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Topic:Disease

The study of diseases in horses encompasses a wide range of conditions affecting equine health, including infectious diseases, metabolic disorders, and genetic abnormalities. These diseases can impact various systems within the horse, such as respiratory, gastrointestinal, and musculoskeletal systems, and can lead to significant health challenges. Research in this area focuses on understanding the pathophysiology, diagnosis, prevention, and treatment of equine diseases. Common diseases studied include equine influenza, equine herpesvirus, and laminitis. This page provides access to peer-reviewed research studies and scholarly articles that explore the etiology, clinical presentation, and management strategies of diseases in horses, contributing to the advancement of equine veterinary medicine.
Seroprevalence and immunological characterization of Trypanosoma evansi infection in livestock of four agro-climatic zones of Himachal Pradesh, India.
Tropical animal health and production    January 15, 2022   Volume 54, Issue 1 60 doi: 10.1007/s11250-022-03069-y
Sharma D, Gupta S, Sethi K, Kumar S, Kumar R.Trypanosoma evansi, a hemoflagellate protozoan parasite, causes wasting disease called surra in wide range of animals. Although the organism has been reported from various parts of India, data generated from organized epidemiological study is still in infancy in majority states of India. In the present study, livestock of Himachal Pradesh, India, was targeted for epidemiological investigation of T. evansi infections. A total of 440 equines and 444 cattle serum samples were collected from four agro-climatic zones. Furthermore, serum samples of 280 buffaloes from three different agro-climatic zo...
Bacterial Toxins from Staphylococcus aureus and Bordetella bronchiseptica Predispose the Horse’s Respiratory Tract to Equine Herpesvirus Type 1 Infection.
Viruses    January 14, 2022   Volume 14, Issue 1 doi: 10.3390/v14010149
Van Crombrugge E, Vanbeylen E, Van Cleemput J, Van den Broeck W, Laval K, Nauwynck H.Respiratory disease in horses is caused by a multifactorial complex of infectious agents and environmental factors. An important pathogen in horses is equine herpesvirus type 1 (EHV-1). During co-evolution with this ancient alphaherpesvirus, the horse's respiratory tract has developed multiple antiviral barriers. However, these barriers can become compromised by environmental threats. Pollens and mycotoxins enhance mucosal susceptibility to EHV-1 by interrupting cell junctions, allowing the virus to reach its basolateral receptor. Whether bacterial toxins also play a role in this impairment ha...
Atrial fibrillatory rate as predictor of recurrence of atrial fibrillation in horses treated medically or with electrical cardioversion.
Equine veterinary journal    January 13, 2022   Volume 54, Issue 6 1013-1022 doi: 10.1111/evj.13551
Buhl R, Hesselkilde EM, Carstensen H, Hopster-Iversen C, van Loon G, Decloedt A, Van Steenkiste G, Marr CM, Reef VB, Schwarzwald CC, Mitchell KJ....The recurrence rate of atrial fibrillation (AF) in horses after cardioversion to sinus rhythm (SR) is relatively high. Atrial fibrillatory rate (AFR) derived from surface ECG is considered a biomarker for electrical remodelling and could potentially be used for the prediction of successful AF cardioversion and AF recurrence. Objective: Evaluate if AFR was associated with successful treatment and could predict AF recurrence in horses. Methods: Retrospective multicentre study. Methods: Electrocardiograms (ECG) from horses with persistent AF admitted for cardioversion with either medical treatmen...
Differences in the Accessory Genomes and Methylomes of Strains of Streptococcus equi subsp. equi and of Streptococcus equi subsp. zooepidemicus Obtained from the Respiratory Tract of Horses from Texas.
Microbiology spectrum    January 12, 2022   Volume 10, Issue 1 e0076421 doi: 10.1128/spectrum.00764-21
Morris ERA, Wu J, Bordin AI, Lawhon SD, Cohen ND.Streptococcus equi subsp. (SEE) is a host-restricted equine pathogen considered to have evolved from Streptococcus equi subsp. (SEZ). SEZ is promiscuous in host range and is commonly recovered from horses as a commensal. Comparison of a single strain each of SEE and SEZ using whole-genome sequencing, supplemented by PCR of selected genes in additional SEE and SEZ strains, was used to characterize the evolution of SEE. But the known genetic variability of SEZ warrants comparison of the whole genomes of multiple SEE and SEZ strains. To fill this knowledge gap, we utilized whole-genome sequenci...
Pneumoperitoneum as an uncommon complication after an axillary laceration in a horse.
Veterinary medicine and science    January 6, 2022   Volume 8, Issue 2 546-552 doi: 10.1002/vms3.718
Schoen LM, Al Naem M, Röcken M, Geburek F.Lacerations of the axillary region occur frequently in horses. Typical complications caused by entrapment of air in the wound during locomotion are subcutaneous emphysema, with consecutive pneumomediastinum and pneumothorax. In this case report, the clinical, radiographic and laboratory diagnosis and management of these complications after an axillary laceration that finally resulted in pneumoperitoneum are described. A 1-year-old Hannoveranian was presented with a pre-existing axillary laceration of unknown duration and subcutaneous emphysema in the surrounding tissue. Due to extensive tissue...
Effect of lactic acid addition to equine whole blood on platelet aggregation measured by impedance aggregometry.
Veterinary clinical pathology    January 5, 2022   Volume 51, Issue 1 65-69 doi: 10.1111/vcp.13034
Lanier CJ, Taintor JS, Christopherson PW, Spangler EA.Acidemia in sick or injured horses is often due to lactic acid accumulation. Alterations in platelet function and hemostasis are among numerous deleterious effects caused by decreased physiologic pH. Objective: We aimed to evaluate the effect of hyperlactatemia and resultant acidemia on platelet aggregation in equine whole blood using impedance aggregometry. Methods: Platelet aggregation was measured using the Multiplate analyzer in whole blood from 34 healthy horses at baseline and after in vitro addition of lactic acid to adjust the pH. Platelet aggregation of each sample was quantified by t...
Equine nonneoplastic abnormal ovary in a draft mare with high serum anti-Müllerian hormone: a case study.
Journal of equine science    December 28, 2021   Volume 32, Issue 4 147-151 doi: 10.1294/jes.32.147
Goto A, Tagami M, Kato F, Suzuki T, Yamaga T, Murase H, Sato F, Tsogtgerel M, Niikura T, Moriyama T, Chiba A, Watanabe KI, Tsuzuki N, Nambo Y.We performed a standing hand-assisted laparoscopic ovariectomy in a draft mare that presented with high serum anti-Müllerian hormone (AMH) level and had an enlarged single cystic ovary. Histopathological examination revealed no tumor cell proliferation in the ovary, but the presence of a large ovarian cyst was confirmed. In the diagnosis of abnormal ovaries in mares, a comprehensive assessment should be performed, including the monitoring of ovarian morphology and biomarkers over time, to determine the disease prognosis and treatment plan. The case of this mare with a nonneoplastic abnormal o...
Osteochondral necrosis of the femoral condyles in Thoroughbred foals: eight cases (2008-2018).
Journal of the American Veterinary Medical Association    December 27, 2021   Volume 260, Issue 3 341-349 doi: 10.2460/javma.21.03.0166
Pye J, Spriet M, Dow P, Katzman S, Murphy BG.To describe clinical, imaging, gross, and histopathological abnormalities associated with osteochondral necrosis of the femoral condyles in foals and identify features suggestive of a common pathogenesis. 8 Thoroughbred foals euthanized with a presumptive diagnosis of necrosis of the femoral condyles. Postmortem CT was performed on all distal femoral epiphyseal samples. The articular epiphyseal cartilage complex (AECC) of affected distal femurs was examined grossly and histologically, focusing on lesions of interest identified on CT images. 7 foals were between 9 and 23 days old at the time of...
Assessment of animal diseases caused by bacteria resistant to antimicrobials: Horses.
EFSA journal. European Food Safety Authority    December 24, 2021   Volume 19, Issue 12 e07112 doi: 10.2903/j.efsa.2021.7112
Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, Gonzales Rojas JL, Gortazar Schmidt C, Herskin M, Michel V, Miranda Chueca MA....In this opinion, the antimicrobial-resistant bacteria responsible for transmissible diseases that constitute a threat to the health of horses have been assessed. The assessment has been performed following a methodology composed of information collected via an extensive literature review and expert judgement. Details on the methodology used for this assessment are explained in a separate opinion. A global state of play of antimicrobial-resistant spp. spp. and subsp and subsp. and subsp. has been provided. Among those bacteria, EFSA identified , and with more than 66% certainty as the mo...
Approaches to endocrinopathic laminitis in the field: Results of a survey of veterinary practitioners in North America.
Journal of equine veterinary science    December 24, 2021   Volume 110 103856 doi: 10.1016/j.jevs.2021.103856
Rumfola E, Banse HE, Atkins M, McGowan CM, Ireland JL.Endocrinopathic laminitis is the most common cause of laminitis in the field. Insulin has recently been implicated as a key factor in development of endocrinopathic laminitis; however, it is unclear whether diagnostic, and treatment approaches reflect insights derived from recent research. This study sought to evaluate North American veterinary practitioners' approach to endocrinopathic laminitis in the field. Demographic information, approach to diagnosis, management, and prognosis of endocrinopathic laminitis, as well as factors influencing changes in approach to laminitis were collected. To...
Equine Pulmonary Agenesis and Hypoplasia Associated With Diaphragmatic Herniation.
Journal of equine veterinary science    December 23, 2021   Volume 109 103855 doi: 10.1016/j.jevs.2021.103855
Loynachan AT.Pulmonary malformations are rare equine congenital anomalies. Over a 3-year timeframe, three cases of left sided pulmonary agenesis were diagnosed in perinatal foals. All three cases were associated with concurrent ipsilateral diaphragmatic herniation and hypoplasia of the right lung lobe. All three foals died immediately following parturition due to perinatal asphyxia associated with the congenital malformations. To the author's knowledge, this is the first report of pulmonary agenesis in the horse.
Enterocytozoon bieneusi Genotypes and Infections in the Horses in Korea.
The Korean journal of parasitology    December 22, 2021   Volume 59, Issue 6 639-643 doi: 10.3347/kjp.2021.59.6.639
Lee H, Lee SH, Lee YR, Kim HY, Moon BY, Han JE, Rhee MH, Kwon OD, Kwak D.Enterocytozoon bieneusi is a microsporidian pathogen. Recently, the equestrian population is increasing in Korea. The horse-related zoonotic pathogens, including E. bieneusi, are concerns of public health. A total of 1,200 horse fecal samples were collected from riding centers and breeding farms in Jeju Island and inland areas. Of the fecal samples 15 (1.3%) were PCR positive for E. bieneusi. Interestingly, all positive samples came from Jeju Island. Diarrhea and infection in foals were related. Two genotypes (horse1, horse2) were identified as possible zoonotic groups requiring continuous mon...
Development of a sensitive competitive enzyme-linked immunosorbent assay for serodiagnosis of Burkholderia mallei, a Tier 1 select agent.
PLoS neglected tropical diseases    December 21, 2021   Volume 15, Issue 12 e0010007 doi: 10.1371/journal.pntd.0010007
Wernery U, Chan E, Raghavan R, Teng JLL, Syriac G, Siu SY, Joseph M, Yeung ML, Jia L, Cai JP, Chiu TH, Lau SKP, Woo PCY.Glanders is a highly contagious and potentially serious disease caused by Burkholderia mallei, a Tier 1 select agent. In this study, we raised a monoclonal antibody (mAb) against the lipopolysaccharide (LPS) of B. mallei and developed a competitive enzyme-linked immunosorbent assay (cELISA) for B. mallei infection. Using the titrated optimal conditions of B. mallei-LPS (2 ng) for microtiter plate coating, sample serum dilution at 1:20 and 3.5 ng/μL anti-LPS mAb B5, the cutoff value of the cELISA was determined using serum samples from 136 glanders-free seronegative horses in Hong Kong. All ca...
Bacterial aerosol, particulate matter, and microclimatic parameters in the horse stables in Poland.
Environmental science and pollution research international    December 18, 2021   Volume 29, Issue 18 26992-27006 doi: 10.1007/s11356-021-18142-6
Grzyb J, Podstawski Z, Bulski K.Keeping horses in good condition requires providing them with living conditions that meet welfare requirements. These animals should be accommodated with suitable space, access to high nutritional fodder and water, and a suitable microclimate in their shelters. When it comes to the environment in the stables, a serious problem is created by particulate matter (PM), which consists of bacteria. PM concentration may be responsible for developing multiple lower respiratory tract diseases in horses, including allergies and recurrent airway obstruction (RAO). In turn, these ailments may lead to decr...
Molecular Identification of Equine Herpesvirus 1, 2, and 5 in Equids with Signs of Respiratory Disease in Central Ethiopia.
Veterinary medicine (Auckland, N.Z.)    December 18, 2021   Volume 12 337-345 doi: 10.2147/VMRR.S339042
Temesgen T, Getachew Y, Negussie H.Equine herpesvirus (EHV) infections have major economic, health, and welfare impacts on equids. This study was performed in three selected zones of central Ethiopia with the objectives of detecting EHV-1, -2, and -5 in horses and donkeys with suggestive signs of respiratory tract disease and to assess epidemiological risk factors associated with infections. Methods: A total of 58 nasopharyngeal swab samples were collected from donkeys and horses showing clinical signs of respiratory disease. Polymerase chain reaction (PCR) was used to detect EHV-1, -2, and -5. Evaluation of the associated risk...
Closure of an Aortocardiac Fistula in a Horse.
CASE (Philadelphia, Pa.)    December 16, 2021   Volume 6, Issue 1 43-48 doi: 10.1016/j.case.2021.11.007
Deacon LJ, Navas de Solis C, Richardson DW, Polkes A, Reef VB.• An ACF developed in a hospitalized horse following orthopedic surgery. • Spontaneous closure of the ACF occurred 6 weeks after initial diagnosis. • Echocardiography is the primary imaging modality to confirm the presence of ACF in equids. [Figure: see text]
Could Interleukin-33 (IL-33) Govern the Outcome of an Equine Influenza Virus Infection? Learning from Other Species.
Viruses    December 15, 2021   Volume 13, Issue 12 2519 doi: 10.3390/v13122519
Rozario C, Martínez-Sobrido L, McSorley HJ, Chauché C.Influenza A viruses (IAVs) are important respiratory pathogens of horses and humans. Infected individuals develop typical respiratory disorders associated with the death of airway epithelial cells (AECs) in infected areas. Virulence and risk of secondary bacterial infections vary among IAV strains. The IAV non-structural proteins, NS1, PB1-F2, and PA-X are important virulence factors controlling AEC death and host immune responses to viral and bacterial infection. Polymorphism in these proteins impacts their function. Evidence from human and mouse studies indicates that upon IAV infection, the...
Cyathostomin resistance to moxidectin and combinations of anthelmintics in Australian horses.
Parasites & vectors    December 4, 2021   Volume 14, Issue 1 597 doi: 10.1186/s13071-021-05103-8
Abbas G, Ghafar A, Hurley J, Bauquier J, Beasley A, Wilkes EJA, Jacobson C, El-Hage C, Cudmore L, Carrigan P, Tennent-Brown B, Gauci CG, Nielsen MK....Cyathostomins are the most important and common parasitic nematodes of horses, with > 50 species known to occur worldwide. The frequent and indiscriminate use of anthelmintics has resulted in the development of anthelmintic resistance (AR) in horse nematodes. In this study we assessed the efficacy of commonly used anthelmintics against cyathostomins in Australian thoroughbred horses. Methods: Two drug efficacy trials per farm were conducted on two thoroughbred horse farms in the state of Victoria, Australia. In the first trial, the horses on Farm A were treated with single and combinations ...
Hospitalisation and Disease Severity Alter the Resting Pattern of Horses.
Journal of equine veterinary science    December 4, 2021   Volume 110 103832 doi: 10.1016/j.jevs.2021.103832
Oliveira T, Santos A, Silva J, Trindade P, Yamada A, Jaramillo F, Silva L, Baccarin R.In humans, hospitalisation, disease type, and environmental factors evidently affect the quality of sleep, further influencing patient recovery. The objective of the present study was to report the resting and lying behaviour of hospitalised horses, and whether lying behaviours differ depending on the physiological severity of joint damage. We hypothesised that the resting and lying behaviour can change during the hospitalisation and physiological severity of joint damage affect the time of rest in horses. A descriptive observational study was performed to evaluate the effect of hospitalisatio...
Development and Use of an Enzyme-Linked Immunosorbent Assay to Determine Temporal Exposure Patterns to Putative Agents of Nocardioform Placentitis.
Journal of equine veterinary science    November 26, 2021   Volume 109 103826 doi: 10.1016/j.jevs.2021.103826
Page AE, Partridge E, Erol E, Scoggin KE, Fedorka CE, Ruby RE, Ball BA, Horohov DW, Adam E.Cases of nocardioform placentitis are characterized by focal, mucoid placentitis resulting in late-term abortion, premature birth, or small, full-term foals, occur sporadically, and are most commonly associated with Crossiella equi and Amycolatopsis spp. infection. The goal of this project was to develop an enzyme-linked immunosorbent assay (ELISA) for quantifying antibodies against Crossiella equi and Amycolatopsis spp. and utilize the ELISA to determine when exposure occurs. Serum samples collected during the 2020 foaling season from Crossiella equi (n = 8) and Amycolatopsis spp. (n = 32...
Investigation of Cerebellar Abiotrophy (CA), Lavender Foal Syndrome (LFS), and Severe Combined Immunodeficiency (SCID) Variants in a Cohort of Three MENA Region Horse Breeds.
Genes    November 26, 2021   Volume 12, Issue 12 doi: 10.3390/genes12121893
Ayad A, Almarzook S, Besseboua O, Aissanou S, Piórkowska K, Musiał AD, Stefaniuk-Szmukier M, Ropka-Molik K.Genetic disorders in horses are mostly fatal or usually cause significant economic losses for breeders and owners. Here we studied a total of 177 Arabian, Barb and Arab-Barb horses from the Middle East and North Africa (MENA) using Sanger Sequencing and PCR-ACRS (polymerase chain reaction-artificially created restriction site) approaches to examine the genetic disorders in the studied horse breeds. We identified the genetic variations related to Cerebellar Abiotrophy (CA), Severe Combined Immunodeficiency (SCID) occurrence, and the studied population was free of the mutant allele determined La...
Reviving a tradition: The Development of Strongylus vulgaris in larval culture.
Veterinary parasitology    November 26, 2021   Volume 300 109619 doi: 10.1016/j.vetpar.2021.109619
Scare Kenealy JA, Steuer AE.All horses are susceptible to the equine gastrointestinal parasite, Strongylus vulgaris, which is known to cause significant disease and death. The parasite undergoes development from the egg through the first (L1), second (L2) and third (L3) larval stages outside the horse. The L3 is the infective stage. The universally available technique for detection of S. vulgaris larvae is the larval culture method. This requires a 10-14 day culture period to induce development from egg to L3, followed by Baermannization and identification of the L3s to genus and/or species. It is unknown if the culture ...
Ion Channel and Ubiquitin Differential Expression during Erythromycin-Induced Anhidrosis in Foals.
Animals : an open access journal from MDPI    November 25, 2021   Volume 11, Issue 12 3379 doi: 10.3390/ani11123379
Patterson Rosa L, Mallicote MF, MacKay RJ, Brooks SA.Macrolide drugs are the treatment of choice for infections, despite severe side-effects temporary anhidrosis as a. To better understand the molecular biology leading to macrolide induced anhidrosis, we performed skin biopsies and Quantitative Intradermal Terbutaline Sweat Tests (QITSTs) in six healthy pony-cross foals for three different timepoints during erythromycin administration-pre-treatment (baseline), during anhidrosis and post-recovery. RNA sequencing of biopsies followed by differential gene expression analysis compared both pre and post normal sweating timepoints to the erythromycin...
Diagnosis of atypical myopathy based on organic acid and acylcarnitine profiles and evolution of biomarkers in surviving horses.
Molecular genetics and metabolism reports    November 25, 2021   Volume 29 100827 doi: 10.1016/j.ymgmr.2021.100827
Mathis D, Sass JO, Graubner C, Schoster A.Atypical myopathy (AM), an acquired multiple acyl-CoA dehydrogenase deficiency (MADD) in horses, induce changes in mitochondrial metabolism. Only few veterinary laboratories offer diagnostic testing for this disease. Inborn and acquired MADD exist in humans, therefore determination of organic acids (OA) in urine and acylcarnitines (AC) in blood by assays available in medical laboratories can serve as AM diagnostics. The evolution of OA and AC profiles in surviving horses is unreported. Methods: AC profiles using electrospray ionization tandem mass spectrometry (ESI-MS/MS) and OA in urine using...
Age-Dependent Intestinal Repair: Implications for Foals with Severe Colic.
Animals : an open access journal from MDPI    November 23, 2021   Volume 11, Issue 12 doi: 10.3390/ani11123337
Erwin SJ, Blikslager AT, Ziegler AL.Colic is a leading cause of death in horses, with the most fatal form being strangulating obstruction which directly damages the intestinal barrier. Following surgical intervention, it is imperative that the intestinal barrier rapidly repairs to prevent translocation of gut bacteria and their products and ensure survival of the patient. Age-related disparities in survival have been noted in many species, including horses, humans, and pigs, with younger patients suffering poorer clinical outcomes. Maintenance and repair of the intestinal barrier is regulated by a complex mucosal microenvironmen...
Impact of Equine-Assisted Interventions on Heart Rate Variability in Two Participants with 22q11.2 Deletion Syndrome: A Pilot Study.
Children (Basel, Switzerland)    November 22, 2021   Volume 8, Issue 11 1073 doi: 10.3390/children8111073
Amado-Fuentes M, Gozalo M, Garcia-Gomez A, Barrios-Fernandez S.People with disabilities due to genetic origin often present high levels of stress: non-pharmacological interventions such as Equine-Assisted Interventions (EAI) may be a useful strategy. The objective of this pilot study was to evaluate stress levels in two participants with 22q11.2 deletion syndrome diagnosis, immediately after carrying out the EAI. A single case experimental design methodology was chosen due to the small sample size. Two participants with 22q11.2 Deletion Syndrome, a rare disease, with different comorbidities were included. The present study considered the EAI as the indepe...
Remembering our fallen horses.
The Veterinary record    November 20, 2021   Volume 189, Issue 10 410 doi: 10.1002/vetr.1206
Taylor N.No abstract available
Leucoencephalopathy with Pigmented Glia in a Horse with Recurrent Convulsive Seizures.
Journal of comparative pathology    November 19, 2021   Volume 189 120-124 doi: 10.1016/j.jcpa.2021.10.005
Sakurai M, Isshiki S, Sasaki N, Sakai Y, Yamada Y, Morimoto M.A 7-year-old male Thoroughbred horse exhibited recurrent falls followed by convulsive seizures. The horse was clinically diagnosed with epilepsy and phenobarbital treatment was initiated. However, as seizure control was unsuccessful, the animal was euthanized. At necropsy, yellow-brown linear lesions were found extensively at the U-fibres and cingulate gyrus within the cerebral white matter. Histopathologically, linear demyelination and occasional cavitation were observed. Glial cells with yellow-brown pigment granules, which were autofluorescent, positive to the periodic acid-Schiff reaction ...
First molecular survey of animal trypanosomes in Paraguayan horses.
Veterinary parasitology, regional studies and reports    November 19, 2021   Volume 27 100664 doi: 10.1016/j.vprsr.2021.100664
Suganuma K, Acosta TJ, Valinotti MFR, Sanchez AR, Mossaad E, Elata A, Inoue N.Despite the epidemic situation of animal trypanosomosis caused by Trypanosoma evansi, Trypanosoma equiperdum and Trypanosoma vivax in South American countries, there are no reports for the prevalence of animal trypanosomes in Paraguay. In this study, 408 blood samples were obtained from apparently healthy horses from sixteen departments of Paraguay, for routine medical check-up from August to September 2019, and a polymerase chain reaction (PCR)-based cross-sectional study was carried out to identify trypanosome prevalence. The prevalence of Trypanozoon (T. evansi and T. equiperdum) and T. viv...
Suspected vagal reflex and hyperkalaemia inducing asystole in an anaesthetised horse.
Equine veterinary journal    November 19, 2021   Volume 54, Issue 5 927-933 doi: 10.1111/evj.13535
Ryan A, Gurney M, Steinbacher R.A 10-year-old 466 kg mustang gelding presented to an equine referral hospital for surgical repair of nasal, frontal and lacrimal bone fractures from an unknown trauma. Surgical repair was performed under general anaesthesia, including a right-sided maxillary regional anaesthetic block with mepivacaine hydrochloride. Progressive hyperkalaemia was documented perianaesthetically (T-3 mins; 134 mins after induction; potassium 6.4 mmol/L (ref 3.5-5.1 mmol/L). Perianaesthetic bradycardia was attributed to alpha -2 agonist infusion administration, and other characteristic ECG changes (flattened ...
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