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Topic:Heart Rate

Heart rate in horses is a physiological parameter that reflects the number of heartbeats per minute. It is an important indicator of cardiovascular function and can be influenced by factors such as exercise, stress, excitement, and health status. Monitoring heart rate provides valuable insights into the horse's physical condition and can aid in assessing fitness levels or detecting potential health issues. In equine practice, heart rate is often measured using stethoscopes, heart rate monitors, or electrocardiograms. This page compiles peer-reviewed research studies and scholarly articles that explore the determinants, measurement techniques, and implications of heart rate variations in equine health and performance.
Behavioural and Physiological Changes in a Herd of Arabian Mares after the Separation of Individuals Differently Ranked within the Dominance Hierarchy.
Animals : an open access journal from MDPI    September 14, 2021   Volume 11, Issue 9 2694 doi: 10.3390/ani11092694
Stachurska A, Wiśniewska A, Kędzierski W, Różańska-Boczula M, Janczarek I.Horses in a herd develop and maintain a dominance hierarchy between all individuals. There are many situations in riding facilities and studs in which horses have to be separated out of a group. The aim of the study was to determine the rate of behaviours, level of locomotor activity and cardiac activity variables in a herd of horses during a short social separation of individuals differently ranked in the dominance hierarchy. Twelve adult Arabian mares were involved. A behavioural test had been performed before the main experiment to determine the rank order of the mares in this social herd. ...
A Preliminary Investigation into Ridden Water Submersion Training as an Adjunct to Current Condition Training Protocols in Performance Horses.
Animals : an open access journal from MDPI    September 7, 2021   Volume 11, Issue 9 2629 doi: 10.3390/ani11092629
O' Brien C, Pegg J.This observational study aimed to elucidate the effects of RWST on the cardiovascular and musculoskeletal systems of horses and concurrently determine whether RWST limits distal limb temperature increases previously reported during gallop training on land. A group of 15 clinically sound international event horses were recruited, and heart rate (HR), speed (km/h) and thermal images of the distal limb were analysed at set intervals during RWST training. Intervals of RWST produced a total mean HR value of 65.18 ± 3.76%, which is within the parameters for increased aerobic stamina. Mean HR increa...
Equine spinal kinematics derived from different riding positions during asymmetrical bareback riding.
Journal of equine science    September 6, 2021   Volume 32, Issue 3 81-89 doi: 10.1294/jes.32.81
Nuchprayoon N, Ritruechai P, Watchararat K, Limroongruengrat W, Wongtawan T, Arya N.Hippotherapy in patients with neuromuscular dysfunction creates high focal pressure on the pony's back due to bareback riding and an asymmetrical riding position. This study aimed to investigate the acute effect of asymmetrical bareback riding on the pony's spinal kinematics, blood lactate, serum creatine kinase, heart rate, and temperament score. Eight ponies were selected, and they were walked on a treadmill for 45 min on each experimental day, including warm-up (5 min), weight-loading by mannequin (30 min), and cool-down (10 min) sessions. During the weight-loading session, three different ...
Continuous Monitoring of the Thermoregulatory Response in Endurance Horses and Trotter Horses During Field Exercise: Baselining for Future Hot Weather Studies.
Frontiers in physiology    August 26, 2021   Volume 12 708737 doi: 10.3389/fphys.2021.708737
Verdegaal EJMM, Howarth GS, McWhorter TJ, Boshuizen B, Franklin SH, Vidal Moreno de Vega C, Jonas SE, Folwell LE, Delesalle CJG.Establishing proper policies regarding the recognition and prevention of equine heat stress becomes increasingly important, especially in the face of global warming. To assist this, a detailed view of the variability of equine thermoregulation during field exercise and recovery is essential. 13 endurance horses and 12 trotter horses were equipped with continuous monitoring devices [gastrointestinal (GI) pill, heartrate (HR) monitor, and global positioning system] and monitored under cool weather conditions during four endurance rides over a total of 80 km (40 km loops) and intense trotter trac...
Short-term transport stress and supplementation alter immune function in aged horses.
PloS one    August 19, 2021   Volume 16, Issue 8 e0254139 doi: 10.1371/journal.pone.0254139
Miller AB, Harris PA, Barker VD, Adams AA.Long-distance transport is associated with stress-related changes in equine immune function, and shipping-associated illnesses are often reported. Horses are frequently transported short distances, yet the effects of short-term transport on immune function remain largely unknown. Twelve horses, aged 15-30 yr, were assigned to either the control (n = 6) or treatment (n = 6) groups; treatment horses received a daily antioxidant supplement 3 weeks before and after transport. All horses were transported for approximately 1.5-2 hr on Day 0. Blood was collected via jugular venipuncture at 15-min pre...
Neuromuscular blockade with atracurium for ophthalmic surgery in horses-Effects on surgical and anesthetic characteristics and recovery quality.
Veterinary ophthalmology    August 17, 2021   Volume 24, Issue 5 442-446 doi: 10.1111/vop.12922
Scherrer NM, Hopster K.To study the surgical, anesthetic and recovery qualities of horses receiving either a neuromuscular blocking agent (atracurium) or intravenous lidocaine (treatment groups A and L, respectively). Methods: A total of thirty horses presented for ocular surgery were used in this study. Methods: Horses were randomly assigned to receive either atracurium (group A) or a lidocaine constant rate infusion (group L). Surgical quality was graded on a scale from 1 (excellent)-5 (poor). While anesthetized, the heart rate, oxygen saturation and mean arterial blood pressure, and end-expiratory carbon dioxide ...
Evaluation of Cardiac Arrhythmias before, during, and after Treadmill Exercise Testing in Poorly Performing Standardbred Racehorses.
Animals : an open access journal from MDPI    August 16, 2021   Volume 11, Issue 8 2413 doi: 10.3390/ani11082413
The incidence of significant arrhythmias in sport horses and knowledge about their exact influence on athletic performance need to be clarified. The aims of the present study are to report the prevalence of cardiac arrhythmias during maximal treadmill exercise in poorly performing Standardbreds, and to investigate the possible relationship of demographic, cardiac and performance indices on premature complexes (PCs). Electrocardiographic Holter recordings before, during and after treadmill exercise testing of 158 poorly performing Standardbreds were analyzed retrospectively. Fifty horses did no...
Effect of a long-term high-energy diet on cardiovascular parameters in Shetland pony mares.
Journal of veterinary internal medicine    August 5, 2021   Volume 35, Issue 5 2427-2436 doi: 10.1111/jvim.16229
D' Fonseca NMM, Beukers M, Wijnberg ID, Navas de Solis C, de Ruijter-Villani M, van Doorn DA, Stout TAE, Roelfsema E.Changes in cardiovascular parameters, including blood pressure (BP) and cardiac anatomical dimensions, are an inconsistent feature of the equine metabolic syndrome. The order in which these changes arise is unknown. Objective: Determine the order in which EMS-associated changes in cardiovascular parameters arise. Methods: Twenty Shetland pony mares. Methods: High-energy (HE) diet mares were fed 200% of net energy requirements for 1 (n = 3) or 2 (n = 7) consecutive diet-years, with 17 weeks of hay-only between years. Noninvasive BP measurements and echocardiograms were performed during bo...
Agreement of Bioreactance Cardiac Output Monitoring With Thermodilution in Healthy Standing Horses.
Frontiers in veterinary science    August 3, 2021   Volume 8 701339 doi: 10.3389/fvets.2021.701339
Hopster K, Hurcombe SDA.Bioreactance is the continuous analysis of transthoracic voltage variation in response to an applied high frequency transthoracic current and was recently introduced for non-invasive cardiac output measurement (NICOM). We evaluated NICOM compared to thermodilution (TD) in adult horses. Six healthy horses were used for this prospective, blinded, experimental study. Cardiac output (CO) measurements were performed simultaneously using TD and the bioreactance method. Different cardiac output scenarios were established using xylazine (0.5 mg/kg IV) and dobutamine (1.5-3 mcg/kg/min). Statistical ana...
Evaluation of a new portable 1-lead digital cardiac monitor (eKuore) compared with standard base-apex electrocardiography in healthy horses.
PloS one    August 3, 2021   Volume 16, Issue 8 e0255247 doi: 10.1371/journal.pone.0255247
Vitale V, Vezzosi T, Tognetti R, Fraschetti C, Sgorbini M.Recently, the use of smartphone ECG devices has been reported in humans and animals. Nevertheless, as the electrodes of these devices are inseparable, they can create only a precordial reading in veterinary species. Thus, although the smartphone ECG devices are considered valuable as a screening tool for the detection of some common arrhythmias, they are not always a reliable method for the measurement of the duration of the electrical deflections. The objectives of this study were to evaluate the feasibility of a novel smartphone ECG device, to report the readings obtained recorded simultaneo...
A randomised, controlled trial to determine the effect of levothyroxine on Standardbred racehorses.
Equine veterinary journal    July 28, 2021   Volume 54, Issue 3 584-591 doi: 10.1111/evj.13480
Kritchevsky J, Olave C, Tinkler S, Tropf M, Ivester K, Forsythe L, Couetil L.The use of thyroid supplement is pervasive in athletic horses although its effects on measures of performance are not known. Objective: One purpose of this study was to determine whether supra-physiologic doses of levothyroxine affect the velocities at which blood lactate was greater than 4 mmol/L (VLa4 ) and heart rate was over 150 (V150 ) and 200 (V200 ) beats per minute respectively. Additionally, a survey of post-race blood samples was also conducted to determine whether high thyroxine concentrations were common in racehorses. Methods: A randomised, crossover, trial was performed in six h...
Effects of feed deprivation on physical and blood parameters of horses.
Brazilian journal of veterinary medicine    July 22, 2021   Volume 43 e000321 doi: 10.29374/2527-2179.bjvm000321
Filippo PAD, Duarte BR, Albernaz AP, Quirino CR.The objective of this study was to evaluate the effect of feed restriction on some physical and blood parameters in horses kept outdoors under natural conditions. Twenty horses were deprived of food for 48 h. They were closely monitored and examined, and blood samples were taken at the beginning (0) of the experiment and 6, 12, 18, 24, 30, 36, 42 and 48 hours afterward. During the experimental period, the control group (12 animals) had free access to water and hay, while the restricted group had free access to water only. Data were submitted to two-way analysis of variance with repeated measur...
Accuracy of a heart rate monitor for calculating heart rate variability parameters in exercising horses.
Journal of equine veterinary science    July 20, 2021   Volume 104 103716 doi: 10.1016/j.jevs.2021.103716
Frippiat T, van Beckhoven C, Moyse E, Art T.Heart rate is evaluated in exercising horses to monitor the level of fitness to exercise, and it is usually acquired using heart rate monitors (HRM) or telemetric electrocardiograms (ECG). While HRM are commonly available and easy-to-use for horse's owners, ECG is a more expensive equipment requiring user's experience. Interest for heart rate variability (HRV) in horses is increasing for both research and clinical purposes. HRV is usually calculated from interbeat intervals (IBI) obtained by ECG. The aim of this study was to determine the accuracy of an HRM to detect IBI for the calculation of...
Influence of Stretching Exercises, Warm-Up, or Cool-Down on the Physical Performance of Mangalarga Marchador Horses.
Journal of equine veterinary science    July 16, 2021   Volume 106 103714 doi: 10.1016/j.jevs.2021.103714
Farinelli F, de Rezende ASC, Fonseca MG, Lana ÂMQ, Leme FOP, Klein BON, Silva RHP, de Abreu AP, Damazio MJ, Melo MM.The Horse Agribusiness Complex is an important activity in the Brazilian agricultural sector. Mangalarga Marchador (MM) is the most numerous breed of horses in Brazil and its temperament and gait characteristics (4-beat stepping gait) allow for the constant growth of the breed and the performance of vs. equestrian activities. The training management currently adopted with MM horses is based on empiricism, and scientific support is necessary to improve the well-being of horses in competitions and maintain the physical integrity of these athletes. Therefore, this study aimed to verify the effect...
Performance of the Parasympathetic Tone Activity (PTA) index to predict changes in mean arterial pressure in anaesthetized horses with different health conditions.
Research in veterinary science    July 3, 2021   Volume 139 43-50 doi: 10.1016/j.rvsc.2021.07.005
Mansour C, Mocci R, Santangelo B, Sredensek J, Chaaya R, Allaouchiche B, Bonnet-Garin JM, Boselli E, Junot S.The parasympathetic tone activity (PTA) index is based on heart rate variability and has been developed recently in animals to assess their relative parasympathetic tone. This study aimed to evaluate PTA index in anaesthetized horses with different health conditions and the performance of PTA variations (∆PTA) to predict changes in mean arterial pressure (MAP). Thirty-nine client-horses were anaesthetized for elective or colic surgery and divided into "Elective" and "Colic" groups. During anaesthesia, dobutamine was administered as treatment of hypotension (MAP <60 mmHg). In both groups, no...
Evaluation of Medetomidine-Ketamine for Immobilization of Feral Horses in Romania.
Frontiers in veterinary science    June 21, 2021   Volume 8 655217 doi: 10.3389/fvets.2021.655217
Roşu O, Melega I, Evans AL, Arnemo JM, Küker S.Feral horses are immobilized for a variety of reasons including population control via contraceptives. Although opioid combinations have been successfully used for immobilization of feral horses, there is a need for combinations using drugs that are more readily available and present less of a human health hazard. We evaluated the chemical immobilization with physiological measurements and blood gas analyses of 91 free-ranging feral horses () remotely immobilized with a combination of 30 mg medetomidine and 775 mg ketamine in a single disposable 6 ml dart. During immobilization, heart rate, re...
The effect of xylazine on intracranial pressure in anesthetized and standing horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 18, 2021   Volume 31, Issue 4 476-482 doi: 10.1111/vec.13083
Reed RA, Epstein KL, Bramski JH, Diehl KA, Ryan CA.To determine the effect of xylazine on intracranial pressure (ICP) in standing compared to isoflurane-anesthetized horses. Methods: Prospective, crossover study design. Methods: University Teaching Hospital. Methods: Six adult horses donated to the University. Horses were determined to be healthy via physical examination, complete blood count, and neurological evaluation. Methods: Horses were anesthetized, maintained on isoflurane in oxygen in left lateral recumbency, and ventilated to normocapnia. Horses were instrumented for intraparenchymal measurement of ICP, invasive blood pressure, pulse...
Increased body fat content in horses alters metabolic and physiological exercise response, decreases performance, and increases locomotion asymmetry.
Physiological reports    June 11, 2021   Volume 9, Issue 11 e14824 doi: 10.14814/phy2.14824
Jansson A, Gunnarsson VÞ, Ringmark S, Ragnarsson S, Söderroos D, Ásgeirsson E, Jóhannsdóttir TR, Liedberg C, Stefánsdóttir GJ.This study examined the effect of altered body weight (BW) and body fat content on exercise performance and recovery. Nine horses were divided into two groups, and changes in BW and fat content were induced by feeding a high (HA) or restricted (RA) energy allowance for 36 days in a cross-over design. In the last week of each treatment, BW and body condition score (BCS) were recorded, body fat percentage was estimated using ultrasound, and a standardized incremental treadmill exercise test (SET) and competition-like field test were performed (scored by judges blinded to treatments). Blood samp...
Blood lactate concentrations and heart rates of Colombian Paso horses during a field exercise test.
Veterinary and animal science    June 8, 2021   Volume 13 100185 doi: 10.1016/j.vas.2021.100185
Cabrera AMZ, Soto MJC, Aranzales JRM, Valencia NMC, Gutiérrez MPA.Information on performance indices in Paso horses is scarce. Field exercise tests are necessary to recreate the exertion that occurs during training and competition. To describe blood lactate concentrations and heart rates of untrained Colombian Paso horses (CPHs) in response to a field exercise test. A 30-minutes-long standardized field exercise test was carried out on 11 untrained adult CPHs of both sexes. Blood lactate concentration (BLConc) and heart rate (HR) were measured before, during each step of the test, and at recovery. The BLConc and HR were used to calculate the HR at which a BLC...
Behavioral and cardiac responses in mature horses exposed to a novel object.
Journal of animal science and technology    May 31, 2021   Volume 63, Issue 3 651-661 doi: 10.5187/jast.2021.e51
Lee KE, Kim JG, Lee H, Kim BS.This study aimed to investigate whether breed, sex, and age affected temperament differently (more or less neophobic) in mature horses during a novel object test. The study included Jeju crossbred (n = 12, age = 9.42 ± 4.57 y), Thoroughbred (n = 15, age = 10.73 ± 3.09 y), and Warmblood horses (n = 12, age = 13.08 ± 3.55 y) with the females (n = 22, age = 11.36 ± 4.24 y) and geldings (n = 17, age = 10.65 ± 3.66 y). Jeju crossbreds (Jeju horse × Thoroughbred) are valuable considering their popular usage in Korea, but limited studies have explored temperament of Jeju crossbred horses. A tra...
Equine-Assisted Interventions (EAIs) for Children with Autism Spectrum Disorders (ASD): Behavioural and Physiological Indices of Stress in Domestic Horses (Equus caballus) during Riding Sessions.
Animals : an open access journal from MDPI    May 27, 2021   Volume 11, Issue 6 1562 doi: 10.3390/ani11061562
Contalbrigo L, Borgi M, De Santis M, Collacchi B, Tuozzi A, Toson M, Redaelli V, Odore R, Vercelli C, Stefani A, Luzi F, Valle E, Cirulli F.Equine-assisted interventions (EAIs) are well-known complementary practices combining physical activity with emotional/cognitive stimulation. They are especially suited for children with autism spectrum disorders (ASD) who need a high degree of physical and psychological enrichment. Even though EAIs have become a common practice, stress responses in horses interacting with individuals that can manifest inappropriate behaviours, such as ASD children, have not been thoroughly investigated. Our multicentre study aimed to investigate behavioural and physiological indices of stress in horses involv...
Changes in saliva biomarkers during a standardized increasing intensity field exercise test in endurance horses.
Animal : an international journal of animal bioscience    May 22, 2021   Volume 15, Issue 6 100236 doi: 10.1016/j.animal.2021.100236
Contreras-Aguilar MD, Cerón JJ, Muñoz A, Ayala I.Salivary biomarkers could be useful to evaluate stress, fitness level, and skeletal muscle damage associated to exercise in horses in an easy and non-painful way. Therefore, this study aims to evaluate if cortisol in saliva (sCor), salivary alpha-amylase (sAMY) and butyrylcholinesterase (sBChE) and lactate (sLA) and creatine kinase (sCK) in saliva of horses can show changes during a standardized exercise test, and if they are related to heart rate variability (HRV) parameters related to sympathetic and parasympathetic tone, fitness level or skeletal muscle damage. For this purpose, ten enduran...
Effect of topical cyclopentolate alone or combined with phenylephrine in healthy horses.
Veterinary ophthalmology    May 12, 2021   Volume 24, Issue 6 582-590 doi: 10.1111/vop.12896
Bessonnat A, Vanore M.Evaluate the effect of repeated doses of topical 1% cyclopentolate hydrochloride alone and in combination with topical 2.5% phenylephrine on pupil diameter (PD), tear production (STT-1), intraocular pressure (IOP), digestive function (gut motility and feces production), and heart rate (HR). Methods: Six healthy mares. Methods: In a prospective, randomized, controlled, and crossover design study, the left eye of six healthy mares was administered 0.2 mL of cyclopentolate alone and in combination with 0.2 mL of phenylephrine. The drugs were administered 3 times a day for 1 day, twice a day fo...
Quantifying the Impact of Mounted Load Carrying on Equids: A Review.
Animals : an open access journal from MDPI    May 7, 2021   Volume 11, Issue 5 1333 doi: 10.3390/ani11051333
Bukhari SSUH, McElligott AG, Parkes RSV.There are approximately 112 million working equids in developing countries, many of which are associated with brick kilns. Brick kilns and overloading are associated with welfare problems in working equids. Understanding equids' abilities and influencing factors are important for both effective performance and welfare. Traditionally, measurement of the amount of 'bone' was used, and more recently, gait symmetry has been identified as a potential marker for loading capacity. Assessment of stride parameters and gait kinematics provides insights into adaptations to loading and may help determine ...
Air Speed to Increase Rate of Cool Out for Horses After Intense Exercise.
Journal of equine veterinary science    April 28, 2021   Volume 102 103641 doi: 10.1016/j.jevs.2021.103641
McGill S, Coleman B, Hayes M.Cooling out horses is a common practice after intense exercise. Typical cooling procedures include both walking and drenching (often with scraping). The cool out is performed to ensure the horses physiologic responses returned to a baseline range as quickly as possible. The use of water in cool out provides the greatest potential for removing heat from the animals. However, adding air velocities that can increase evaporation rates from the horses can potentially increase the rate of cool out; thereby reducing the time until the horses' physiologic measurements return to baseline. This study me...
Social buffering in horses is influenced by context but not by the familiarity and habituation of a companion.
Scientific reports    April 23, 2021   Volume 11, Issue 1 8862 doi: 10.1038/s41598-021-88319-z
Ricci-Bonot C, Romero T, Nicol C, Mills D.Social buffering occurs when the presence of one animal attenuates another's stress response during a stressful event and/or helps the subject to recover more quickly after a stressful event. Inconsistent previous results might reflect previously unrecognised contextual influences, such as the nature of the stimulus presented or social factors. We addressed these issues in a two-part study of horses paired with familiar (16 subjects) or unfamiliar (16 subjects) companions. Each subject performed 4 tests in a counterbalanced order: novel object test (static ball)-alone or with companion; and um...
Rider Energy Expenditure During High Intensity Horse Activity.
Journal of equine veterinary science    April 8, 2021   Volume 102 103463 doi: 10.1016/j.jevs.2021.103463
O'Reilly C, Zoller J, Sigler D, Vogelsang M, Sawyer J, Fluckey J.Despite the fact that horseback riding is a popular sport, there is little information available on horseback riding as a physical activity. The objective of this experiment was to quantify energy expenditure of participants (n=20) during three riding tests: a 45min walk-trot-canter ride (WTC), a reining pattern ride and a cutting simulation ride while wearing a telemetric gas analyzer. Total energy expenditure (tEE), mean and peak metabolic equivalents of task (MET), heart rate (HR), respiratory frequency (RF), relative oxygen consumption (relVO2), and respiratory exchange ratio (RER) were as...
Analgesic and Cardiopulmonary Effects of Epidural Romifidine and Morphine Combination in Horses.
Journal of equine veterinary science    April 5, 2021   Volume 102 103459 doi: 10.1016/j.jevs.2021.103459
Natalini CC, Paes SD, Polydoro ADS.The study aim is to compare the effects of epidural administration of two different doses of romifidine combined with morphine in horses. A prospective crossover blinded experimental design was used. Five adult healthy horses two males and three females with a mean body weight of 380 ± 45 Kg (335-425 kg), were studied. Treatments consisted of romifidine 30 μg/kg (R30) or 60 μg/kg (R60) combined with morphine 0.1 mg/kg with a washout interval of 72 hours, administered through an epidural catheter placed at the first intercoccygeal space. Heart rate (HR) and respiratory rate (f), pH, blood ga...
Horse Preferences for Insolation, Shade or Mist Curtain in the Paddock under Heat Conditions: Cardiac and Behavioural Response Analysis.
Animals : an open access journal from MDPI    March 25, 2021   Volume 11, Issue 4 933 doi: 10.3390/ani11040933
Janczarek I, Stachurska A, Wilk I, Wiśniewska A, Różańska-Boczula M, Kaczmarek B, Łuszczyński J, Kędzierski W.The horse's welfare and, consequently, the emotional arousal may be connected with stressful environmental conditions. This study aimed to determine whether horses show behavioural or physiological symptoms of thermal discomfort and if their behaviour and cardiac parameters are related to freely chosen insolated (IS), shaded (SH), or water sprayed (with a mist curtain (MC)) areas in a paddock under heat conditions (29-32 °C, 42.0 ± 1.5% humidity). Twelve adult horses freely moving in the paddock were studied during a 45 min solitary turnout. Six cardiac variables, locomotor, and non-locomoto...
Quantification of left atrial contractile function using two-dimensional speckle tracking echocardiography in horses after conversion of atrial fibrillation to sinus rhythm.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    March 24, 2021   Volume 35 108-120 doi: 10.1016/j.jvc.2021.03.004
Eberhardt C, Schwarzwald CC.In horses, persistent atrial dysfunction is a prognostic indicator of recurrence of atrial fibrillation (AF). The objective of this study was to quantify left atrial (LA) contractile function in Warmblood horses after successful cardioversion of AF to sinus rhythm, using standard two-dimensional echocardiography (2DE) and two-dimensional speckle tracking (2DST) analyses, and to provide proof-of-concept for use of 2DST to detect LA contractile dysfunction in horses. Methods: Nineteen Warmblood horses with AF and successful transvenous electrical cardioversion (TVEC) or medical cardioversion usi...
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