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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.
[Heart disease in sports horses: Current recommendations of the 2014 ACVIM / ECEIM consensus statement].
Schweizer Archiv fur Tierheilkunde    October 7, 2016   Volume 158, Issue 10 677-689 doi: 10.17236/sat00086
Schwarzwald C.Heart murmurs and arrhythmias are common in horses. Assessment of their clinical relevance concerning health, performance, safety and longevity of sports horses is of highest importance. A comprehensive cardiovascular examination is crucial for diagnosis and assessment of the severity of disease. Recently, an expert panel of the American College of Veterinary Internal Medicine (ACVIM) and the European College of Equine Internal Medicine (ECEIM) developed a consensus statement containing recommendations for sports horses with heart disease. This article summarizes the most relevant recommendati...
Atrial Premature Depolarization-Induced Changes in QRS and T Wave Morphology on Resting Electrocardiograms in Horses.
Journal of veterinary internal medicine    May 21, 2016   Volume 30, Issue 4 1253-1259 doi: 10.1111/jvim.13957
Broux B, De Clercq D, Decloedt A, Van Der Vekens N, Verheyen T, Ven S, Pardon B, van Loon G.The electrocardiographic differentiation between atrial (APDs) and ventricular (VPDs) premature depolarizations is important. P wave prematurity and normal QRS and T wave morphology generally are used as discriminating criteria for APDs. Objective: The aim of this study was to determine whether P, Q, R, S, and T wave amplitude, PQ interval, QRS and P wave duration and P and T wave morphology differ between APDs and sinus beats. To determine the relationship between the RR coupling interval and the change in S wave amplitude between sinus beats and APDs. Methods: Case-control study. From a modi...
Differences in the electrocardiographic QT interval of various breeds of athletic horses during rest and exercise.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    April 7, 2016   Volume 18, Issue 3 255-264 doi: 10.1016/j.jvc.2016.02.002
Pedersen PJ, Karlsson M, Flethøj M, Trachsel DS, Kanters JK, Klaerke DA, Buhl R.Quantitative measurements of cardiac repolarization, defined as the electrocardiographic QT interval, have important diagnostic implications in humans, as irregularities can trigger potentially fatal ventricular tachyarrhythmia. In both humans and horses, cardiac repolarization is influenced to some extent by heart rate, age, body weight (BW), sex, autonomic tone, and environment. In horses, there is substantial inter-breed variation in size and training, and the aims of this study were therefore to determine the best model describing the QT to RR relationship in breeds of various athletic hor...
Fertility Assessment in Sorraia Stallions by Sperm-Fish and Fkbp6 Genotyping.
Reproduction in domestic animals = Zuchthygiene    March 28, 2016   Volume 51, Issue 3 351-359 doi: 10.1111/rda.12686
Kjöllerström HJ, do Mar Oom M, Chowdhary BP, Raudsepp T.The Sorraia, a critically endangered indigenous Iberian horse breed, is characterized by low genetic variability, high rate of inbreeding, bad sperm quality and subfertility. Here, we studied 11 phenotypically normal but subfertile Sorraia stallions by karyotyping, sex chromosome sperm-FISH and molecular analysis of FKBP6 - a susceptibility locus for impaired acrosome reaction (IAR). The stallions had normal sperm concentration (>300 million cells/ml), but the numbers of progressively motile sperm (21%) and morphologically normal sperm (28%) were invariably low. All stallions had a normal 6...
Removing movement artifacts from equine ECG recordings acquired with textile electrodes. Lanata A, Guidi A, Baragli P, Paradiso R, Valenza G, Scilingo EP.This study reports on the implementation of a novel system to detect and reduce movement artifact (MA) contribution in electrocardiogram (ECG) recordings acquired from horses in free movement conditions. The system comprises both integrated textile electrodes for ECG acquisition and one triaxial accelerometer for movement monitoring. Here, ECG and physical activity are continuously acquired from seven horses through the wearable system and a model that integrates cardiovascular and movement information to estimate the MA contribution is implemented. Moreover, in this study we propose a new alg...
Pharmacokinetics of intravenously and orally administered sotalol hydrochloride in horses and effects on surface electrocardiogram and left ventricular systolic function.
Veterinary journal (London, England : 1997)    October 1, 2015   Volume 208 60-64 doi: 10.1016/j.tvjl.2015.09.021
Broux B, De Clercq D, Decloedt A, De Baere S, Devreese M, Van Der Vekens N, Ven S, Croubels S, van Loon G.Arrhythmias are common in horses. Some, such as frequent atrial or ventricular premature beats, may require long-term anti-arrhythmic therapy. In humans and small animals, sotalol hydrochloride (STL) is often used for chronic oral anti-arrhythmic therapy. STL prolongs repolarization and the effective refractory period in all cardiac tissues. No information on STL pharmacokinetics or pharmacodynamics in horses is available and the aim of this study was to evaluate the pharmacokinetics of intravenously (IV) and orally (PO) administered STL and the effects on surface electrocardiogram and left ve...
ECG of the Month. Persistent atrial tachycardia after cardioversion in a horse.
Journal of the American Veterinary Medical Association    September 19, 2015   Volume 247, Issue 7 751-753 doi: 10.2460/javma.247.7.751
Barrell EA, Fiorenza LR, Perkins GA, Kraus MS.No abstract available
Electrophysiologic Study of a Method of Euthanasia Using Intrathecal Lidocaine Hydrochloride Administered during Intravenous Anesthesia in Horses.
Journal of veterinary internal medicine    August 30, 2015   Volume 29, Issue 6 1676-1682 doi: 10.1111/jvim.13607
Aleman M, Davis E, Williams DC, Madigan JE, Smith F, Guedes A.An intravenous (IV) overdose of pentobarbital sodium is the most commonly used method of euthanasia in veterinary medicine. However, this compound is not available in many countries or rural areas resulting in usage of alternative methods such as intrathecal lidocaine administration after IV anesthesia. Its safety and efficacy as a method of euthanasia have not been investigated in the horse. Objective: To investigate changes in mean arterial blood pressure and electrical activity of the cerebral cortex, brainstem, and heart during intrathecal administration of lidocaine. Our hypothesis was th...
eCG concentrations, luteal structures, return to cyclicity, and postabortion fertility in embryo transfer recipient mares.
Theriogenology    June 12, 2015   Volume 84, Issue 6 1003-1013 doi: 10.1016/j.theriogenology.2015.05.038
Cuervo-Arango J, Aguilar JJ, Vettorazzi ML, Martínez-Boví R.The present study characterizes the relationship between the levels of eCG, ovarian morphology, resumption of cyclicity, and fertility in postaborted embryo transfer recipient mares. A total of 32 pregnant recipient mares carrying a male fetus were aborted at approximately 65 days of gestation by single transcervical administration of cloprostenol. In addition, 25 gestation age-matched mares were used as nonaborted controls. The concentration of progesterone, but not of eCG, differed significantly between controls and aborted mares 48 hours after abortion. Of treated mares, 84.4% (27 of 32) ex...
Right atrial and right ventricular ultrasound-guided biopsy technique in standing horses.
Equine veterinary journal    April 29, 2015   Volume 48, Issue 3 346-351 doi: 10.1111/evj.12433
Decloedt A, de Clercq D, Ven S, van der Vekens N, Chiers K, van Loon G.Endomyocardial biopsies could be a valuable tool in equine cardiology for diagnosing myocardial disease, which is probably underdiagnosed in horses because of lack of specific diagnostic measures and limitations of currently available diagnostic methods. Objective: To describe a technique for serial right atrial and right ventricular endomyocardial biopsy in standing horses using a percutaneous approach through the jugular vein. Methods: Prospective study. Methods: Biopsy was performed in 10 healthy standing horses sedated with detomidine, under continuous electrocardiography monitoring. A 10 ...
History of research in Japan on electrocardiography in the racehorse.
Journal of equine science    March 31, 2015   Volume 26, Issue 1 1-13 doi: 10.1294/jes.26.1
Hiraga A, Sugano S.Since the first recording of electrocardiograms (ECGs) of a horse in Japan was carried out in 1944, studies on ECGs have been performed intensively. During the early stages of research from the 1950s to 1960s, leads to use for ECG recording were evaluated using several different approaches including unipolar leads, bipolar limb leads, and bipolar chest leads. Based on these studies, the AB lead, which is oriented along the long axis of the heart, became the standard reference method in Japan. Electrodes of the AB lead are placed on the upper 1/4th point along a straight line between the wither...
Cerebral and brainstem electrophysiologic activity during euthanasia with pentobarbital sodium in horses.
Journal of veterinary internal medicine    March 19, 2015   Volume 29, Issue 2 663-672 doi: 10.1111/jvim.12570
Aleman M, Williams DC, Guedes A, Madigan JE.An overdose of pentobarbital sodium administered i.v. is the most commonly used method of euthanasia in veterinary medicine. Determining death after the infusion relies on the observation of physical variables. However, it is unknown when cortical electrical activity and brainstem function are lost in a sequence of events before death. Objective: To examine changes in the electrical activity of the cerebral cortex and brainstem during an overdose of pentobarbital sodium solution for euthanasia. Our testing hypothesis is that isoelectric pattern of the brain in support of brain death occurs bef...
Influence of detomidine on atrial fibrillation cycle length measured by intracardiac electrogram recording and by colour tissue Doppler imaging in horses.
Equine veterinary journal    November 24, 2014   Volume 48, Issue 1 21-26 doi: 10.1111/evj.12366
Decloedt A, de Clercq D, van der Vekens N, Verheyen T, Ven S, van Loon G.Shortening of atrial fibrillation cycle length (AFCL) is a marker of atrial electrical remodelling due to atrial fibrillation (AF). Objective: To investigate the effect of administration of detomidine on AFCL measured invasively from an intra-atrial electrogram (AFCLEGM) and noninvasively by tissue Doppler imaging (AFCLTDI). We hypothesised that detomidine would have no effect on AFCL but would improve the ease of TDI measurements and facilitate noninvasive AFCL determination. Methods: Prospective clinical study. Methods: Measurements were performed before and after i.v. administration of 7.5â...
Cardiac arrhythmias and electrolyte disturbances in colic horses.
Acta veterinaria Scandinavica    October 2, 2014   Volume 56, Issue 1 58 doi: 10.1186/s13028-014-0058-y
Hesselkilde EZ, Almind ME, Petersen J, Flethøj M, Præstegaard KF, Buhl R.Despite increased focus on cardiac arrhythmias in horses, the nature and prevalence is still poorly described. Case reports suggest that arrhythmias occurring secondary to systemic disease are seen more commonly in the clinic than arrhythmias caused by cardiac disease. The aim of this study was to investigate the prevalence of arrhythmias in colic horses referred for hospital treatment. Associations between electrolyte disturbances and arrhythmias were also investigated. Results: Heart rate was 37.4 ± 3.7 bpm in the control group, and 51.6 ± 11.8 bpm, in the colic group, which was ...
Diurnal modulation and sources of variation affecting ventricular repolarization in Warmblood horses.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    July 27, 2014   Volume 16, Issue 4 265-276 doi: 10.1016/j.jvc.2014.07.001
Pedersen PJ, Moeller SB, Flethøj M, Kanters JK, Buhl R, Klaerke DA.Irregularities in cardiac repolarization are known to predispose for arrhythmias and sudden cardiac death in humans. The QT interval is a quantitative measurement of repolarization, and clinically, the QTc (QT interval corrected for heart rate) and Tpeak to Tend intervals (TpTe) are used as repolarization markers. To support the use of these markers in horses, we sought to describe the possible influence of the environment, time of day, day-to-day effects, T wave conformation, age, body weight (BW), and horse-to-horse variation on repolarization measurements. Methods: 12 Warmblood geldings, ag...
Electrocardiographic indicators of excitability in horses for predicting recovery quality after general anaesthesia.
Veterinary anaesthesia and analgesia    July 21, 2014   Volume 42, Issue 3 269-279 doi: 10.1111/vaa.12199
Tzelos T, Blissitt KJ, Clutton RE.To determine whether preoperative electrocardiographic measurements linked to sympathetic nervous activity could be used to predict recovery quality after general anaesthesia in horses. Methods: Prospective, clinical study. Methods: Eighteen adult client-owned horses. Methods: The electrocardiogram (ECG) was recorded presurgery in horses under three standard conditions: stabled unattended; with a groom whilst being led along a standard course; alone in the induction box. After surgery, each animal's recovery quality was scored by eight experienced anaesthetists or technicians using Donaldson's...
Occurrence of cardiac arrhythmias in Standardbred racehorses.
Equine veterinary journal    July 17, 2014   Volume 47, Issue 4 398-404 doi: 10.1111/evj.12299
Slack J, Boston RC, Soma LR, Reef VB.Cardiac arrhythmias are a recognised but poorly characterised problem in the Standardbred racehorse. Frequency data could aid the development of cardiac arrhythmia screening programmes. Objective: To characterise the occurrence of cardiac arrhythmias in Standardbreds prior to racing and in the late post race period using a handheld, noncontinuous recording device. Methods: Prospective, observational study, convenience sampling. Methods: Noncontinuous electrocardiographic recordings were obtained over a 12 week period from Standardbred horses competing at a single racetrack. Electrocardiograms ...
Recommendations for management of equine athletes with cardiovascular abnormalities.
Journal of veterinary internal medicine    March 14, 2014   Volume 28, Issue 3 749-761 doi: 10.1111/jvim.12340
Reef VB, Bonagura J, Buhl R, McGurrin MK, Schwarzwald CC, van Loon G, Young LE.Murmurs and arrhythmias are commonly detected in equine athletes. Assessing the relevance of these cardiovascular abnormalities in the performance horse can be challenging. Determining the impact of a cardiovascular disorder on performance, life expectancy, horse and rider or driver safety relative to the owner's future expectations is paramount. A comprehensive assessment of the cardiovascular abnormality detected is essential to determine its severity and achieve these aims. This consensus statement presents a general approach to the assessment of cardiovascular abnormalities, followed by a ...
ECG of the month. Atrial fibrillation due to hypokalemia in a horse.
Journal of the American Veterinary Medical Association    February 27, 2014   Volume 244, Issue 6 657-659 doi: 10.2460/javma.244.6.657
Mullen KR, Kraus MS, Divers TJ.No abstract available
ECG of the month. Accelerated idioventricular rhythm during anesthesia.
Journal of the American Veterinary Medical Association    October 19, 2013   Volume 243, Issue 9 1260-1262 doi: 10.2460/javma.243.9.1260
Karrasch NM, Scansen BA, Aarnes TK, Hubbell JA, Bonagura JD.No abstract available
[Comparison of different electrocardiographic techniques for the detection of arrhythmias in horses].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    October 16, 2013   Volume 41, Issue 5 305-314 
Uhlendorf F, Gehlen H, Stadler P.The aim of the study was to extend the range of the electrocardiographic examination in horses, evaluating the practicability of special electrocardiographic techniques (exercise- and Holter-ECG) and comparing these with more common techniques (resting-ECG) in equine medicine. Methods: Electrocardiographic examination (resting-ECG for 1 minute, exercise-ECG and Holter-ECG) was performed in 20 horses without any clinical or echocardiographic findings and in 80 patients with abnormal findings (valvular regurgitation and/or atrial fibrillation). Results: In comparison with the resting-ECG, the ex...
Myocardial contusion and rib fracture repair in an adult horse.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 12, 2013   Volume 23, Issue 6 663-669 doi: 10.1111/vec.12096
Peters ST, Hopkins A, Stewart S, Slack J, de Solis CN.To describe the clinical findings and management of myocardial injury secondary to blunt thoracic trauma and rib fracture in an adult horse. Methods: A 6-year-old Warmblood gelding presented for treatment of blunt thoracic trauma. Sonographic examination of the thorax revealed a complete, mildly comminuted fracture of the left 5th rib with a fragment overlying the left atrium and coronary artery, hemothorax, and subjective left ventricular dyskinesis. Evidence of myocardial injury included atrial fibrillation, ventricular ectopy, and increased plasma cardiac troponin I concentration. The rib f...
Long-term follow-up of atrial function after cardioversion of atrial fibrillation in horses.
Veterinary journal (London, England : 1997)    June 30, 2013   Volume 197, Issue 3 583-588 doi: 10.1016/j.tvjl.2013.05.032
Decloedt A, Verheyen T, Van Der Vekens N, Sys S, De Clercq D, van Loon G.Atrial fibrillation (AF) causes atrial electrical and contractile remodelling in horses. The aim of this study was to quantify left atrial (LA) contractile function and its time course of recovery after cardioversion of naturally-occurring AF in horses. The study population included 42 AF horses which were successfully treated using transvenous electrical cardioversion TVEC (n=39) or quinidine sulfate (n=3), with trivial or mild mitral regurgitation present in 25 horses. Thirty-seven healthy horses were used as controls. AF duration was estimated based on the history and previous examinations....
The ECG in cardiovascular-relevant animal models of electrophysiology.
Herzschrittmachertherapie & Elektrophysiologie    June 6, 2013   Volume 24, Issue 2 84-91 doi: 10.1007/s00399-013-0260-z
Kaese S, Frommeyer G, Verheule S, van Loon G, Gehrmann J, Breithardt G, Eckardt L.The most frequently used animal species in experimental cardiac electrophysiology are mice, rabbits, and dogs. Murine and human electrocardiograms (ECGs) show salient differences, including the occurrence of a pronounced J-wave and a less distinctive T-wave in the murine ECG. Mouse models can resemble human cardiac arrhythmias, although mice differ from human in cardiac electrophysiology. Thus, arrhythmia mechanisms in mice may differ from those in humans and should be transferred to the human situation with caution. Further relevant cardiovascular animal models are rabbits, dogs, and minipigs...
Seek and ye shall find: cardiac arrhythmias in the horse.
Equine veterinary journal    April 10, 2013   Volume 45, Issue 3 270-272 doi: 10.1111/evj.12054
Physick-Sheard PW.No abstract available
Normal electrocardiographic QT interval in race-fit Standardbred horses at rest and its rate dependence during exercise.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    February 22, 2013   Volume 15, Issue 1 23-31 doi: 10.1016/j.jvc.2012.08.002
Pedersen PJ, Kanters JK, Buhl R, Klaerke DA.Cardiac repolarization, measured as QT and Tpeak to Tend (TpTe) intervals on the ECG, is important, as irregularities caused by diseases, ventricular hypertrophy, drugs and genetic defects can trigger arrhythmias which predispose human patients to syncope and sudden cardiac death. In horses, repolarization is not well described and therefore QT analysis cannot yet be used diagnostically. Therefore, we sought to describe reference values for the normal QT and TpTe intervals in Standardbreds and to determine the best method for heart rate (HR) correction. Methods: 30 Standardbreds. Methods: QT a...
Evaluation of clinical and electrocardiographic changes during the euthanasia of horses.
Veterinary journal (London, England : 1997)    January 4, 2013   Volume 196, Issue 3 483-491 doi: 10.1016/j.tvjl.2012.11.016
Buhl R, Andersen LO, Karlshøj M, Kanters JK.The objective of this prospective field study was to investigate whether commonly used criteria for clinical death occurred at the same time as cardiac death, as determined by electrocardiography. Specific ECG changes during euthanasia were also studied. Twenty-nine horses were euthanized with pentobarbital at two different dose rates and 15 of the 29 horses also received detomidine hydrochloride for sedation. ECG was recorded prior to and during euthanasia. Time to collapse, cessation of reflexes, heart sounds and asystole were recorded. ECG recordings were used to calculate RR intervals, PQ ...
ECG of the month. Atrial flutter.
Journal of the American Veterinary Medical Association    January 2, 2013   Volume 242, Issue 2 165-167 doi: 10.2460/javma.242.2.165
Christmann U, van Loon G.No abstract available
Ventricular response during lungeing exercise in horses with lone atrial fibrillation.
Equine veterinary journal    October 23, 2012   Volume 45, Issue 3 309-314 doi: 10.1111/j.2042-3306.2012.00653.x
Verheyen T, Decloedt A, van der Vekens N, Sys S, De Clercq D, van Loon G.Atrial fibrillation (AF) is the most important dysrhythmia affecting performance in horses and has been associated with incoordination, collapse and sudden death. Limited information is available on ventricular response during exercise in horses with lone AF. Objective: To investigate ventricular response in horses with lone AF during a standardised lungeing exercise test. Methods: A modified base-apex electrocardiogram was recorded at rest and during a standardised lungeing exercise test from 43 horses diagnosed with lone AF. During the test horses walked for 7 min, trotted for 10 min, ca...
Clinicopathologic evidence of myocardial injury in horses with acute abdominal disease.
Journal of the American Veterinary Medical Association    October 20, 2012   Volume 241, Issue 9 1202-1208 doi: 10.2460/javma.241.9.1202
Nath LC, Anderson GA, Hinchcliff KW, Savage CJ.To determine whether there is evidence of myocardial injury in horses with acute abdominal disease. Methods: Prospective case series. Methods: 18 healthy horses and 69 horses with acute abdominal disease. Methods: 18 healthy horses had been admitted to the hospital for investigation and were assigned to group 1. Horses examined for acute abdominal disease were assigned to 3 groups: strangulating obstruction, nonstrangulating obstruction, or inflammatory disease (groups 2, 3, and 4, respectively). Heart rate, Hct, and blood lactate and cardiac troponin I (cTnI) concentrations were measured at i...
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