Topic:Electrocardiography
Electrocardiography (ECG) in horses is a diagnostic tool used to assess the electrical activity of the heart. It involves recording the electrical impulses that govern heartbeats, providing insights into cardiac function and rhythm. This non-invasive method is useful for identifying arrhythmias, conduction disturbances, and other cardiac abnormalities in equine patients. Electrocardiography can be performed at rest or during exercise to evaluate cardiac performance under different physiological conditions. This page compiles peer-reviewed research studies and scholarly articles that explore the methodology, interpretation, and clinical applications of electrocardiography in equine health.
Evaluation for veterinary use of the Chiltern box: a device for home electrocardiographic monitoring. The Chiltern Box is a small electrocardiograph designed for home monitoring of human patients. Its veterinary application has been investigated in the dog, the cat and the horse. It has been useful in the diagnosis of previously undiagnosed dysrhythmias in dogs showing signs of exercise intolerance and syncope.
Idiopathic effusive pericarditis with tamponade in the horse. Pericarditis and pericardial effusion are considered to occur rarely in the horse. The clinical and laboratory features of idiopathic pericarditis with effusion diagnosed in 10 horses over a seven-year period were reviewed. Consistent physical findings included tachycardia, ventral oedema, jugular venous distention and diminished heart sounds. Electrocardiographic features included diminished voltages and electrical alternans, and the effusion was identified by echocardiography in the six horses in which it was performed. Pericardiocentesis relieved clinical signs in nine horses. Laboratory an...
Electrophysiological studies on atrial fibrillation. We tested the multiple-wavelet hypothesis by studying the initiation and maintenance of atrial fibrillation in normal mules, horses, cows, calves, and goats. Persistence of atrial fibrillation in animals with a large atrial mass was compared with results in adult goats and calves having a smaller atrial mass. Atrial stimulation in clinically normal cows, mules, calves, and goats was accomplished using an intra-atrial stimulating catheter with rapid atrial pacing (30/s). Once initiated, atrial fibrillation persisted for 95,120,125 min, 3 days, and 8 weeks in five adult cows, respectively. In co...
Implantation of a permanent transvenous pacing catheter in a horse with complete heart block and syncope. A permanent, transvenous, atrioventricular, sequential pacing system was implanted successfully in a 7-year-old Quarter Horse gelding with complete heart block. The transvenous atrial and ventricular electrodes were placed in their respective positions in the heart, using real-time, 2-dimensional echocardiography. The horse was able to return successfully to competition as a show horse.
Heart rate and ECG response to twitching in Thoroughbred foals and mares. Changes of the heart rate and ECG to twitching were examined using 5 Thoroughbred foals at various ages and their mares. The effect of the heart rate decrease to twitching was significantly greater in the foals than in the mares. The decreased heart rate in the foals continued during and after the twitching. Changes of the T wave in the A-B lead ECG shown as enhancement of the negative ingredient of the T wave were observed both in the foals and in the mares, accompanied by a decrease in the heart rate during and/or after the twitching. Two out of the five foals showed second-degree A-V block ...
Method of investigation of the accuracy of four digitally-displaying heart rate meters suitable for use in the exercising horse. The measurement of heart rate during exercise in the horse has been recommended as a means of prescribing work effort, monitoring the changes in aerobic capacity during training and as part of the clinical examination of the performance horse. The accuracy of four heart rate meters (PEH 100, PU 10, HR 14 and HRM-7) was assessed by comparison with heart rate determined by simultaneous telemetry electrocardiography (ECG) using a rapid incremental exercise test on a treadmill. Heart rate displayed by all four meters showed significant correlations with the ECG heart rate, but only two meters (PEH...
[Electrocardiography in the horse. (3)]. The use of the ECG to separate the different phases of the heart cycle registering other physiological signals, to evaluate the fitness and state of training of a horse and to detect a pregnancy of a mare is reported and illustrated in this text.
Equine heart disease. An overview. The clinician must appreciate unique aspects of equine cardiovascular physiology in order to distinguish normal variation from a pathophysiologic state. Cardiovascular problems in the horse include auscultation of cardiac murmurs, identification of cardiac arrhythmias, and recognition of congestive heart failure. A cardiac data base including history, general and cardiovascular examination, and resting and postexercise electrocardiogram are necessary to evaluate most horses for significant heart disease. Additional studies, such as echocardiography and cardiac catheterization, are useful in se...
Diagnosis and treatment of cardiac arrhythmias. Cardiac arrhythmias are probably more common in horses than in any other domestic animal species. The most frequent clinical complaint associated with cardiac arrhythmias is exercise intolerance. Physical examination is characterized by auscultation abnormalities such as fast or slow heart rate, irregular rhythm, extra sounds, long pauses, or abnormal heart sounds. The electrocardiogram is used to make a definitive diagnosis of the dysrhythmia. Other laboratory and cardiac function tests are employed to determine the etiology and to assess the significance of the arrhythmia. Antiarrhythmic the...
[Electrocardiography in the horse. (2). Disorders of impulse formation and impulse conduction]. The cardiac arrhythmias, classified in disturbances of impulse formation and conduction disturbances, their genesis and clinical significance are described and illustrated with electrocardiograms, registered with the bipolar chest leads.
[Electrocardiography in the horse (1). Principles and normal picture]. The physiological and technical basis of the electrocardiography are shortly explained. The electrodes used for the recording of bipolare thoracal leads, their fixation on the horse, the practical procedure of a ECG-recording, its appearance and variation are described and illustrated. A recommendation for a systematic evaluation and interpretation is being proposed.
Relationship between potassium administration, hyperkalaemia and the electrocardiogram: an experimental study. Hyperkalaemia affected the equine myocardium. The minimum plasma potassium concentration required to induce electrocardiographic changes was 6.2 mmol/litre and severe cardiotoxic effects were observed at levels of 8.0 to 10.1 mmol/litre in this experimental situation. The most consistent sign of hyperkalaemia was broadening and flattening of the P wave, which was generally associated with a change in T waves in the chest lead from negative to positive. The more pronounced the hyperkalaemia, the less pronounced the P wave and the more peaked positive the T wave. Severe hyperkalaemia was associa...
Echocardiography in foals from birth to three months old. Simultaneous echocardiograms, phonocardiograms and electrocardiograms were performed on 16 foals at the following times after birth: 15 mins, 60 mins, 2, 4, 12, 24, 48 h, four, seven, 14 days and four, eight and 12 weeks. Positive correlations were found between both age and body weight and the following measurements: left ventricular end-diastolic dimension, right ventricular end-diastolic dimension, left atrial dimension and aortic root dimension, posterior left ventricular wall thickness and interventricular septal thickness. Heart rate was negatively correlated with left ventricular electr...
Blood pressure, electrocardiogram and echocardiogram measurements in the growing pony foal. Twelve newborn pony foals underwent cardiovascular examinations (auscultation, arterial blood pressure measurements, electrocardiograms and M-mode echocardiograms) on their first day of life and then on Days 7, 14, 21, 30, 60 and 90. An age dependent, statistically significant, rapid increase of the arterial blood pressure in the first month was documented together with a slower decrease of the resting heart rate after two and three months of life. Innocent soft systolic murmurs were audible over the left heart base in a large number of the foals. The electrocardiograms showed age dependent in...
Interrelationship of some electrocardiogram amplitudes, time intervals and respiration in the horse. The relationship of the scalar and vector magnitudes of the QRS waveform to RR, PR and respiration was examined in 10 horses in regular rhythm using an orthogonal lead system. There were no significant changes in the durations of RR and PR with respiration. The amplitudes of the scalar variables XR and YR were directly related and that of XQ (or XS) and ZR were inversely related to PR in this group of horses. The peak spatial vector magnitude and its H-plane angle were directly related to PR and inversely related to RR. The effect of inspiration on the QRS was a decrease in YR and ZR, an incre...
Three cases of ruptured mitral valve chordae in the horse. The paper describes clinical observations in three horses with ruptured mitral valve chordae. Horses with ruptured mitral valve chordae may have a history of sudden onset of acute distress with predominantly respiratory symptoms. On auscultation there will be a widespread pansystolic murmur with an extension of the area of cardiac auscultation. The third heart sound may be very pronounced and unduly prolonged, associated with high volume flow during early ventricular filling in diastole. However, these sounds are not specific for chordal rupture--they are typical of severe mitral regurgitation...
Effects of clenbuterol hydrochloride on certain respiratory and cardiovascular parameters in horses performing treadmill exercise. Five standardbred geldings received intravenous clenbuterol hydrochloride and saline in a crossover experiment to evaluate the effects of clenbuterol on certain cardiorespiratory parameters during and after treadmill exercise. The exercise test consisted of four steps. Step 1 at a speed of 76 m per minute, step 2 at 129 m per minute, step 3 at 190 m per minute and step 4 at 236 m per minute. The duration of each step was two minutes, except step 4 which was four minutes. The treadmill was set at a grade of 19 per cent. Before exercise, 30 minutes after clenbuterol or saline administration, art...
Studies on the physiopathology of chronic obstructive pulmonary disease in the horse. VIII. Mean modal vectors of the P wave and the QRS complex. Mean modal vectors of P1, P2 and QRS were determined in the 3 planes of a semi-orthogonal EKG lead system in 17 horses and ponies with chronic obstructive pulmonary disease (COPD) and in 17 clinically normal horses and ponies. Subjects were paired so that the heart rates of each pair were not dissimilar by more than 2 cycles per minute. Probably significant differences were observed between the mean angles of P1 vectors in the transverse and sagittal planes (T plane, normal = 324 degrees +/- 24,6 degrees, COPD = 342 degrees +/- 21,0 degrees, t = 2,0, P less than 0,05; S plane, normal = 331 deg...
Electrocardiographic changes in induced hyperkalemia in ponies. In 11 crossbred ponies, hyperkalemia was induced by acute intracardiac infusion of a 0.4M solution of potassium chloride. The ECG changes noticed can be assigned to 4 stages: (1) a widening and a lowering of amplitude followed by inversion and final disappearance of the P wave; (2) an increase in the amplitude of the T wave; (3) an increase in the QRS interval, with some irregularity in the ventricular rate; and (4) periods of cardiac arrest that became terminal or were followed by ventricular fibrillation. At plasma potassium values of greater than 7.5 mM/L, the T-wave amplitude and duration ...
Multiple congenital heart anomalies in five Arabian foals. Five Arabian or half-Arabian foals with suspected multiple cardiac anomalies were examined. Various combinations of clinical examination, electrocardiography, angiocardiography, cardiac catheterization, blood gas analysis, radiography, and echocardiography resulted in clinical data that allowed accurate antemortem diagnoses to be made. In 4 cases, the clinical diagnosis was substantiated by postmortem findings. The confirmed diagnoses were: pseudotruncus arteriosus, a combination of patent ductus arteriosus, pulmonic stenosis, and tricuspid stenosis, pentalogy of Fallot, and tricuspid atresia....
Microprocessor-based system for collection and storage of the equine vectorcardiogram. To evaluate the clinical application of a semiorthogonal lead system for use in the horse, an inexpensive means of recording and storing the ECG was required which would allow the subsequent vectorcardiographic analysis to be computerized. In investigating the various options for the system the basic requirements for the digitization of analogue data were reviewed and previous studies examined. The system subsequently developed used an 8080 microprocessor and a multichannel 8-bit analogue to digital converter. This unit was signal-level compatible with the laboratory recorder used in the study...
The equine electrocardiogram with standardized body and limb positions. Eleven-lead electrocardiograms (ECGs) were recorded from 50 Thoroughbred (TB) and 50 Standard bred (SB) horses at rest with 40 tracings being selected from each group for more complete analysis. Incomplete atrioventricular block with dropped beats commonly reported in mature horses was recorded only in the TB (15%), while wandering of the atrial pacemaker (WAP) thought also to be associated with variations in tone of the autonomic nervous system was detected almost equally in both breeds (30%). In some horses (12.5%), the initial component of the P wave (P1) did not vary as seen with WAP but h...