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Topic:Exercise Physiology

Exercise physiology in horses involves the study of the physiological responses and adaptations of horses to physical activity. This field examines how exercise impacts various systems in the equine body, including the cardiovascular, respiratory, muscular, and metabolic systems. Researchers focus on understanding how these systems interact during different types and intensities of exercise, and how they contribute to performance and recovery. Key areas of interest include the assessment of aerobic and anaerobic capacity, muscle fiber composition, energy metabolism, and thermoregulation. This page compiles peer-reviewed research studies and scholarly articles that explore the mechanisms of exercise physiology in horses, with an emphasis on performance optimization, training regimens, and the prevention of exercise-related disorders.
Comparative analysis of blood whole transcriptome profiles in Yili horses pre- and post-5000-meter racing.
Frontiers in genetics    August 29, 2025   Volume 16 1651628 doi: 10.3389/fgene.2025.1651628
Su Y, Ren W, Ma S, Meng J, Yao X, Zeng Y, Li Z, Li L, Wang R, Wang J.This study employed Yili horses participating in a 5000-meter race as a model to investigate exercise-induced gene expression alterations in peripheral blood using whole transcriptome sequencing. Jugular vein blood samples from the three leading horses were collected pre- and immediately post-race, yielding 2,171 differentially expressed mRNAs (2,080 upregulated, 91 downregulated), 4,375 differentially expressed LncRNAs (4,354 upregulated), and 68 differentially expressed circRNAs (64 upregulated). GO/KEGG analyses demonstrated significant enrichment of differential mRNAs in transmembrane tran...
Are Immune-Integrative Biomarkers Predictors of Systemic Inflammation in Show Jumping Horses?
Veterinary clinical pathology    August 25, 2025   Volume 54, Issue 3 271-280 doi: 10.1111/vcp.70034
Alves-Junior CDB, Ferreira TC, Nunes-Pinheiro DCS.This study evaluated the dynamics of blood immune-inflammatory biomarkers in response to exercise-induced changes in jumping horses. Methods: For this purpose, adult Brazilian Sport Horses (n = 9), aged 10.1 years, both sexes, underwent a specific training test consisting of warm-up, flatwork, and jumping exercises, and recovery on a 900 m sand track over 40 min. Clinical examinations and blood collections were performed at three time points: before (T0), immediately after (T1), and 1 h after (T2) the final exercise. Hematologic and biochemical parameters, such as total protein, gl...
Long-Term Changes of Physiological Reactions in Young Lipizzan Stallions During Exercise Testing.
Animals : an open access journal from MDPI    August 23, 2025   Volume 15, Issue 17 2479 doi: 10.3390/ani15172479
Čebulj-Kadunc N, Frangež R, Kruljc P.The aim of the study was to determine the fluctuations of selected physiological parameters in young Lipizzan stallions ( = 10) during the initial phase of their training as indicators of adaptation to a graded exercise load and stress exposure. For this purpose, four exercise tests (ExT) with lunging were carried out over a period of one year. Physiological parameters (gait speed, heart and respiratory rate (HR and RR), rectal and body surface temperature (RT and BST), and cortisol and lactate concentration (CORT and LAC)) were measured before and after training. In all ExT, gait speeds incre...
Differential Metabolomics and Cardiac Function in Trained vs. Untrained Yili Performance Horses.
Animals : an open access journal from MDPI    August 20, 2025   Volume 15, Issue 16 2444 doi: 10.3390/ani15162444
Wang T, Meng J, Yang X, Zeng Y, Yao X, Ren W.This study aimed to investigate the effects of training on cardiac structure and function, as well as plasma metabolite profiles in horses, in order to uncover the molecular regulatory mechanisms and cardiac remodeling under long-term exercise. We hypothesize that long-term standardized training induces physiological cardiac remodeling and differential metabolomic changes in Yili horses, which correlate with improved athletic performance. The study focuses on physiological exercise-induced cardiac remodeling, characterized by increased left ventricular wall thickness and chamber size. A total ...
Exploring Monthly Variation of Gait Asymmetry During In-Hand Trot in Thoroughbred Racehorses in Race Training.
Animals : an open access journal from MDPI    August 20, 2025   Volume 15, Issue 16 2449 doi: 10.3390/ani15162449
Pfau T, Forbes B, Sepulveda-Caviedes F, Chan Z, Weller R.Based on fundamental mechanics, movement and force associate head and pelvic movement asymmetry with asymmetry of force production. We investigate, how often racehorses undergoing strenuous training regimens show evidence of switching between "preferred" limbs, i.e. one limb producing increased force, when assessed at monthly intervals? We hypothesize that clinical asymmetry thresholds designed for "detecting lameness" are frequently exceeded and that when applying previously established Thoroughbred-specific repeatability values, horses rarely switch between showing left- and right-sided asym...
Does Muscle Development of Sport Horses Using Water Treadmill Exercise as Part of a Long-Term Training Programme Differ from That of Horses Not Using Water Treadmill Exercise?
Animals : an open access journal from MDPI    August 19, 2025   Volume 15, Issue 16 2426 doi: 10.3390/ani15162426
Tranquille C, Nankervis K, Tacey J, Hopkins E, Deckers I, Walker V, MacKechnie-Guire R, Newton R, Murray R.Water treadmill (WT) exercise has become a popular tool for equine training and rehabilitation. However, few studies describe the long-term effects of WT exercise in low water on muscle development (MD). This study's objectives were to compare MD changes over a 40-week period in sport horses that regularly used WT in low water within training (Group WTH, = 55) and a control group that did not (control, = 28). Subjective MD assessments were undertaken using an adaptation of a previously published method at weeks 0, 20 and 40. For Group WTH, MD significantly increased in the neck, pelvis and h...
Morphometric characteristics of quarter horses in barrel racing events: impacts on performance and competitive success.
Journal of equine veterinary science    August 16, 2025   Volume 153 105676 doi: 10.1016/j.jevs.2025.105676
Freitag GP, de Lima LGF, Kozicki LE, Souza FA, Nogueira E, Ribeiro LB.This study investigated the influence of morphometric characteristics on performance in Quarter Horses competing in barrel racing. Methods: A total of 125 horses were assessed using 28 linear and angular body measurements derived from standardized left-side photographs captured via smartphone and analyzed with open-source software. Results: Measurements were subjected to exploratory factor analysis, extracting six principal components (forequarters, hindquarters, midsection, posterior angles, scapular traits, age and weight), which together explained 83.0 % of the morphological variance. Foreq...
A fitness tracker can be used interchangeably with a reference method for underwater single-lead electrocardiography but not heart rate variability analysis in swimming horses.
American journal of veterinary research    August 12, 2025   1-8 doi: 10.2460/ajvr.25.04.0113
Kisilevich Q, O'Connor SGP, Bayly WM, Léguillette R.To validate a single-lead ECG fitness tracker device (FT) against the reference multilead ECG recording device (RM) for heart rate (HR) and HR variability (HRV) monitoring of horses during routine swimming. Unassigned: 40 race-fit Thoroughbred racehorses were used for 5 days in May 2024. Surface ECG recordings were obtained simultaneously from the FT and RM devices in horses swimming 63.65 m across a pool. Electrocardiograms were reviewed and artifacts corrected when necessary, and correlations were analyzed between the 2 devices for HR and HRV parameters. Descriptive statistics and Bland-Altm...
Quantitative modeling reveals prolonged lactate clearance in young and unraced Jeju horses following high-intensity exercise under passive recovery conditions.
American journal of veterinary research    August 6, 2025   1-9 doi: 10.2460/ajvr.25.02.0062
Sohn Y, An SJ, Forbes E, Yoon J, Kim BS, Kim JG, Ryu SH.To model lactate recovery kinetics in relation to sex, age, running speed, and racing experience, and to estimate blood lactate clearance time under passive recovery conditions that reflect current management practices in Jeju horses, a less well-characterized pony-sized indigenous breed. Unassigned: From October through December 2022, BLC was measured at baseline, 10 minutes after 800-m barrier trials (time [T]-1), and 50 minutes (T2) after 800-m barrier trials in 40 race-trained Jeju horses (2 to 4 years old). Lactate clearance was modeled using nonlinear regression with an exponential decay...
Utility of Infrared Thermography for Monitoring of Surface Temperature Changes During Horses’ Work on Water Treadmill with an Artificial River System.
Animals : an open access journal from MDPI    August 1, 2025   Volume 15, Issue 15 2266 doi: 10.3390/ani15152266
Sikorska U, Maśko M, Rey B, Domino M.Water treadmill (WT) exercise is used for horses' rehabilitation and training. Given that each training needs to be individualized for each horse, the goal is to assess whether infrared thermography (IRT) can serve as a non-invasive tool for daily monitoring of individual training and rehabilitation progress in horses undergoing WT exercise. Fifteen Polish Warmblood school horses were subjected to five WT sessions: dry treadmill, fetlock-depth water, fetlock-depth water with artificial river (AR), carpal-depth water, and carpal-depth water with AR. IRT images, collected pre- and post-exercise,...
Horse Activity Participants’ Perceptions About Practices Undertaken at Activity Venues, and Horse Welfare and Wellbeing.
Animals : an open access journal from MDPI    July 24, 2025   Volume 15, Issue 15 2182 doi: 10.3390/ani15152182
Fiedler JM, Rosanowski S, Ayre ML, Slater JD.Participation in horse-related activities frequently involves relocating horses from the home stable to an activity venue, which might require local, regional, or international travel. In these circumstances, horses are exposed to unfamiliar surroundings and experience changes to their daily routines, which could have negative welfare impacts. An online survey was conducted in 2021 to ask experienced horse sector participants about the horse management practices that they perceived worked well and provided for positive horse welfare when undertaken at venues. Qualitative analysis identified fo...
Inspiratory and expiratory tracheal pressures during high-intensity exercise in harness racehorses.
Equine veterinary journal    July 21, 2025   doi: 10.1111/evj.14557
Vermedal H, Hellings IR, Fretheim-Kelly ZL, Fintl C, Olsen HMB, Strand E.Exercise-related upper respiratory tract (URT) disorders are common in racehorses. Objective assessment of URT mechanics is essential to quantify degrees of obstruction caused by URT disorders identified upon dynamic endoscopy. Objective: To establish reference values for inspiratory and expiratory tracheal pressures (cmHO) during high-speed treadmill endoscopy in harness racehorses with clinically normal URTs. Methods: Prospective observational study. Methods: Tracheal pressures were measured in harness racehorses (Standardbreds and Norwegian-Swedish coldblooded trotters) in which no URT abno...
Preliminary investigation of the effect of ferulic acid on miRNAs and LncRNAs in Mongolian horse skeletal muscle satellite cells.
Frontiers in genetics    July 18, 2025   Volume 16 1630614 doi: 10.3389/fgene.2025.1630614
Gong W, Ding W, Bou T, Shi L, Lin Y, Shi X, Li Z, Wu H, Dugarjaviin M, Bai D.Ferulic acid (FA), a natural antioxidant, has attracted considerable attention for its regulatory potential in skeletal muscle development, energy metabolism, and muscle fiber type transformation. Unassigned: This study established a research system based on Mongolian horse skeletal muscle satellite cells to elucidate the molecular basis by which ferulic acid regulates muscle fiber type transformation through a non-coding RNA interaction network. Unassigned: A total of 18 differentially expressed miRNAs (DEMIRs) and 128 differentially expressed lncRNAs (DELs) were identified through transcript...
Ferulic acid mediates Mongolian horse skeletal muscle fiber remodeling through PDK1.
Genomics    July 17, 2025   Volume 117, Issue 5 111086 doi: 10.1016/j.ygeno.2025.111086
Gong W, Ding W, Bou T, Shi L, Lin Y, Shi X, Wu H, Li Z, Dugarjaviin M, Bai D.Ferulic acid (FA), a natural antioxidant and major active component in Angelica sinensis, has beneficial effects on skeletal muscle health; however, its role in modulating muscle fiber type composition Mongolian horse remains unclear. In this study, we found that FA promotes the proliferation of Mongolian horse skeletal muscle satellite cell (MuSCs), upregulates the expression of fast-twitch muscle marker genes (e.g., MYH2), and downregulates the expression of slow-twitch markers (e.g., MYH7). RNA-seq revealed that FA activates the HIF-1 signaling pathway, significantly increasing PDK1 express...
Colombian Criollo horses’ trot, trocha, and gallop are submaximal oxygen consumption gaits with unique locomotory-respiratory coupling.
American journal of veterinary research    July 14, 2025   1-7 doi: 10.2460/ajvr.25.04.0151
Massie S, Vega LCC, Zuluaga-Cabrera AM, Bayly WM, Léguillette R.Colombian Criollo horses are bred for their smooth gaits that emphasize full collection and rapid footfall. The physiological demands of these gaits remain unknown. Our objective was to determine if oxygen consumption, ventilation, locomotor-respiratory coupling, and running economy differed between the trot or trocha and the gallop. Unassigned: 7 competition horses completed a controlled design standardized field test between January 10 and 20, 2025. Horses wore a cardiotachometer and ergospirometer to measure heart rate, oxygen consumption, and ventilation at the trot or trocha and the gallo...
Objective diagnosis of alar fold collapse in active Standardbred trotting racehorses using nasopharyngeal airway pressure measurements.
Equine veterinary journal    July 8, 2025   doi: 10.1111/evj.14556
Strand E, Vermedal H, Olsen HMB, Fjordbakk CT, Fretheim-Kelly ZL.Clinical evaluation of alar fold (AF) collapse is presently based upon subjective evaluation of improvement in breathing and respiratory noise after suturing the AFs dorsally. Objective: To evaluate use of nasopharyngeal airway pressure (NAP) as an objective method of assessing for the presence of AF collapse during exercise. NAPs should also potentially provide a precise means to grade the degree of airway obstruction present and response to surgical treatment. Methods: Prospective clinical study of actively racing Standardbred horses. Methods: Standardbreds undergoing this test were outfitte...
Integrated Transcriptomic and Proteomic Analysis Reveals Differential Gene and Protein Expression and Signaling Pathways During a 20 Km Endurance Exercise and Recovery in Mongolian Horses.
Animals : an open access journal from MDPI    July 5, 2025   Volume 15, Issue 13 1981 doi: 10.3390/ani15131981
Zhang X, Liu Y, Ma W, Li L, Bai D, Dugarjaviin M.Mongolian horses are renowned for their remarkable endurance and ability to adapt to harsh environments. To delve deeper into the molecular mechanisms that underlie these traits, researchers conducted a comprehensive analysis of transcriptomic and proteomic changes in Mongolian horses at three distinct time points: before, immediately after, and 24 h following a 20 km run. The transcriptomic analysis uncovered significant variations in gene expression patterns across these time points. Specifically, 291 differentially expressed genes (DEGs) were identified when comparing pre-exercise to post-e...
Heart Rate and Heart Rate Variability Are Affected by Age and Activity Level in Athletic Horses.
Veterinary sciences    June 28, 2025   Volume 12, Issue 7 624 doi: 10.3390/vetsci12070624
Wonghanchao T, Sanigavatee K, Petchdee S, Chettaratanont K, Thongyen T, Wanichayanon B, Poochipakorn C, Chanda M.The physiological capabilities of horses begin to decline after they reach 15 years of age. However, some exceptionally talented horses can continue their sports careers beyond this age, raising concerns about their welfare. This study investigated animal welfare by observing resting heart rate (HR) and heart rate variability (HRV) metrics in geriatric horses participating in similar training or physical activities compared to younger adult horses over 30 min periods. Forty-six horses of varying ages and activity levels were divided into four groups, including horses under 15 years practising ...
Concentration Changes in Plasma Amino Acids and Their Metabolites in Eventing Horses During Cross-Country Competitions.
Animals : an open access journal from MDPI    June 22, 2025   Volume 15, Issue 13 1840 doi: 10.3390/ani15131840
Reemtsma FP, Giers J, Horstmann S, Stoeckle SD, Gehlen H.Plasma amino acid (PAA) concentration in horses vary according to the exercise type. This study evaluated the changes in PAA levels and the associated metabolites, urea and ammonia, following short-duration, high-intensity cross-country exercise in eventing horses. Twenty eventing horses participated in 55 rides at 14 international competitions (2* to 4* levels) across five venues in Germany and Poland. Blood samples were collected at four timepoints: before exercise (TP0), at 10 min (TP1), and at 30 min (TP2) post-exercise, as well as in the morning on the day after the competition (TP3). A t...
Physiological response to weight carrying and associations with conformation traits in Icelandic horses used for tour riding.
Acta veterinaria Scandinavica    June 19, 2025   Volume 67, Issue 1 35 doi: 10.1186/s13028-025-00818-5
Söderroos D, Stefánsdóttir GJ, Ragnarsson S, Gunnarsson V, Jansson A.Weight carrying capacity is an important trait in riding horses and it may be associated with conformation. This study examined the physiological response to a ridden incremental weight carrying test in 16 adult Icelandic horses used for tour riding. Horses carried 20% (BWR20%), 25% (BWR25%), 30% (BWR30%) and 35% (BWR35%) of their body weight (BW) in tölt (~ 5.7 m/seconds, 640 m/step), and associations with body measurements and back conformation (score) were examined. Horses were divided into two groups (narrow or broad back) and body measurements were collected. Plasma lactate was analy...
Biological markers and metabolic energy indexes of show jumping horses during a field exercise test in Portugal.
Journal of equine veterinary science    June 18, 2025   Volume 151 105634 doi: 10.1016/j.jevs.2025.105634
Simões J, Santos AM, Santos C, Silva AS, Vintém C, Fonseca J, Coelho C.Show jumping is a popular and complex equestrian modality practiced by a athletes of different levels. However, most studies focus on elite athletes. Objective: The aim of this work was to assess the effect of a show jumping test (SJT), designed for novice athletes, on the physiological biomarkers and energy indexes of a group of horses, bred and trained in Portugal. Methods: In this prospective cross-sectional study, thirteen horses and their riders performed a SJT with obstacles set at 80 cm height using a heart rate monitor (M430 with H10 sensor). Physical examination and blood samples, for...
Modelling Energy Demands of Cross-Country Tests in 2-Star to 5-Star Eventing Competitions.
Animals : an open access journal from MDPI    June 17, 2025   Volume 15, Issue 12 1775 doi: 10.3390/ani15121775
Liedtke AM, Meijer H, Horstmann S, von Reitzenstein C, Rump I, Kirsch K.Eventing is an Olympic equestrian discipline comprising dressage, cross-country, and show jumping, with the cross-country phase imposing the greatest physical demands on horses. This study presents a composite model to estimate energy expenditure during the cross-country phase, integrating physiological data (heart rate-derived VO2 and lactate-based anaerobic estimates) with external workload indicators (GPS-derived speed, elevation, and course complexity). Model development was based on 691 rides from 256 horses across 232 events at 2-star to 5-star competition levels. The analysis showed tha...
Iron Status in Sport Horses: Is It Important for Equine Athletes?
International journal of molecular sciences    June 12, 2025   Volume 26, Issue 12 5653 doi: 10.3390/ijms26125653
Kiełbik P, Witkowska-Piłaszewicz O.Iron is unquestionably an essential element of physical performance for horses, just as it is for many other animals, including humans. Although post-exercise equine iron deficiency is not a common problem, recent studies showed that equine athletes may be considered a model for human exercise physiology. Sports anemia among human athletes is a common nutritional issue and remains one reason for poor physical fitness. Thus, this study area needs comprehensive knowledge since iron homeostasis changes in equine athletes remain unrecognized. The current review aims to summarize studies describing...
A 6-Week Training Protocol Reduces Energy Consumption in Young Lusitano Horses Used in Dressage.
Journal of animal physiology and animal nutrition    June 11, 2025   doi: 10.1111/jpn.14134
Coelho C, Vintem C, Silva AS, Santos C, Santos AM, Leite A, Souza V, Siqueira R, Filho HCM, Simões J.The present work aimed to evaluate the influence of a training programme on energy expenditure (EE), cost of transport (COT, cardiac beats to move the body mass during exercise) and metabolic power (Pmet) in young Purebred Lusitano horses used in dressage. With this purpose, nine male horses, ~4 years old, were evaluated before (M1) and after 6 weeks (M2) of a training programme that included 40-80 min of preparatory dressage exercises, 6×/week, individually adjusted. In M1 and M2, the animals were examined in a dressage field test (DFT), when heart rate (HR) and respiratory rate (RR), body...
A single session of whole-body vibration did not affect cardiovascular autonomic recovery after a high intensity exercise in horses.
Journal of equine veterinary science    June 9, 2025   Volume 151 105631 doi: 10.1016/j.jevs.2025.105631
Sales NAA, Carvalho JRG, Littiere TO, Costa GB, Silva ACY, Rodriguez IDM, Castro CM, Anjos LS, Ottati ACM, Alcaide JA, Ramos GV, Ferraudo AS....Whole-body vibration (WBV) has the potential to enhance post-exercise recovery in humans. Heart rate variability (HRV), a well-established biomarker of cardiac autonomic regulation (CAR), provides insight into autonomic reactivity during recovery from exercise. Objective: To investigate CAR in healthy horses during post-exercise recovery following an acute intensive exercise bout (AIEB) with WBV intervention. Methods: A single AIEB was prescribed at velocities corresponding to lactate threshold (VLT), and the eight horses performed on treadmill with 5 % slope, 2 min at 110 % VLT followed by 3 ...
Multiomic analysis of different horse breeds reveals that gut microbial butyrate enhances racehorse athletic performance.
NPJ biofilms and microbiomes    May 24, 2025   Volume 11, Issue 1 87 doi: 10.1038/s41522-025-00730-w
Li C, Li X, Liu K, Xu J, Yu J, Liu Z, Mach N, Ni W, Liu C, Zhou P, Wang L, Hu S.Gut microbes play a vital role in host physiology, but whether specific bacterial functions contribute to the exceptional athletic performance of racehorses needs to be better understood. Here, we identify an association of gut butyrate-producing bacteria with athletic performance in racehorses (Thoroughbred horse). Butyrate-producing bacteria and microbial butyrate synthesis genes were significantly enriched in the racehorse gut, and the GC-MS results confirmed this conclusion. Using a mouse model, we demonstrated that sodium butyrate is sufficient to increase treadmill run time performance. ...
Circulating ACTH and Cortisol Investigations in Standardbred Racehorses Under Training and Racing Sessions.
Veterinary sciences    May 19, 2025   Volume 12, Issue 5 doi: 10.3390/vetsci12050493
Cravana C, Medica P, Fazio E, Satué K, Brancato G, La Fauci D, Bruschetta G.The hypothalamic-pituitary-adrenal (HPA) axis is a neuroendocrine system involved in the coping response to stressful challenges during exercise stimuli. Exercise represents a significant disruptor of homeostasis, inducing an ACTH-cortisol co-secretion, based on different characteristics of exercise in sport horses. Based on this statement, the aim of this study is to evaluate the circulating adrenocorticotropin and cortisol changes in Standardbred trotters, after training and racing sessions, considering the different age and sex. In particular, the aim is to determine to what extent the leve...
Ventriculophasic response in a horse with atrioventricular block.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    May 17, 2025   Volume 60 46-49 doi: 10.1016/j.jvc.2025.05.005
Liu J, Baumwart R, Kwon S.Ventriculophasic response (VR) in atrioventricular nodal (AVN) block is characterized by a shortening of the sinoatrial cycle length when a QRS complex is interposed between two P waves. This has been well documented in humans and dogs with AVN blocks but not in horses. Herein, we describe a horse with second-degree AVN blocks and constant PR intervals that exhibited 5:3 conduction and suspected VR at rest but less consistently after submaximal exercise. Proposed VR mechanisms include (1) inhibition of the Bezold-Jarisch reflex from reduced end-systolic volume during ventricular contraction; (...
The Effect of Ambient Temperature, Relative Humidity, and Temperature-Humidity Index on Stress Hormone and Inflammatory Response in Exercising Adult Standardbred Horses.
Animals : an open access journal from MDPI    May 15, 2025   Volume 15, Issue 10 1436 doi: 10.3390/ani15101436
In the present study, the changes in the markers of stress and inflammatory responses of 12 Standardbred horses were investigated before and after exercise during late spring and summer. The environmental temperature, relative humidity, and temperature-humidity index (THI) were assessed during this study. From horses, blood sampling, measurement of heart and respiratory rate (HR and RR), and measurement of rectal temperature (RT) were performed before exercise (Pre) and within 5 min following the end of the exercise (Post). THI values showed mild stress in June and high stress in July. Direct ...
Performance horses as a model for exercise-associated cardiac arrhythmias and sudden cardiac death.
Journal of molecular and cellular cardiology plus    May 9, 2025   Volume 12 100452 doi: 10.1016/j.jmccpl.2025.100452
Avison A, Physick-Sheard PW, Pyle WG.This paper reviews the myocardial substrate of horses relative to that of humans and discusses the utility of performance horses as a model of exercise-associated cardiac arrhythmias and sudden cardiac death in athletes. The coronary circulation is similar between the species while coronary artery anomalies and myocardial bridging appear to only be associated with athletic mortality in human athletes and not in performance horses. There are subtle differences in the histology of the sinus and atrioventricular nodes, of unknown clinical significance, while the His bundle is more highly innervat...