M.This study was performed to determine the effect of administration of i.v. oxytocin on the contractility of the musculature associated with the equine oesophagus. Nine clinically normal horses were fitted with a nasogastric tube modified with inflatable latex cuffs. These cuffs were connected to piezoelectric pressure recording devices. Oxytocin in 3 different doses or saline controls were administered i.v. in a randomised block pattern. Systolic blood pressure, ECG, heart rate and nasogastric tube cuff pressures were then measured for 60 min. Administration of oxytocin i.v. at 0.11 and 0.22 i...
Analysis of the right ventricular function in the exercising horse: use of the Fourier Transform.
Equine veterinary journal    April 1, 2000   Volume 32, Issue 2 101-108 doi: 10.2746/042516400777591633
Weigle GE, Langsetmo I, Gallagher RR, Dyer RA, Erickson HH, Fedde MR.The objective of this study was to develop and test a technique to allow dynamic cardiac function to be studied during exercise in the horse. Blood pressure waveforms in the exercising horse are difficult to interpret because of the large influence of stride and respiration. A method has been devised to study dynamic right ventricular variables during high-speed exercise in the horse. A Fast Fourier Transform was performed on the digitised pressure waveforms and the frequency components associated with stride and respiration were removed. An inverse Fourier Transform was then performed to gene...
Affinity of isoxsuprine for adrenoreceptors in equine digital artery and implications for vasodilatory action.
Equine veterinary journal    April 1, 2000   Volume 32, Issue 2 119-124 doi: 10.2746/042516400777591543
Belloli C, Carcano R, Arioli F, Beretta C.We used isolated equine digital arteries to study the vasodilatory mechanism of isoxsuprine, and fowl caecum preparations to investigate the affinity of the drug for beta-adrenoceptors. Isoxsuprine is a potent vasodilator of arterial smooth muscle that has been precontracted by an alpha-adrenoceptor agonist such as noradrenaline (log EC50 = -6.33 [-5.98; -6.68]). The present study indicates that its effect is due to alpha-adrenoceptor blockade since: (1) after a long lasting exposure to cumulative doses of isoxsuprine the vasoconstricting action of noradrenaline cannot be restored; (2) isoxsup...
Functional and histopathological evidence of cardiac parasympathetic dysautonomia in equine grass sickness.
The Veterinary record    March 29, 2000   Volume 146, Issue 9 246-250 doi: 10.1136/vr.146.9.246
Perkins JD, Bowen IM, Else RW, Marr CM, Mayhew IG.The parasympathetic terminal cardiac ganglia were examined in three normal horses and in five horses with grass sickness. Histopathological changes, consistent with those observed in other ganglia of horses with grass sickness, were identified in the terminal cardiac ganglia of the affected horses. A functional analysis of cardiac autonomic control by time domain analysis (TDA) of heart rate variability was applied to eight horses with grass sickness, and double-paired to 16 normal horses on the basis of their age, sex and breed, and the time of day at which the electrocardiographs were obtain...
A retrospective evaluation of the causes of death of 448 insured French horses in 1995.
Veterinary research communications    March 17, 2000   Volume 24, Issue 2 85-102 doi: 10.1023/a:1006408522233
Leblond A, Villard I, Leblond L, Sabatier P, Sasco AJ.Epidemiological studies should allow comparisons to be made of the prevalence of disease in populations from different countries, but the population characteristics and health problems in French horses are not well established. We have conducted a retrospective evaluation of the causes of death and vital characteristics of insured horses in France for the year 1995, with a view to comparison with published data from other countries. Files on 448 deceased horses were provided by nine insurance companies. Most of the animals were used for breeding (60%), followed by leisure (20%), eventing and r...
Doppler ultrasonography and single-fiber laser Doppler flowmetry for measurement of hind limb blood flow in anesthetized horses.
American journal of veterinary research    March 14, 2000   Volume 61, Issue 3 286-290 doi: 10.2460/ajvr.2000.61.286
Raisis AL, Young LE, Taylor PM, Walsh KP, Lekeux P.To use Doppler ultrasonography and single-fiber laser Doppler flowmetry (LDF) to evaluate blood flow in the dependent and nondependent hind limbs of anesthetized horses and to evaluate changes in femoral arterial blood flow and microvascular skeletal muscle perfusion in response to administration of phenylephrine hydrochloride or dobutamine hydrochloride. Methods: 6 healthy adult horses. Methods: Horses were anesthetized and positioned in left lateral recumbency. Doppler ultrasonography was used to measure velocity and volumetric flow in the femoral vessels. Single-fiber LDF was used to measur...
Heat acclimation improves regulation of plasma volume and plasma Na(+) content during exercise in horses.
Journal of applied physiology (Bethesda, Md. : 1985)    March 10, 2000   Volume 88, Issue 3 1006-1013 doi: 10.1152/jappl.2000.88.3.1006
Lindinger MI, McCutcheon LJ, Ecker GL, Geor RJ.This study determined the plasma volume (PV) and ion responses to heat acclimation and exercise in six trained Thoroughbred horses during 21 days of exposure to heat and humidity (33 degrees C, 83% relative humidity) for 4 h/day. During the 2nd h on days 0, 3, 7, 14, and 21, horses performed a standardized treadmill test, running at 50% of peak O(2) uptake until pulmonary artery temperature reached 41.5 degrees C. Heat acclimation resulted in an increase in PV from 21.3 +/- 1.1 liters on day 0 to 24.3 +/- 1.0 liters on day 14, returning to 22.6 +/- 0.9 liters on day 21. The corresponding total...
Measurements of hindlimb blood flow recorded using Doppler ultrasound during administration of vasoactive agents in halothane-anesthetized horses. Raisis AL, Young LE, Meire HB, Taylor PM, Blissitt KJ, Marlin D, Lekeux P.The purpose of the study was to determine the ability of Doppler ultrasound to detect changes in femoral blood flow during pharmacologic manipulation of arterial blood pressure. Doppler ultrasonography was performed in the femoral vessels of six halothane-anesthetized horses before and during administration of phenylephrine HCI and sodium nitroprusside. The time-averaged mean velocity and volumetric flow were calculated. The contour of the velocity waveform was assessed, and the early diastolic deceleration slope (EDDS) and pulsatility index (PI) were calculated. Administration of phenylephrin...
Causes of poor performance of horses during training, racing, or showing: 348 cases (1992-1996).
Journal of the American Veterinary Medical Association    February 25, 2000   Volume 216, Issue 4 554-558 doi: 10.2460/javma.2000.216.554
Martin BB, Reef VB, Parente EJ, Sage AD.To determine results for horses undergoing a high-speed treadmill examination, including videoendoscopy of the pharynx and larynx before and during exercise, echocardiography before and after exercise, and electrocardiography before, during, and after exercise, because of poor performance. Methods: Retrospective study. Methods: 348 horses. Results: A definitive diagnosis was obtained for 256 (73.5%) horses. One hundred forty-eight horses had dynamic obstruction of the airway during exercise, 33 had clinically important cardiac arrhythmias alone, 22 had a combination of dynamic airway obstructi...
Oral nitroglycerin paste did not lower pulmonary capillary pressure during treadmill exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 153-158 doi: 10.1111/j.2042-3306.1999.tb05207.x
Hackett RP, Ducharme NG, Gleed RD, Erb HN, Mitchell LM, Soderholm LV.We hypothesised that 22.5 mg of oral nitroglycerin would cause pulmonary vasodilation and therefore decrease pulmonary capillary pressure in horses during strenuous exercise. Six horses were assigned to exercise twice, once with no medication (control) and once with nitroglycerin (22.5 mg orally) in random order. Horses were exercised for 3 min each at 75, 90 and 100% of maximal heart rate (HRmax) with a 2 min period of walking between each period of exertion. Pulmonary artery and oesophageal pressures were recorded continuously. Subsequent analysis was carried out on the pulmonary arterial pr...
Effects of pre-exercise frusemide administration and post exercise anaesthesia on cardiopulmonary and acid-base parameters and blood and plasma volumes in horses exercised supramaximally to fatigue.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 174-177 doi: 10.1111/j.2042-3306.1999.tb05212.x
Keegan RD, Greene SA, Brown JA, Weil AB, Bayly WM.Six horses were randomly assigned to receive either frusemide (F) (0.5 mg/kg i.v.) or an equivalent volume of saline (S) i.v., 4 h prior to treadmill exercise. Horses were instrumented to enable measurement of heart rate (HR), systolic (SAP), mean (MAP), and diastolic (DAP) carotid arterial pressures, pulmonary artery pressure (PAP), central venous pressure (CVP), pulmonary arterial temperature (TEMP), blood gases, and cardiac output (CO). Plasma (PV) and blood volumes (BV) were measured using 2 injections of Evan's Blue dye. Baseline parameters were recorded while the horse stood quietly. Hor...
Cardiac responses to training in 2-year-old thoroughbreds: an echocardiographic study.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 195-198 doi: 10.1111/j.2042-3306.1999.tb05217.x
Young LE.Guided M-mode echocardiography was performed in seven 2-year-old Thoroughbreds before commencement of commercial flat-race training, and 18 weeks later, when all horses were either racing regularly (5 horses), or at racing fitness (2 horses). M-mode echocardiography was performed using a 2.5 MHz annular phased array ultrasound transducer and a Vingmed 800 Supervision echocardiograph. Images were obtained from the right hemithorax; a short axis view of the left ventricle (LV) at the level of the chordae tendinae was used to position the M-mode cursor. The following variables were measured: left...
The effects of training on ventilation and blood gases in exercising thoroughbreds.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 57-61 doi: 10.1111/j.2042-3306.1999.tb05189.x
Roberts CA, Marlin DJ, Lekeux P.The effects of training on ventilation and blood gases during exercise were investigated in 6 clinically normal, detrained Thoroughbred horses. They underwent a 16 week training programme similar to the type frequently used for Thoroughbred racehorses in Great Britain. Standardized treadmill exercise tests (2 min canter at 8 and 10 m/s C8 and C10[ and 2 min gallop at 12 m/s [G12], on a level surface) were performed prior to and after 16 weeks of training. Respiratory flow rates were measured using ultrasound flow transducers. Blood samples were drawn from a transverse facial artery and the rig...
Plasma ammonia and lactate responses using incremental and constant speed exercise tests.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 546-551 doi: 10.1111/j.2042-3306.1999.tb05281.x
Harris RC, Harris DB, Dunnett M, Harris PA, Fallowfield J, Naylor JR.Plasma NH3, formed during intense exercise, results principally from the deamination of AMP in muscle. Its formation during exercise may be influenced both by the pool of fibres recruited and by changes in the intracellular environment affecting ADP homeostasis. This study compared incremental and constant speed exercise as possible protocols for the investigation of plasma NH3 accumulation with intense exercise. Six trained Thoroughbred horses, one of which had recently been operated on for recurrent laryngeal neuropathy, undertook a step-wise treadmill test with 1 min incremental steps of 6,...
Ventilation-perfusion relationships during exercise in standardbred trotters with red cell hypervolaemia.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 107-113 doi: 10.1111/j.2042-3306.1999.tb05199.x
Funkquist P, Wagner PD, Hedenstierna G, Persson SG, Nyman G.In order to evaluate the pulmonary gas exchange during exercise in Standardbred trotters with red cell hypervolaemia (RCHV), 12 horses with RCHV were compared with 9 normovolaemic (NV) horses. VO2 and VCO2 were determined with an open bias flow system. Cardiovascular and haemodynamic data were recorded during exercise at 4 different speeds on a treadmill. Pulmonary gas exchange was assessed by conventional blood gas variables (arterial and mixed venous blood gas tensions), and the ventilation-perfusion distribution VA/Q was estimated by the multiple inert gas elimination technique. VA and AaDO...
Blood gas changes during incremental and sprint exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 24-26 doi: 10.1111/j.2042-3306.1999.tb05182.x
Christley RM, Evans DL, Hodgson DR, Rose RJ.We investigated and compared arterial blood gas and ventilatory changes during rapid acceleration sprint and during incremental treadmill exercise. Seven clinically normal racehorses completed standardised incremental exercise tests and rapid acceleration tests at speeds calculated to elicit 115% VO2max. Arterial oxygen tension decreased (P < 0.001) between 15 s (mean +/- s.d. 103.8 +/- 14.3 mmHg) and 30 s (85.0 +/- 7.7 mmHg) after the onset of rapid acceleration exercise, but did not change significantly during the remainder of the sprint. This was accompanied by an increase in PaCO2 of 5....
Plasma atrial natriuretic peptide during and after repeated exercise under heat exposure.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 184-189 doi: 10.1111/j.2042-3306.1999.tb05215.x
Kokkonen UM, Hyyppä S, Pösö AR.Plasma atrial natriuretic peptide (ANP) responses were studied in horses during and after a competition exercise test (CET) designed to simulate the endurance test of a 3-day event and including test Phases A-D. CET was repeated 5 times at 2 week intervals at mean temperature +28 degrees C and relative humidity (RH) 58%. Heart rate (HR) was monitored during CET. After CET, the horses were rehydrated with isotonic glucose-electrolyte solution or water. ANP, NH2-terminal pro-atrial natriuretic peptide (NT-ANP), aldosterone, arginine vasopressin (AVP) and plasma proteins (PP) were measured during...
Relationship between VO2max, heart score and echocardiographic measurements obtained at rest and immediately following maximal exercise in thoroughbred horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 190-194 doi: 10.1111/j.2042-3306.1999.tb05216.x
Sampson SN, Tucker RL, Bayly WM.We evaluated the relationships of heart score (HS) and echocardiographic measures to maximal oxygen consumption (VO2max), maximal cardiac output (Qmax), and maximal stroke volume (SVmax). Six fit, mature Thoroughbred horses weighing (mean +/- s.e.) 487 +/- 11 kg were run 4 times on an inclined (10%) treadmill. Each run consisted of a 3 min warm-up at 4 m/s followed by completion of an incremental exercise test in which each horse ran until VO2max was reached. Arterial and mixed venous blood was collected to determine arteriovenous oxygen content difference C(a-v)O2[ in the last 15 s of exercis...
Frusemide and weight carriage alter the acid:base responses of horses to incremental and to brief intense exertion.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 375-379 doi: 10.1111/j.2042-3306.1999.tb05251.x
Hinchcliff KW, McKeever KH.We speculated that frusemide would attenuate the acidosis associated with intense exertion, and that weight carriage would mitigate this effect. Therefore, in each of 2 experiments we measured pulmonary artery and systemic arterial blood pH, PCO2, PO2 and pulmonary artery temperature in 9 horses during exertion on a treadmill after each of 3 treatments. The treatments were: 1) injection of saline solution (C), 2) injection of frusemide (1 mg/kg bwt, i.v. 4 h before running) (FU) and 3) injection of frusemide (F) as for FU and the horses carried weight equal to that lost in the 4 h after frusem...
Influence of training on autonomic nervous function in horses: evaluation by power spectral analysis of heart rate variability.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 178-180 doi: 10.1111/j.2042-3306.1999.tb05213.x
Kuwahara M, Hiraga A, Kai M, Tsubone H, Sugano S.We studied the influence of training on autonomic nervous function in the horse. For this purpose, Holter electrocardiogram (ECG) was recorded before and after training from 24 Thoroughbred horses (2-year-olds) and autonomic nervous function was evaluated by the power spectral analysis of heart rate (HR) variability. We obtained HR, low-frequency (LF) power, high-frequency (HF) power, and LF/HF ratio from recording. We set LF at 0.01-0.07 Hz and HF at 0.07-0.6 Hz. The HF power is thought to reflect primarily parasympathetic nervous function. Both the sympathetic and parasympathetic nervous sys...
Cardiorespiratory measurements and indices of oxidative stress in exercising COPD horses.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 83-87 doi: 10.1111/j.2042-3306.1999.tb05194.x
Art T, Kirschvink N, Smith N, Votion D, Lekeux P.The effect of a COPD crisis on arterial blood gases, heart rate, lactate and indices of oxidative stress were investigated before, during and 1 h after a 'run up to fatigue' in 6 COPD horses. They were investigated twice, randomly: once in acute crisis (C) and once in clinical remission (R). Arterial and mixed venous blood samples were collected and analysed for partial pressures in O2 and CO2. The mixed venous blood was also analysed for plasma lactate (LA) and packed cell volume (PCV), as well as for indices of oxidative stress, i.e. reduced glutathione, glutathione disulphide, glutathione r...
Cardiac output measurements using sonomicrometer crystals on the left ventricle at rest and exercise.
Equine veterinary journal. Supplement    February 5, 2000   Issue 30 148-152 doi: 10.1111/j.2042-3306.1999.tb05206.x
Pascoe JR, Hiraga A, Hobo S, Birks EK, Yarbrough TB, Takahashi T, Hada T, Aida H, Steffey EP, Jones JH.Eight horses were fitted surgically with 8 ultrasonic sonomicrometer crystals each attached to their left ventricular pericardia and a left atrial catheter. Three horses returned to treadmill performance with a maximum rate of oxygen consumption similar to their presurgical values. These horses were evaluated to determine how well sonomicrometer estimates of cardiac output agreed with those obtained by a steady-state method, the Fick principle. Variance between the 2 was similar to the coefficient of variation (approximately 12.5%) of the Fick estimates. We conclude that left ventricular sonom...
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