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Topic:Comparative Study

Comparative studies in equine research involve the systematic analysis of different horse breeds, management practices, or physiological responses to identify variations and similarities. These studies are instrumental in understanding how different factors influence health, performance, and behavior in horses. Common areas of comparison include genetic traits, nutritional requirements, disease resistance, and response to training. By evaluating these differences, researchers can develop targeted strategies for breeding, healthcare, and training. This page aggregates peer-reviewed research studies and scholarly articles that focus on the methodologies, findings, and implications of comparative studies in the context of equine science.
Association of catastrophic biaxial fracture of the proximal sesamoid bones with bony changes of the metacarpophalangeal joint identified by standing magnetic resonance imaging in cadaveric forelimbs of Thoroughbred racehorses.
Journal of the American Veterinary Medical Association    February 27, 2015   Volume 246, Issue 6 661-673 doi: 10.2460/javma.246.6.661
Peloso JG, Vogler JB, Cohen ND, Marquis P, Hilt L.To compare bony changes in the metacarpophalangeal joint (MCPJ) of racehorses with (cases) and without (controls) biaxial proximal sesamoid bone (PSB) fracture as determined by 2 grading scales applied to images of cadaveric forelimbs obtained by means of standing MRI (sMRI). Methods: Case-control study. Methods: Forelimbs from 74 Thoroughbred racehorses (21 cases and 53 controls) that were euthanized at a Florida racetrack. Methods: Both forelimbs were harvested from cases and controls. Each forelimb underwent sMRI to obtain images of the MCPJ. Two grading scales were described and used for i...
Horses fail to use social learning when solving spatial detour tasks.
Animal cognition    February 26, 2015   Volume 18, Issue 4 847-854 doi: 10.1007/s10071-015-0852-6
Rørvang MV, Ahrendt LP, Christensen JW.Social animals should have plenty of opportunities to learn from conspecifics, but most studies have failed to document social learning in horses. This study investigates whether young Icelandic horses can learn a spatial detour task through observation of a trained demonstrator horse of either the same age (Experiments 1 and 2, n = 22) or older (Experiment 3, n = 24). Observer horses were allowed to observe the demonstrator being led three times through the detour route immediately before being given the opportunity to solve the task themselves. Controls were allowed only to observe the d...
Does heterozygosity at the DMRT3 gene make French trotters better racers?
Genetics, selection, evolution : GSE    February 26, 2015   Volume 47, Issue 1 10 doi: 10.1186/s12711-015-0095-7
Ricard A.Recently, a mutation was discovered in the DMRT3 gene that controls pacing in horses. The mutant allele A is fixed in the American Standardbred trotter breed, while in the French trotter breed, the frequency of the wild-type allele C is still 24%. This study aimed at measuring the effect of DMRT3 genotypes on the performance of French trotters and explaining why the polymorphism still occurs in this breed. Using a mixed animal model, genetic parameters and environmental effects on performance traits were estimated from data on 173 176 French trotter races. The effect of the DMRT3 gene was then...
Mares prefer the voices of highly fertile stallions.
PloS one    February 25, 2015   Volume 10, Issue 2 e0118468 doi: 10.1371/journal.pone.0118468
Lemasson A, Remeuf K, Trabalon M, Cuir F, Hausberger M.We investigated the possibility that stallion whinnies, known to encode caller size, also encoded information about caller arousal and fertility, and the reactions of mares in relation to type of voice. Voice acoustic features are correlated with arousal and reproduction success, the lower-pitched the stallion's voice, the slower his heart beat and the higher his fertility. Females from three study groups preferred playbacks of low-pitched voices. Hence, females are attracted by frequencies encoding for large male size, calmness and high fertility. More work is needed to explore the relative i...
Desflurane and sevoflurane elimination kinetics and recovery quality in horses.
American journal of veterinary research    February 25, 2015   Volume 76, Issue 3 201-207 doi: 10.2460/ajvr.76.3.201
Valente AC, Brosnan RJ, Guedes AG.To evaluate pharmacokinetics, recovery times, and recovery quality in horses anesthetized with 1.2 times the minimum alveolar concentration of sevoflurane or desflurane. Methods: 6 healthy adult horses. Methods: Anesthesia was maintained with sevoflurane or desflurane for 2 hours at 1.2 times the minimum alveolar concentration. Horses recovered without assistance. During recovery, end-tidal gas samples were collected until horses spontaneously moved. Anesthetic concentrations were measured by use of gas chromatography. After a 1-week washout period, horses were anesthetized with the other inha...
High genetic diversity of equine infectious anaemia virus strains from Slovenia revealed upon phylogenetic analysis of the p15 gag gene region.
Equine veterinary journal    February 25, 2015   Volume 48, Issue 2 205-210 doi: 10.1111/evj.12404
Kuhar U, Malovrh T.The equine infectious anaemia virus (EIAV), which belongs to the Retroviridae family, infects equids almost worldwide. Every year, sporadic EIAV cases are detected in Slovenia. Objective: To characterise the Slovenian EIAV strains in the p15 gag gene region phylogenetically in order to compare the Slovenian EIAV strains with EIAV strains from abroad, especially with the recently published European strains. Methods: Cross-sectional study using material derived from post mortem examination. Methods: In total, 29 EIAV serologically positive horses from 18 different farms were examined in this stu...
Effect of flunixin meglumine and firocoxib on ex vivo cyclooxygenase activity in horses undergoing elective surgery.
American journal of veterinary research    February 25, 2015   Volume 76, Issue 3 208-215 doi: 10.2460/ajvr.76.3.208
Duz M, Parkin TD, Cullander RM, Marshall JF.To evaluate ex vivo cyclooxygenase (COX) inhibition and compare in vitro and ex vivo COX-1 inhibition by flunixin meglumine and firocoxib in horses. Methods: 4 healthy horses for in vitro experiments and 12 healthy horses (6 males and 6 females; 5 Thoroughbreds, 5 Warmbloods, and 2 ponies) undergoing elective surgery for ex vivo experiments. Methods: 12 horses received flunixin meglumine (1.1 mg/kg, IV, q 12 h) or firocoxib (0.09 mg/kg, IV, q 24 h). Blood samples were collected before (baseline) and 2 and 24 hours after NSAID administration. Prostanoids (thromboxane B2, prostaglandin E2, and p...
Comparative evaluation of three surveillance systems for infectious equine diseases in France and implications for future synergies.
Epidemiology and infection    February 25, 2015   Volume 143, Issue 14 3122-3133 doi: 10.1017/S0950268815000217
Amat JP, Hendrikx P, Tapprest J, Leblond A, Dufour B.It is necessary to assess surveillance systems for infectious animal diseases to ensure they meet their objectives and provide high-quality health information. Each system is generally dedicated to one disease and often comprises various components. In many animal industries, several surveillance systems are implemented separately even if they are based on similar components. This lack of synergy may prevent optimal surveillance. The purpose of this study was to assess several surveillance systems within the same industry using the semi-quantitative OASIS method and to compare the results of t...
Genetic conditions of joint Nordic genetic evaluations of lifetime competition performance in warmblood sport horses.
Journal of animal breeding and genetics = Zeitschrift fur Tierzuchtung und Zuchtungsbiologie    February 20, 2015   Volume 132, Issue 4 308-317 doi: 10.1111/jbg.12132
Viklund Ã…, Furre S, Eriksson S, Vangen O, Philipsson J.Breeding programmes for warmblood sport horses are similar in the Nordic countries Sweden, Denmark, Finland and Norway, and stallions of same origin are used. The aim was to investigate whether a joint Nordic genetic evaluation based on lifetime competition performance is feasible and beneficial for breeding competitive sport horses in the Nordic countries. Results for almost 45,000 horses in show jumping and 30,000 horses in dressage were available. The larger populations in Sweden and Denmark contributed with 85% of the results. Heritabilities and genetic correlations between performances in...
Plasma serotonin in horses undergoing surgery for small intestinal colic.
The Canadian veterinary journal = La revue veterinaire canadienne    February 20, 2015   Volume 56, Issue 2 178-184 
Torfs SC, Maes AA, Delesalle CJ, Pardon B, Croubels SM, Deprez P.This study compared serotonin concentrations in platelet poor plasma (PPP) from healthy horses and horses with surgical small intestinal (SI) colic, and evaluated their association with postoperative ileus, strangulation and non-survival. Plasma samples (with EDTA) from 33 horses with surgical SI colic were collected at several pre- and post-operative time points. Serotonin concentrations were determined using liquid-chromatography tandem mass spectrometry. Results were compared with those for 24 healthy control animals. The serotonin concentrations in PPP were significantly lower (P < 0.01) i...
Efficacy of a portable oxygen concentrator with pulsed delivery for treatment of hypoxemia during equine field anesthesia.
Veterinary anaesthesia and analgesia    February 14, 2015   Volume 42, Issue 5 518-526 doi: 10.1111/vaa.12246
Coutu P, Caulkett N, Pang D, Boysen S.Hypoxemia is common during equine field anesthesia. Our hypothesis was that oxygen therapy from a portable oxygen concentrator would increase PaO2 during field anesthesia compared with the breathing of ambient air. Methods: Prospective clinical study. Methods: Fifteen yearling (250 - 400 kg) horses during field castration. Methods: Horses were maintained in dorsal recumbency during anesthesia with an intravenous infusion of 2000 mg ketamine and 500 mg xylazine in 1 L of 5% guaifenesin. Arterial samples for blood gas analysis were collected immediately post-induction (PI), and at 15 and 30Â...
A comparison of methods for whole-genome QTL mapping using dense markers in four livestock species.
Genetics, selection, evolution : GSE    February 12, 2015   Volume 47, Issue 1 6 doi: 10.1186/s12711-015-0087-7
Legarra A, Croiseau P, Sanchez MP, Teyssèdre S, Sallé G, Allais S, Fritz S, Moreno CR, Ricard A, Elsen JM.With dense genotyping, many choices exist for methods to detect quantitative trait loci (QTL) in livestock populations. However, no across-species study has been conducted on the performance of different methods using real data. We compared three methods that correct for relatedness either implicitly or explicitly: linkage and linkage disequilibrium haplotype-based analysis (LDLA), efficient mixed-model association (EMMA) analysis, and Bayesian whole-genome regression (BayesC). We analyzed one chromosome in each of five datasets (dairy cattle, beef cattle, sheep, horses, and pigs) using real g...
Anatomical variation of the spinous and transverse processes in the caudal cervical vertebrae and the first thoracic vertebra in horses.
Equine veterinary journal    February 11, 2015   Volume 48, Issue 1 45-49 doi: 10.1111/evj.12397
Santinelli I, Beccati F, Arcelli R, Pepe M.There are scant data on the incidence of different anatomical variants of the equine caudal cervical spine, despite interest in cervical pathology. Objective: To identify morphological radiographic variation in the 6th and 7th cervical vertebrae and the first thoracic vertebra in horses of different breeds and to determine whether there are breed- and sex-related differences. Methods: Retrospective descriptive study. Methods: Radiographs of the cervical spine of 270 horses were assessed retrospectively. The Chi-square test, or Fisher's exact test when appropriate, was used to test for associat...
Systems-based analysis of the Sarcocystis neurona genome identifies pathways that contribute to a heteroxenous life cycle.
mBio    February 10, 2015   Volume 6, Issue 1 e02445-14 doi: 10.1128/mBio.02445-14
Blazejewski T, Nursimulu N, Pszenny V, Dangoudoubiyam S, Namasivayam S, Chiasson MA, Chessman K, Tonkin M, Swapna LS, Hung SS, Bridgers J....Sarcocystis neurona is a member of the coccidia, a clade of single-celled parasites of medical and veterinary importance including Eimeria, Sarcocystis, Neospora, and Toxoplasma. Unlike Eimeria, a single-host enteric pathogen, Sarcocystis, Neospora, and Toxoplasma are two-host parasites that infect and produce infectious tissue cysts in a wide range of intermediate hosts. As a genus, Sarcocystis is one of the most successful protozoan parasites; all vertebrates, including birds, reptiles, fish, and mammals are hosts to at least one Sarcocystis species. Here we sequenced Sarcocystis neurona, th...
Changes in the equine fecal microbiota associated with the use of systemic antimicrobial drugs.
BMC veterinary research    February 3, 2015   Volume 11 19 doi: 10.1186/s12917-015-0335-7
The intestinal tract is a rich and complex environment and its microbiota has been shown to have an important role in health and disease in the host. Several factors can cause disruption of the normal intestinal microbiota, including antimicrobial therapy, which is an important cause of diarrhea in horses. This study aimed to characterize changes in the fecal bacterial populations of healthy horses associated with the administration of frequently used antimicrobial drugs. Results: Twenty-four adult mares were assigned to receive procaine penicillin intramuscularly (IM), ceftiofur sodium IM, tr...
Functional locomotor consequences of uneven forefeet for trot symmetry in individual riding horses.
PloS one    February 3, 2015   Volume 10, Issue 2 e0114836 doi: 10.1371/journal.pone.0114836
Wiggers N, Nauwelaerts SL, Hobbs SJ, Bool S, Wolschrijn CF, Back W.Left-right symmetrical distal limb conformation can be an important prerequisite for a successful performance, and it is often hypothesized that asymmetric or uneven feet are important enhancing factors for the development of lameness. On a population level, it has been demonstrated that uneven footed horses are retiring earlier from elite level competition, but the biomechanical consequences are not yet known. The objectives of this study were to compare the functional locomotor asymmetries of horses with uneven to those with even feet. Hoof kinetics and distal limb kinematics were collected ...
Effectiveness of training programmes used in two stables of thoroughbred race horses.
Polish journal of veterinary sciences    February 3, 2015   Volume 17, Issue 4 681-685 doi: 10.2478/pjvs-2014-0099
Szarska E, Cywińska A, Ostaszewski P, Kowalska A.The purpose of this study was to compare the training methods used in two stables and their effects on selected blood parameters and race results. A total number of 36 thoroughbred race horses was examined in two groups, trained by two trainers. Twenty-four horses (group A) were trained at Sluzewiec and the remaining twelve horses (group B) were kept and trained in a private stable. The experiment lasted for five months. The activities of CPK (creatine phosphokinase) and AST (aspartate aminotransferase) and the concentration of LA (lactic acid) were determined. The speed was controlled and rec...
Insulinaemic and glycaemic responses to a second meal of a fibre- or starch-enriched compound feed in healthy horses.
Veterinary journal (London, England : 1997)    February 3, 2015   Volume 204, Issue 2 220-222 doi: 10.1016/j.tvjl.2015.01.027
Karasu GK, Krabbenborg R, Einspanier A, Vervuert I.This study aimed to investigate the effect of a second meal of a fibre- or starch-enriched compound feed on glycaemic and insulinaemic responses in healthy horses. In a cross-over design, horses were fed either a starch-enriched compound feed (SCF) or a fibre-enriched compound feed (FCF). On days of blood collection, test diets were fed in the morning (0800 h, first meal) and a second meal was fed 510 min after the first meal was finished (second meal). Significantly higher glycaemic and insulinaemic responses were associated with SCF compared with FCF. Feeding FCF for the second meal yiel...
Intra-articular treatment with triamcinolone compared with triamcinolone with hyaluronate: A randomised open-label multicentre clinical trial in 80 lame horses.
Equine veterinary journal    February 2, 2015   Volume 48, Issue 2 152-158 doi: 10.1111/evj.12383
de Grauw JC, Visser-Meijer MC, Lashley F, Meeus P, van Weeren PR.Intra-articular (IA) injection of corticosteroids with or without hyaluronate (HA) has been used for decades in equine practice for treatment of noninfectious synovitis and osteoarthritis. However, to date, no large-scale randomised equine field trials have been reported that address the supposed superior clinical efficacy of the combination of corticosteroid + HA compared with IA injection of corticosteroid alone. Objective: To compare the clinical efficacy of IA triamcinolone acetonide (TA, 12 mg) compared with IA TA (12 mg) + high molecular weight HA (20 mg) in horses with clinical jo...
A comparison of seven methods for continuous therapeutic cooling of the equine digit.
Equine veterinary journal    February 2, 2015   Volume 48, Issue 1 120-124 doi: 10.1111/evj.12384
van Eps AW, Orsini JA.Digital hypothermia may be effective for laminitis prophylaxis and therapy, but the efficacy of cooling methods used in clinical practice requires evaluation. Objective: To use hoof wall surface temperature (HWST) to compare several cooling methods used in clinical practice. Methods: Experimental crossover design with a minimum washout period of 72 h. Methods: Seven cooling methods (commercially available ice packs, wraps and boots) and one prototypical dry-sleeve device were applied to a single forelimb in 4 horses for 8 h, during which HWST of the cooled forelimb and the uncooled (contro...
Effects of cycle stage and sampling procedure on interpretation of endometrial cytology in mares.
Animal reproduction science    January 31, 2015   Volume 154 56-62 doi: 10.1016/j.anireprosci.2015.01.009
Kozdrowski R, Sikora M, Buczkowska J, Nowak M, Raś A, Dzięcioł M.The aim of this study was to ascertain if (1) the stage of reproductive cycle influences cytological results, (2) cytology obtained from an endometrial biopsy is more accurate than cytology derived using the cytobrush, and (3) different methods used for evaluation of cytological samples produce similar diagnostic results. Material was collected from 46 mares in estrus, 48 in diestrus and from 33 mares in anestrus. Smears were evaluated using two criteria. In criterion I, a total of 300cells were counted and the percentage of polymorphonuclear cells was recorded. In criterion II, the number of ...
Evaluation of contact activation of citrated equine whole blood during storage and effects of contact activation on results of recalcification-initiated thromboelastometry.
American journal of veterinary research    January 30, 2015   Volume 76, Issue 2 122-128 doi: 10.2460/ajvr.76.2.122
Rossi TM, Smith SA, McMichael MA, Wilkins PA.To evaluate the degree of activation of the contact pathway in citrated equine whole blood over holding times ≤ 30 minutes and assess effects of contact activation on recalcification-initiated thromboelastometry. Methods: 11 healthy adult mixed-breed horses. Methods: Blood was collected by atraumatic jugular venipuncture into prewarmed evacuated siliconized glass tubes containing citrate anticoagulant and held at 37°C for ≤ 30 minutes. Thromboelastometry was performed with an in vitro viscoelasticity (thromboelastometry) monitoring system. Factor XII and factor XI procoagulant activities ...
Complete sequencing and characterization of equine aggrecan.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    January 30, 2015   Volume 28, Issue 2 79-87 doi: 10.3415/VCOT-14-05-0069
Caporali EH, Kuykendall T, Stewart MC.To fully sequence and characterize equine aggrecan and confirm conservation of major aggrecanase, calpain and matrix metalloproteinase (MMP) cleavage sites. Methods: Reverse transcription-polymerase chain reaction and rapid amplification of cDNA ends were used to generate clones that encompassed the complete equine aggrecan sequence. Clones were sequenced and compared with the equine genome database to determine intron-exon boundaries. Results: The aggrecan gene spans over 61 kb on chromosome 1 and is encoded by 17 exons. Two major variants of aggrecan were cloned; one containing 8187 bp (2728...
Characterization of endothelial colony-forming cells from peripheral blood samples of adult horses.
American journal of veterinary research    January 30, 2015   Volume 76, Issue 2 174-187 doi: 10.2460/ajvr.76.2.174
Salter MM, Seeto WJ, DeWitt BB, Hashimi SA, Schwartz DD, Lipke EA, Wooldridge AA.To isolate and characterize endothelial colony-forming cells (ECFCs; a subtype of endothelial progenitor cells) from peripheral blood samples of horses. Methods: Jugular venous blood samples from 24 adult horses. Methods: Blood samples were cultured in endothelial cell growth medium. Isolated ECFCs were characterized by use of functional assays of fluorescence-labeled acetylated low-density lipoprotein (DiI-Ac-LDL) uptake and vascular tubule formation in vitro. Expression of endothelial (CD34, CD105, vascular endothelial growth factor receptor 2, and von Willebrand factor) and hematopoietic (C...
[Interbody fusion procedures. Development from a historical perspective].
Der Orthopade    January 30, 2015   Volume 44, Issue 2 104-113 doi: 10.1007/s00132-015-3076-1
Rickert M, Rauschmann M, Fleege C, Behrbalk E, Harms J.The development of interbody fusion now stretches over many decades and is still not complete. Conclusions: Due to the lack of appropriate implants, the initial fusions were performed via decortication of the dorsal and lateral structures of the spine, followed by placement of an autograft. Despite acceptable fusion results, better primary stability and higher fusion rates were desired. In addition, it became known that the primary load-bearing of the spine is located ventrally in the area of the corpus of the vertebrae. These considerations led to the development of the PLIF technique that wa...
Genome-wide analysis of DNA methylation before-and after exercise in the thoroughbred horse with MeDIP-Seq.
Molecules and cells    January 30, 2015   Volume 38, Issue 3 210-220 doi: 10.14348/molcells.2015.2138
Gim JA, Hong CP, Kim DS, Moon JW, Choi Y, Eo J, Kwon YJ, Lee JR, Jung YD, Bae JH, Choi BH, Ko J, Song S, Ahn K, Ha HS, Yang YM, Lee HK, Park KD....Athletic performance is an important criteria used for the selection of superior horses. However, little is known about exercise-related epigenetic processes in the horse. DNA methylation is a key mechanism for regulating gene expression in response to environmental changes. We carried out comparative genomic analysis of genome-wide DNA methylation profiles in the blood samples of two different thoroughbred horses before and after exercise by methylated-DNA immunoprecipitation sequencing (MeDIP-Seq). Differentially methylated regions (DMRs) in the pre-and post-exercise blood samples of superio...
The recombinant equine LHβ subunit combines divergent intracellular traits of human LHβ and CGβ subunits.
Theriogenology    January 29, 2015   Volume 83, Issue 9 1469-1476 doi: 10.1016/j.theriogenology.2015.01.026
Cohen L, Bousfield GR, Ben-Menahem D.The pituitary LHβ and placental CGβ subunits are products of different genes in primates. The major structural difference between the two subunits is in the carboxy-terminal region, where the short carboxyl sequence of hLHβ is replaced by a longer O-glycosylated carboxy-terminal peptide in hCGβ. In association with this structural deviation, there are marked differences in the secretion kinetics and polarized routing of the two subunits. In equids, however, the CGβ and LHβ subunits are products of the same gene expressed in the placenta and pituitary (LHβ), and both contain a carboxy-te...
HEpD: a database describing epigenetic differences between Thoroughbred and Jeju horses.
Gene    January 28, 2015   Volume 560, Issue 1 83-88 doi: 10.1016/j.gene.2015.01.047
Gim JA, Lee S, Kim DS, Jeong KS, Hong CP, Bae JH, Moon JW, Choi YS, Cho BW, Cho HG, Bhak J, Kim HS.With the advent of next-generation sequencing technology, genome-wide maps of DNA methylation are now available. The Thoroughbred horse is bred for racing, while the Jeju horse is a traditional Korean horse bred for racing or food. The methylation profiles of equine organs may provide genomic clues underlying their athletic traits. We have developed a database to elucidate genome-wide DNA methylation patterns of the cerebrum, lung, heart, and skeletal muscle from Thoroughbred and Jeju horses. Using MeDIP-Seq, our database provides information regarding significantly enriched methylated regions...
Serum thymidine kinase activity in clinically healthy and diseased horses: a potential marker for lymphoma.
Veterinary journal (London, England : 1997)    January 28, 2015   Volume 205, Issue 2 313-316 doi: 10.1016/j.tvjl.2015.01.019
Larsdotter S, Nostell K, von Euler H.Serum thymidine kinase (sTK) activity is a tumour marker used as a prognostic indicator for lymphoma in humans, dogs and cats. The aim of this study was to evaluate the clinical utility of sTK as a biomarker for lymphoma in horses. Serum samples were collected from clinically normal horses (n = 37), horses with lymphoma (n = 23), horses with non-haematopoietic neoplasia (n = 9) and horses with inflammatory disease (n = 14). sTK was measured using a radioenzyme assay. A reference cut-off value of <2.7 U/L (mean + 2 standard deviations, SDs) was established using data fro...
Cardiac troponin I as compared to troponin T for the detection of myocardial damage in horses.
Journal of veterinary internal medicine    January 27, 2015   Volume 29, Issue 1 348-354 doi: 10.1111/jvim.12530
Van Der Vekens N, Decloedt A, Ven S, De Clercq D, van Loon G.Different cardiac troponin I (cTnI) assays give different results. Only 1 manufacturer has marketed troponin T (cTnT) assays. Therefore, cTnT often is preferred for detection of myocardial infarction in human patients. Studies of cTnT in horses are limited. Objective: To compare a cTnI and a high-sensitive cTnT assay (hs-cTnT) in horses. Methods: Cardiac troponin I and cTnT were determined in 35 healthy horses (group 1), 23 horses suspected to have primary myocardial damage (group 2a), and 41 horses with secondary myocardial damage caused by structural heart disease (group 2b). Methods: All cT...