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Topic:Echocardiography

Echocardiography is a diagnostic imaging technique used to assess the heart's structure and function in horses. It utilizes ultrasound waves to create detailed images of the heart, allowing veterinarians to evaluate cardiac anatomy, blood flow, and heart motion. Echocardiography is instrumental in diagnosing various cardiac conditions, such as valvular disorders, congenital heart defects, and myocardial diseases in equine patients. The procedure provides valuable information on heart size, wall thickness, and chamber dimensions. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, applications, and clinical implications of echocardiography in equine cardiology.
Comparative examination of percussional and echocardiographic determination of the cardiac dullness area in healthy horses.
Acta veterinaria Hungarica    September 18, 2007   Volume 55, Issue 3 277-286 doi: 10.1556/AVet.55.2007.3.1
Bakos Z, Vörös K.Since percussion started to be a method forgotten and not trusted by many practitioners, the aim of the study was to demonstrate whether this procedure could deliver exact data if done accurately and by a practised examiner. The trial presented here included 31 healthy warm-blooded horses. Percussion of the area of cardiac dullness and then echocardiographic imaging of the same region were performed. To obtain the relevant measurement points, the 4th and 5th intercostal spaces (ICS) were used on the left and the 4th ICS on the right side. On the left side, the dorsal border of cardiac dullness...
ECG of the month. Ventricular tachycardia in a horse.
Journal of the American Veterinary Medical Association    September 4, 2007   Volume 231, Issue 5 706-708 doi: 10.2460/javma.231.5.706
Johnson AL, Jesty SA, Gelzer AR, Divers TJ, Kraus MS.No abstract available
Echocardiographic evidence of left atrial mechanical dysfunction after conversion of atrial fibrillation to sinus rhythm in 5 horses.
Journal of veterinary internal medicine    August 22, 2007   Volume 21, Issue 4 820-827 doi: 10.1892/0891-6640(2007)21[820:eeolam]2.0.co;2
Schwarzwald CC, Schober KE, Bonagura JD.Atrial contractile dysfunction occurs in some species after conversion of atrial fibrillation (AF) to normal sinus rhythm (NSR) but has not been reported in horses with naturally occurring AF. Objective: Transthoracic echocardiography allows detection of left atrial (LA) mechanical dysfunction in horses after conversion of AF to NSR. Methods: Five Standardbreds with AF and 6 healthy Standardbreds of similar age, weight, and athletic condition were included in this study. Methods: Four horses were treated pharmacologically (quinidine), and 1 horse was treated by means of transvenous electrical ...
Methods and reliability of echocardiographic assessment of left atrial size and mechanical function in horses.
American journal of veterinary research    July 4, 2007   Volume 68, Issue 7 735-747 doi: 10.2460/ajvr.68.7.735
Schwarzwald CC, Schober KE, Bonagura JD.To assess the feasibility, describe the techniques, and determine the reliability of transthoracic echocardiography for characterization of left atrial (LA) size and LA mechanical function in horses. Methods: 6 healthy adult horses. Methods: Repeated echocardiographic examinations were performed independently by 2 observers in standing, unsedated horses by use of 2-dimensional echocardiography, pulsed-wave flow Doppler, and tissue Doppler imaging (TDI) techniques. Test reliability was determined by estimating measurement variability, within-day interobserver variability, and between-day inter-...
Suspected air embolism associated with post-anesthetic pulmonary edema and neurologic sequelae in a horse.
Veterinary anaesthesia and analgesia    April 21, 2007   Volume 34, Issue 3 217-222 doi: 10.1111/j.1467-2995.2006.00317.x
Holbrook TC, Dechant JE, Crowson CL.A 523 kg Quarter Horse was anesthetized for unilateral eye enucleation. The anesthetic period was unremarkable. During anesthetic recovery the cap on the jugular venous catheter became dislodged. Clinical signs of pulmonary edema associated with moderate arterial hypoxemia subsequently developed. Although pulmonary edema resolved with medical therapy, the day following anesthetic recovery, clinical signs of vestibular disease and blindness developed. Treatment included nasal oxygen insufflation, flunixin meglumine, furosemide, dexamethasone, thiamine, dimethylsulfoxide, antimicrobials, and phe...
Cardiovascular effects of acute pulmonary obstruction in horses with recurrent airway obstruction.
Journal of veterinary internal medicine    April 13, 2007   Volume 21, Issue 2 302-307 doi: 10.1892/0891-6640(2007)21[302:ceoapo]2.0.co;2
Johansson AM, Gardner SY, Atkins CE, LaFevers DH, Breuhaus BA.Recurrent airway obstruction (RAO) is common in horses. Although pulmonary artery (PA) pressure increases during RAO, cardiac function in horses with RAO has received limited attention. Objective: The purpose of this study was to noninvasively determine the cardiovascular effects of acute pulmonary obstruction (APO) in horses with RAO and their reversibility. Methods: Five geldings with RAO, inducible by exposure to moldy hay, were studied. Methods: Pulmonary mechanics, echocardiography, serum troponin I concentrations, arterial blood gases, and hematocrit were obtained before and after 7 days...
Right ventricular pressure dynamics and stress echocardiography in pharmacological and exercise stress testing.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 183-192 doi: 10.1111/j.2042-3306.2006.tb05537.x
Durando MM, Slack J, Reef VB, Birks EK.There is interest in using pharmacological stress testing (PST) as a substitute for exercise stress testing (EST) to evaluate cardiac function in horses. Objective: To compare the effect of PST and EST on right ventricular pressure dynamics and stress echocardiography. Methods: Five horses completed a PST and EST in a randomised crossover design. High fidelity pressure transducers were placed in the right ventricle. Continuous pressure signals were digitally collected and stored, and dP/dtmax, dP/dtmin and tau calculated from these measurements. ECGs were recorded continuously for 20 h. Echoca...
Effect of light exercise on valvular regurgitation in standardbred trotters.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 178-182 doi: 10.1111/j.2042-3306.2006.tb05536.x
Buhl R, Ersbøll AK.Although valvular regurgitation is diagnosed frequently by colour Doppler echocardiography in racehorses at rest, there is currently no information about the effect of exercise on valvular regurgitation. Objective: To investigate the effect of light exercise on valvular regurgitation in a population of trotters. Methods: Standardbred trotters (n = 73) were examined by resting auscultation and echocardiography, of which 50 fullfilled the criteria of the study. Of these, 4 had reduced performance according to the trainers and were not included in the statistical analyses. Horses that showed valv...
Exercise and pharmacological stress echocardiography in healthy horses.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 159-162 doi: 10.1111/j.2042-3306.2006.tb05533.x
Sandersen C, Detilleux J, Art T, Amory H.Stress echocardiography could be a useful diagnostic test in horses suspected to suffer from exercise-induced myocardial dysfunction as a cause of exercise intolerance. Objective: To evaluate the effect of treadmill exercise and pharmacological stress test on left ventricular echocardiographic parameters. Methods: Echocardiography was performed in 2 groups of 5 healthy horses, either immediately after a near-maximal treadmill exercise (Group EXE) or during a pharmacological challenge (Group DOB) consisting of 35 microg/kg atropine, followed by incremental dobutamine infusion rates of 2-6 micro...
Associations between exercise-induced pulmonary haemorrhage, right ventricular dimensions and atrioventricular valve regurgitation in conditioned national hunt racehorses.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 193-197 doi: 10.1111/j.2042-3306.2006.tb05538.x
Young LE, Helwegen MM, Rogers K, Kearns L, Schreiber C, Wood JL.Exercise-induced pulmonary haemorrhage (EIPH) and tricuspid (TR) and mitral valve regurgitation (MR) are conditions with high prevalence in conditioned Thoroughbreds. Stress failure of pulmonary capillaries, leading to EIPH, is most likely when pulmonary vascular pressure is increased, and mitral regurgitation can result in pulmonary venous hypertension. Objective: There might be an association between MR and EIPH and the right ventricle (RV) of horses known to suffer repeated episodes of EIPH, as their hearts would be subject to higher pulmonary vascular pressures and cardiac output during tr...
Measurements of right ventricular internal dimensions and their relationships to severity of tricuspid valve regurgitation in national hunt thoroughbreds.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 171-177 doi: 10.1111/j.2042-3306.2006.tb05535.x
Helwegen MM, Young LE, Rogers K, Wood JL.The effect of tricuspid valve regurgitation (TR) in right ventricular (RV) chamber size has not been reported. Methods: An echocardiographic and auscultation study was conducted on 394 race-fit National Hunt Thoroughbreds (TBs) in 4 training yards. Auscultation was performed on each horse and audible murmurs of TR graded using a 1-6 scale. Echocardiography was also performed and standard, 2-dimensional (2D), short (SA) and long axis (LA) images of the RV obtained from a right parasternal location. An m-mode image was recorded from an SA view of the RV just below the level of the tricuspid valv...
An echocardiographic and auscultation study of right heart responses to training in young national hunt thoroughbred horses.
Equine veterinary journal. Supplement    April 4, 2007   Issue 36 153-158 doi: 10.1111/j.2042-3306.2006.tb05532.x
Lightfoot G, Jose-Cunilleras E, Rogers K, Newton JR, Young LE.There are few data available to determine the effect of training on cardiac valve function. Objective: To investigate the effect of commercial race training on right ventricular (RV) and tricuspid valve function in an untrained group of National Hunt Thoroughbreds (TB). Methods: Cardiac auscultation, guided M-mode echocardiography of the RV, and colour flow Doppler (CFD) tricuspid valve and right atrium were performed in 90 TB horses (age 2-7 years) 1998-2003. Forty horses were examined at least once and 48 horses were examined on at least 2 occasions. Examinations were then classified as: i) ...
Common atrioventricular canal in a newborn foal–case report and review of the literature.
Acta veterinaria Hungarica    March 28, 2007   Volume 55, Issue 1 51-65 doi: 10.1556/AVet.55.2007.1.6
Kutasi O, Vörös K, Biksi I, Szenci O, Sötonyi P.This paper presents the embryological and pathological features as well as the terminology and classification of common atrioventricular canal, a type of endocardial cushion defect. The authors give a complete description of an extremely rare congenital cardiac malformation in an equine neonate. The diagnosis of a complete, balanced common atrioventricular canal of type C in Rastelli's classification scheme was based on two-dimensional, contrast and colour Doppler echocardiography and subsequent postmortem gross pathology. To support our diagnosis and study the pathophysiological effect of the...
The effects of detomidine, romifidine or acepromazine on echocardiographic measurements and cardiac function in normal horses.
Veterinary anaesthesia and analgesia    January 24, 2007   Volume 34, Issue 1 1-8 doi: 10.1111/j.1467-2995.2005.00269.x
Buhl R, Ersbøll AK, Larsen NH, Eriksen L, Koch J.To evaluate by echo- and electrocardiography the cardiac effects of sedation with detomidine hydrochloride, romifidine hydrochloride or acepromazine maleate in horses. Methods: An experimental study using a cross-over design without randomization. Methods: Eight clinically normal Standardbred trotters. Methods: Echocardiographic examinations (two-dimensional, guided M-mode and colour Doppler) were recorded on five different days. Heart rate (HR) and standard limb lead electrocardiograms were also obtained. Subsequently, horses were sedated with detomidine (0.01 mg kg(-1)), romifidine (0.04 mg ...
[Pulmonary artery wedge pressure and heart rate measurement during pharmacological stress induction for left cardial function diagnosis in horses with and without heart disease].
DTW. Deutsche tierarztliche Wochenschrift    August 9, 2006   Volume 113, Issue 7 255-263 
Gehlen H, Groner U, Rohn K, Stadler P.In 18 horses, the pulmonary artery wedge pressure and the heart rate were measured during pharmacological stress load. 12 horses were healthy (4 trained, 8 untrained) and 6 horses had a heart disease (3 trained, 3 untrained). Pharmacological stress induction was carried out with the sympathomimetic drug dobutamine at a dosage rate of 7.5 microg/kg/min over 10 minutes of infusion. At the fourth minute, the parasympatholytic drug atropine was administered (5 microg/kg bw), and the heart rate and the pulmonary artery wedge pressure were continuously measured over 26 minutes. During sole dobutamin...
Echocardiography in a horse with cor pulmonale from recurrent airway obstruction.
Journal of veterinary internal medicine    June 1, 2006   Volume 20, Issue 3 694-696 doi: 10.1892/0891-6640(2006)20[694:eiahwc]2.0.co;2
Sage AM, Valberg S, Hayden DW, Firshman AM, Jacob K.No abstract available
Effect of atropine-dobutamine stress test on left ventricular echocardiographic parameters in untrained warmblood horses.
Journal of veterinary internal medicine    June 1, 2006   Volume 20, Issue 3 575-580 doi: 10.1892/0891-6640(2006)20[575:eoasto]2.0.co;2
Sandersen CF, Detilleux J, de Moffarts B, Van Loon G, Amory H.The aim of this study was to investigate the effect of combined atropine low-dose dobutamine stress test on left ventricular parameters in adult warmblood horses, to establish a potential protocol for pharmacological stress echocardiography. Seven healthy untrained warmblood horses aged 9 to 22 years were used. Heart rate (HR) and left ventricular B- and M-mode dimensions were recorded at baseline and during stress testing with 35 microg/kg atropine IV followed by incremental dobutamine infusion of 2 to 6 microg/kg/min. HR increased significantly (P < .05) during the pharmacological challen...
Stress echocardiography in warmblood horses: comparison of dobutamine/atropine with treadmill exercise as cardiac stressors.
Journal of veterinary internal medicine    June 1, 2006   Volume 20, Issue 3 562-568 doi: 10.1892/0891-6640(2006)20[562:seiwhc]2.0.co;2
Gehlen H, Marnette S, Rohn K, Stadler P.The purpose of this study was to determine whether the combination of dobutamine and atropine causes cardiac stress equivalent to treadmill exercise. Therefore, electrocardiography and echocardiography were performed on 10 warmblood horses before, during, and after different cardiac stress tests. Stressors consisted of a standardized treadmill exercise and combined administration of dobutamine (7.5 microg/kg/min) and atropine (5 microg/kg). Maxima heart rates were achieved during the treadmill exercise (175 +/- 10 bpm). After exercise, a rapid decrease in heart rate was observed. Subsequently,...
Echocardiographic evidence of an aortico-pulmonary septal defect in a 4-day-old thoroughbred foal. Valdes-Martinez A, Eades SC, Strickland KN, Roberts ED.We describe the echocardiographic findings in a 4-day-old thoroughbred foal with an aortico-pulmonary septal defect. The foal had labored breathing, cyanotic mucous membranes and a continuous grade 5/6 heart murmur with point of maximal intensity over the base of the heart on the right side. Echocardiographically, there was a large communication between the aorta and the pulmonary artery just dorsal to the base of the heart. The cardiac anomaly seen during the echocardiographic exam was confirmed at necropsy where a large communication between the two great vessels was observed. These findings...
Primary cardiac angiosarcoma resection combined with right coronary artery bypass grafting. Ishigami N, Horiba K.A 41-year-old woman presented with symptoms of cardiac tamponade. Diagnosis of a primary malignant tumor in the right atrium without distant metastasis was made by echocardiography, computed tomography and coronary angiography. Aggressive surgery consisting of resection of the tumor including the right atrial wall together with the right coronary artery and sinus node was performed. This was followed by coronary artery bypass grafting with myocardial electrode implantation for reconstruction of the right atrial wall using an equine pericardium. Final diagnosis was of angiosarcoma by pathologic...
Use of color Doppler echocardiography to assess the development of valvular regurgitation in Standardbred trotters.
Journal of the American Veterinary Medical Association    November 30, 2005   Volume 227, Issue 10 1630-1635 doi: 10.2460/javma.2005.227.1630
Buhl R, Ersbøll AK, Eriksen L, Koch J.To evaluate the incidence and development of valvular regurgitation and its effect on racing performance in Standardbred trotters from 2 to 3.5 years of age. Methods: Longitudinal observational study. Methods: 103 horses. Methods: Horses were examined via echocardiographic imaging 4 times at 6-month intervals. Two-dimensional and M-mode echocardiographic examinations were performed in each horse, and color Doppler imaging was used to detect and evaluate regurgitant blood flow at each valve. Results: For all cardiac valves, the frequency of valvular regurgitation increased significantly during ...
Cardiac output measurement by partial carbon dioxide rebreathing, 2-dimensional echocardiography, and lithium-dilution method in anesthetized neonatal foals.
Journal of veterinary internal medicine    October 20, 2005   Volume 19, Issue 5 737-743 doi: 10.1892/0891-6640(2005)19[737:combpc]2.0.co;2
Giguère S, Bucki E, Adin DB, Valverde A, Estrada AH, Young L.The objective of this study was to assess 2 noninvasive methods of measuring cardiac output (CO) in neonatal foals by comparing results to that of the lithium-dilution method. Ten neonatal foals were anesthetized and CO was manipulated by varying the depth of anesthesia and infusion of dobutamine. Concurrent CO measurements were obtained by lithium dilution (reference method), partial carbon dioxide (CO2) rebreathing, volumetric echocardiography (cubic, Teichholz, Bullet, area-length, and single and biplane modified Simpson formulas), and transthoracic Doppler echocardiography. Thirty pairs of...
Effects of diltiazem on hemodynamic variables and ventricular function in healthy horses.
Journal of veterinary internal medicine    October 20, 2005   Volume 19, Issue 5 703-711 doi: 10.1892/0891-6640(2005)19[703:eodohv]2.0.co;2
Schwarzwald CC, Bonagura JD, Luis-Fuentes V.Quinidine is effective for treatment of atrial fibrillation (AF) in horses, but often accelerates ventricular response rate. Diltiazem effectively controls heart rate response to AF in other species. This investigation determined the effects of diltiazem on cardiac rate and rhythm, left ventricular (LV) function, central hemodynamics, and peripheral blood flow in normal, standing, nonsedated horses. A dose-finding study was performed. Afterward, 8 healthy horses were treated with diltiazem IV every 30 minutes to achieve cumulative dosages of 0 (saline control), 1, 1.5, and 2 mg/kg. Plasma dilt...
Echocardiographic diagnosis of transposition of the great arteries in a neonatal foal. Sleeper MM, Palmer JE.The clinical and echocardiographic findings in a 19-h-old female foal with a ventricular septal defect, patent foramen ovale, patent ductus arteriosus, and complete transpositon of the great vessels are described. Clinical signs were suggestive of complex congenital heart disease and echocardiography of the foal allowed definitive diagnosis prior to postmortem.
Changes over time in echocardiographic measurements in young Standardbred racehorses undergoing training and racing and association with racing performance.
Journal of the American Veterinary Medical Association    June 7, 2005   Volume 226, Issue 11 1881-1887 doi: 10.2460/javma.2005.226.1881
Buhl R, Ersbøll AK, Eriksen L, Koch J.To evaluate changes over time in echocardiographic measurements in young Standardbred racehorses undergoing training and racing and determine whether there was any relationship between cardiac dimensions and racing performance. Methods: Longitudinal observational study. Methods: 103 horses. Methods: 2-dimensional and M-mode echocardiography was performed 4 times at 6-month intervals. Results: Significant cardiac enlargement took place during the study period as indicated by increases in left ventricular internal diameter in diastole (LVIDd), estimated left ventricular muscle mass (LV mass), an...
Left ventricular size and systolic function in Thoroughbred racehorses and their relationships to race performance.
Journal of applied physiology (Bethesda, Md. : 1985)    May 26, 2005   Volume 99, Issue 4 1278-1285 doi: 10.1152/japplphysiol.01319.2004
Young LE, Rogers K, Wood JL.Cardiac morphology in human athletes is known to differ, depending on the sports-specific endurance component of their events, whereas anecdotes abound about superlative athletes with large hearts. As the heart determines stroke volume and maximum O(2) uptake in mammals, we undertook a study to test the hypothesis that the morphology of the equine heart would differ between trained horses, depending on race type, and that left ventricular size would be greatest in elite performers. Echocardiography was performed in 482 race-fit Thoroughbreds engaged in either flat (1,000-2,500 m) or jump racin...
Demonstration of regional differences in equine ventricular myocardial velocity in normal 2-year-old Thoroughbreds with Doppler tissue imaging.
Equine veterinary journal    May 17, 2005   Volume 37, Issue 3 222-226 doi: 10.2746/0425164054530722
Sepulveda MF, Perkins JD, Bowen IM, Marr CM.Doppler tissue imaging (DTI) is a novel noninvasive method by which myocardial velocity can be assessed directly and it allows regional, rather than global, cardiac function to be evaluated. Objective: That regional differences in myocardial velocities exist within the equine ventricle. Objective: To develop a repeatable examination technique for DTI in horses, describe DTI findings in various regions of the normal equine ventricle, compare colour (CDTI) and spectral (SDTI) techniques of DTI, and document regional differences in myocardial velocity. Methods: Five regions of the ventricles (rig...
Early clinical experience with a new tubular equine pericardial stentless aortic valve.
The heart surgery forum    April 1, 2005   Volume 7, Issue 5 E498-E502 doi: 10.1532/HSF98.20041087
Eckstein FS, Tevaearai H, Keller D, Schmidli J, Immer FF, Seiler C, Saner H, Carrel TP.This study details a single-center experience with the 3F Therapeutics stentless aortic bioprosthesis(investigational device) and is part of a prospective,nonrandomized worldwide multicenter study. We assessed the implantation procedure and the valve's efficacy in terms of early mortality and morbidity and early echocardiographic valve performance. Methods: Between June 2001 and March 2004, 24 patients (14 men/10 women) underwent aortic valve replacement(AVR) with a 3F valve. Mean age was 72 +/- 13 years(range, 31-88 years). Combined revascularization was performed in 12 patients; 1 patient re...
[Precision-controlled echocardiographic left ventricular function parameters by repeated measurement on three consecutive days in trained and untrained warmblood horses].
DTW. Deutsche tierarztliche Wochenschrift    March 25, 2005   Volume 112, Issue 2 48-54 
Gehlen H, Marnette S, Rohn K, Kreienbrock L, Stadler P.Echocardiographic measurements have to be reliable and reproducible with only a low day to day variability for detecting pathological changes of left ventricular myocardial function in horses. The day dependent fluctuation margin represents an important indicator for the reproducibility of a method. To find out the day to day variability of echocardiographic parameter in healthy warmblood horses, in the present study repeated echocardiographic measurements at three consecutive days were carried out (at the same time and by the same examiner) at 11 untrained and 7 trained warmblood horses. The ...
Diagnosing cardiac disease in equine athletes: the role of stress testing.
Equine veterinary journal    March 23, 2005   Volume 37, Issue 2 101-103 doi: 10.2746/0425164054223732
Durando M.No abstract available
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