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Topic:Heart
The equine cardiovascular system, particularly the heart, is fundamental to maintaining the health and performance of horses. The heart is responsible for pumping oxygenated blood throughout the body, supporting vital functions and physical activity. In horses, the heart's structure and function are adapted to meet the demands of both rest and exertion, with notable features such as a large cardiac output and efficient blood circulation. Conditions affecting the equine heart, such as arrhythmias, valvular diseases, and myocardial disorders, can significantly impact a horse's well-being and athletic capability. This page aggregates peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and pathophysiology of the equine heart, as well as diagnostic and therapeutic approaches to managing cardiac health in horses.
Ostium-specific equine pulmonary vein myocardial sleeve gross anatomy and structural evidence of interatrial myocardial continuity with potential implications for ablation strategies. Pulmonary vein (PV) myocardial sleeves (MSs) harbour an arrhythmogenic substrate for atrial fibrillation. However, equine-specific data on MS distribution and wall thickness are limited yet essential for developing ablation strategies. In humans, posterior interatrial connections can compromise right-sided PV isolation. Objective: To study equine PV MS distribution, quantify ostial/branch diameters, antral lengths, characterise MS distal edge morphology, measure wall thickness and explore an interatrial myocardial continuity between the MSs of caudal branches draining through ostium III (PV II...
Cycle length variation assists in differentiation of atrial, ventricular, and sinus arrhythmias in horses at rest. Criteria for arrhythmia classification in horses are insufficient, particularly when differentiating atrial premature complexes (APCs) from sinus arrhythmia (SA). This study investigated RR and PP interval changes between SA, APCs, and ventricular premature complexes (VPCs). Unassigned: 30 resting ECGs were reviewed: 10 each containing SA, APC, and VPC. Sequences of 10 RR and PP intervals were recorded for each arrhythmia (20 events/ECG). Percent RR and PP deviations were calculated (1) between sequential intervals (%ΔSEQPP and %ΔSEQRR, respectively) and (2) compared to averaged baseline int...
Pulsed wave tissue Doppler imaging of the left ventricle in foals: Feasibility, inter- and intra-observer variability and wave pattern over the first days of life. Tissue Doppler imaging (TDI) may improve the assessment of myocardial function in neonatal foals. Objective: To document the feasibility of left ventricular pulsed wave (PW) TDI, inter- and intra-observer variability and wave pattern over the first 5 days of life. Methods: Prospective observational study. Methods: Transthoracic echocardiography was performed in 25 healthy Standardbred foals within the first 24 h after birth (T1), between 60-84 h (T2), and 108-132 h (T3) after birth using right parasternal short-axis (R-LV SAX) and subcostal long-axis views at the mitral annulus, both a...
Recognition of unfamiliar predators in domestic horses through only visual predator cues. Acoustic, olfactory, and visual predator cues trigger various adaptive responses among a variety of prey species even when they are under human protection since birth. Previous studies have found that domesticated animals show increased vigilance, stress, flight, and aggregation behaviors in response to predation threats. These investigations, however, did not directly test visual threatening cues alone in animals that communicate more with body language than vocalizations while considering individual temperament and social status. The current study aims to address this issue. Eighteen horses ...
Circadian rhythm of heart rate variability in tropical horses: age-associated autonomic alterations and environmental air pollution effects in an urban field setting. Heart rate variability (HRV) reflects autonomic nervous system activity and is influenced by age, environmental conditions, and circadian rhythms. Information regarding these interactions in horses maintained under tropical conditions remains limited. This study aimed to characterize 24-h heart rate (HR) and HRV patterns in horses raised under tropical conditions and to investigate the effects of aging and environmental factors, including air pollution, on autonomic regulation. Unassigned: Fifteen clinically healthy horses aged 4-20 years were allocated to three age groups: 4-7 years, 8-14 yea...
Auscultatory findings and left atrial function as indicators of mitral valve regurgitation severity in horses. Mitral valve regurgitation (MR) is frequently detected in horses, but its classification and prognostication remain challenging. This study investigated whether auscultatory findings and left atrial function are associated with MR severity. Methods: Fifty controls (no/trivial MR) and 101 MR horses (58 mild, 36 moderate, seven severe) were retrospectively evaluated. All were in sinus rhythm and underwent auscultation and echocardiography. Mitral regurgitation severity was graded using a scoring system. Systolic murmur characteristics (duration, type and grade) were recorded. Left atrial functio...
Validation of a smart textile electrocardiographic monitoring device in racehorses during high-speed exercise. Exercise-associated cardiac arrhythmias may contribute to poor performance and sudden cardiac death in horses. Widespread monitoring is limited by device availability and suitability for field use. Objective: To (1) compare electrocardiographic (ECG) quality from a smart textile system (Myant Skiin Equine) with a reference device (Televet II) during exercise, and (2) evaluate whether arrhythmia detection with Myant Skiin Equine is comparable to the Televet II. Methods: Prospective blinded clinical study. Methods: Fifty racehorses (25 Thoroughbreds, 25 Standardbreds) underwent up to three high-...
Feasibility and safety of repeated 23% hypertonic saline boluses for electrical impedance tomography contrast enhancement in anaesthetised horses. Hypertonic saline (HS) has been used to enhance electrical impedance tomography (EIT) cardiac-related signals associated with pulmonary perfusion in other species, but its suitability and physiological effects in horses are unknown. This exploratory study aimed to determine whether intravenous administration of 100 mL of 23% HS produces a detectable change in thoracic impedance in anaesthetised horses, and to evaluate the physiological effects of repeated bolus administration. Six adult horses were anaesthetised twice using total intravenous anaesthesia. Hypertonic saline 23% was administered ...
Pathology of sudden death in racehorses: a review. Sudden death (SD) is the second most important syndrome associated with death in racehorses. The cause of SD in a large number of horses remains undetermined, and, in many of these cases, causes are not found by gross or microscopic postmortem examinations. Among the known causes of SD are traumatic injuries, including fractures of skull, neck, and pelvis; intoxications (e.g., anticoagulant rodenticides); and others. For many cases of SD in which no significant lesions are found, heart failure, probably associated with arrhythmias, is suspected. Precise phenotypic characterization of SD in hor...
New Insights in Heart Rate Variability Through Non-Linear Methods for Conditioning Assessment in Horses. Chronic exercise induces significant adaptations across multiple physiological systems due to increased metabolic demand. Heart rate variability (HRV) has emerged as a prominent, non-invasive method for monitoring fitness, enabling inference of sympathovagal balance from time-series variations in electrocardiograms. Notably, nonlinear analyses have a strong capacity to detect and estimate complex mechanisms underlying cardiovascular modulation. In this context, HRV was evaluated in the time and frequency domains, as well as through nonlinear methods, in 12 young purebred Arabian horses undergo...
Cardiac Cost During Submaximal Exercise as a Practical Monitoring Tool in French Standardbred Trotters: Short-Term Reproducibility of Non-Invasive Field-Derived Indicators. Routine monitoring in racehorses requires indicators that are reproducible and practical under real training conditions. This observational study evaluated the short-term reproducibility of cardiovascular and speed indicators in French Standardbred trotters, with a particular focus on cardiac cost (CC), defined as the ratio of heart rate to speed (beats·m). The full dataset comprised 483 sessions from 60 trotters and was used to describe age-related patterns. For reproducibility analyses, consecutive monitored sessions within the same horse were grouped into follow-up blocks when the interval...
Paroxysmal atrial fibrillation-like bursts in racehorses: do they affect speed and performance? A case control study. Paroxysmal atrial fibrillation (pAF) occurs sporadically in horses and has been implicated in poor performance. Diagnosis in large numbers of horses has previously relied on post-exercise ECGs. Objective: Describe pAF-like bursts detected during exercise and determine their effect on speed, stride, and racing performance. Methods: Retrospective case control study, evaluating records of exercising ECG consultations referred to a specialist practice to identify horses with pAF-like bursts. Controls were selected from the same population as racehorses with normal exercising ECGs. Results: Eleven ...
Delta (Δ) 12-lead electrocardiography and vectorcardiography to identify the origin of focally induced atrial and ventricular premature depolarizations in horses. Cardiac arrhythmias are common in horses, but their clinical and prognostic relevance remains poorly defined. Despite the importance of localization for diagnosis and treatment, noninvasive methods to identify arrhythmogenic foci are limited. Objective: Evaluate the ability of delta (Δ) 3- and 12-lead ECGs and 2-dimensional (2D) and 3-dimensional (3D) vectorcardiography (VCG) to identify the site of origin of focally induced atrial and ventricular premature depolarizations in horses. Methods: Eight healthy horses underwent 2 electrophysiological studies, 1 standing, and 1 under general anesth...
Heart rate variability in horses with naturally occurring gastric ulcers: Response to omeprazole and sucralfate treatment. Equine gastric ulcer syndrome (EGUS) is the most common disease affecting the equine stomach. Heart rate variability (HRV) describes and quantifies the variability between consecutive heartbeats due to the neurohormonal regulation of the heart. It has been considered a non-invasive method to detect autonomic tone changes that can be influenced by pain and disease. Unassigned: This study aimed to assess the HRV indices in horses affected by EGUS submitted or not to treatment. Unassigned: A cohort of 45 mares underwent baseline gastroscopy (T0); 24/45 mares diagnosed with Equine Squamous Gastric...
Complete atrioventricular septal defect in Thoroughbred foals: echocardiographic and postmortem findings. Complete atrioventricular septal defect (AVSD) is rarely reported in horses. We retrospectively reviewed three Thoroughbred foals (2017-2023) with necropsy-confirmed complete AVSD and summarized their clinical presentation, transthoracic echocardiographic findings, and postmortem anatomy. All foals showed early signs of congenital cardiac disease including weakness, failure to thrive and cardiac murmurs. Echocardiography demonstrated a common atrioventricular junction with a single atrioventricular valve and combined atrial and ventricular septal defects; all were classified as Rastelli type C...
Effects of vatinoxan in horses sedated with detomidine and butorphanol for gastroscopy: a randomized clinical study. The peripheral alpha2-adrenoceptor antagonist vatinoxan attenuated the side effects of alpha2-adrenergic sedatives in experimental studies in horses. This clinical study investigated the effects of vatinoxan in horses sedated for gastroscopy with detomidine and butorphanol. Client-owned horses were randomly allocated to receive one of the following two intravenous treatments: detomidine hydrochloride (HCl) (12μg/kg) + butorphanol tartrate (12μg/kg) (DB; n=11) or DB + vatinoxan HCl (200μg/kg) (DBV; n=11). Borborygmi score and heart rate were recorded by auscultation. Sedation level was evalu...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance. The frequency, characteristics, and relationship with performance of arrhythmias occurring during high-intensity exercise in Thoroughbred racehorses remain poorly understood. Objective: Describe the frequency, characteristics, and association with subsequent race performance of arrhythmias occurring during intense exercise. Methods: Seventy-one racehorses competing in races sanctioned by the Hong Kong Jockey Club. Methods: Risk-based case-control study. Single-lead ECGs were recorded during high-intensity trials using wearable devices. Ectopic depolarizations identified during warm-up, maximal...
Multicentric Malignant Melanoma in a Grey Mare: A Case Report. Grey coat color in horses, resulting from a 4.6 kb copy number variation (CNV) within the syntaxin 17 (STX17) gene (Grey locus), is linked to progressive hair depigmentation and a markedly increased risk of melanoma, likely to its function as a melanocyte-specific enhancer. Objective: This report details the clinical, pathological, and genomic findings of a 26-year-old flea-bitten grey mare with multiple melanocytic tumors, progressive dyspnea, and congestive heart failure. Due to the poor prognosis the horse was euthanized and submitted for necropsy to the Long Island University - Lewyt Colle...
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise. Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
QT interval and cardiac restitution dynamics in racehorses: Observations during maximal effort. Sudden cardiac death is a leading cause of athletic death in both humans and horses, making racehorses a potentially valuable model for investigating sudden cardiac death. Cardiac restitution ratio (QT/TQ interval) is used to assess arrhythmia risk in humans, but investigations in athletes are scarce. The objective was to characterize QT interval and cardiac restitution ratio in Thoroughbred racehorses during maximal effort. Automated restitution analysis was performed using 2709 pairs of cardiac cycles from 30 Thoroughbred horses during races. Cardiac cycles were obtained during: pre-race; ac...
Evaluation of Pulse Pressure as a Hemodynamic Marker of Cardiac Disease in Dogs and Horses Undergoing Pre-Anesthetic Assessment. Pulse pressure (PP) reflects ventricular stroke volume and arterial compliance, but its utility as a marker of cardiac disease in animals is not well established. This study evaluated the association between PP and echocardiographically confirmed cardiac abnormalities in dogs and horses and assessed its potential in pre-anesthetic evaluation. Clinical and echocardiography examination of 20 dogs and 20 horses was sufficient for inter-group comparisons and assignments to a Cardiac group (echocardiographically confirmed cardiac disease) or a Control group (healthy animals). Non-invasive oscillome...
Left and right-side echocardiographic measurement of pulmonary artery stiffness in thoroughbred racehorses. Background: Pulmonary Artery Stiffness (PAS) is a non-invasive echocardiographic index of pulmonary artery elasticity. In horses, PAS has been measured only from the right parasternal short-axis view, while the influence of alternative imaging windows remains unknown.Aims/objectivesTo assess the repeatability and reproducibility of Acceleration Time (AT), Maximal Frequency Shift (MFS), and PAS measurements from the left parasternal angled view of the right ventricular inflow/outflow, and to compare these parameters with those obtained from the right parasternal short-axis view in Thoroughbred ...
Mono-dimensional, two-dimensional and Doppler echocardiographic measurements in healthy Standardbred neonatal foals in the first 5 days of life. Bodyweight, age and breed influence the echocardiographic assessment of foals. There are no echocardiographic studies in Standardbred neonatal foals. Objective: To describe echocardiographic values for selected variables, evaluate intra- and inter-observer variability and assess cardiac changes in the first 5 days of life in healthy Standardbred neonatal foals. Methods: Prospective observational study. Methods: Fifty-six healthy Standardbred neonatal foals were examined by transthoracic echocardiography using standard right parasternal and subcostal views at three time points: in the first 4...
Venous Air Embolism in a Horse After Jugular Venous Catheterization: Echocardiographic Diagnosis. A Quarter Horse mare was presented with a history of imidocarb intoxication. During the initial evaluation, the patient presented an initial episode of syncope, in addition to a Grade III/IV diastolic murmur. On the basis of the observed condition, the animal underwent echocardiographic evaluation, in which artifacts were detected and subsequently characterized as air bubbles, restricted to the right cardiac chambers. A diagnosis of venous air embolism resulting from right jugular venocatheterization was made. This is the first reported case of venous air embolism secondary to jugular venocath...
Transcriptomic Remodeling of Pulmonary Vein Sleeves Suggests a Role in Atrial Arrhythmogenesis in Thoroughbred Horses. The initiation and maintenance of atrial fibrillation have been associated with physiological alterations in myocardial sleeves of the pulmonary veins (PVs). Gene expression profiles of the myocardial sleeves of the PVs in healthy (n = 3) and paroxysmal atrial fibrillation (PAF) (n = 6) thoroughbred horses (Equus caballus) were studied. Tissue collected from the left superior PV, adjacent to the left atrium, was analyzed by RNA sequencing. Gene Set Enrichment Analysis demonstrated positive enrichment of gene ontology biological processes related to muscle and endothelial cell development, cell...
Validation of a smart textile device for long-duration heart rate variability and detection of physiological arrhythmias in resting horses. A smart textile device has been developed for the recording of electrocardiograms (ECGs) in horses; however, the utility of this device for long-duration heart rate variability (HRV) monitoring and detection of physiological arrhythmias is unknown. Therefore, the objective of this study was to validate a smart textile device for HRV over long durations (6 h) in resting horses. ECGs were recorded simultaneously via the Myant Skiin Equine textile device and a reference device (Televet 100) in 12 horses. ECGs were evaluated by a blinded observer for arrhythmias, and HRV metrics were calculated. ...
Defining the Heart Rate Zone Corresponding to the Lactate Threshold in Colombian Paso Horses. Colombian Paso horses (CPs) excel in gait competitions due to their endurance, speed, and precision, which demand a high level of cardiorespiratory fitness. However, their training regimes often lack scientific support, and few studies have linked physiological parameters to optimal training zones. This study aimed to estimate the aerobic lactate threshold (LTaer) using mathematical methods and to correlate it with heart rate (HR) zones and blood lactate. Eighteen CPs were evaluated and classified into trained (GT) and untrained (GD) groups. All animals underwent a field-based incremental exer...
Integrating miRNA, mRNA, and Targeted Metabolomics Analyses to Explore the Regulatory Mechanism of Cardiac Remodeling in Yili Horses. Training not only enhances the athletic performance of horses but also improves cardiac structure and function, strengthens cardiovascular adaptability, and reduces the risk of cardiovascular diseases. However, the consequences of training on equine cardiac structure and function remain unclear. This study investigated the morphological, functional, genetic, and metabolic changes in the hearts of Yili horses divided into three groups: high athletic performance (agility group, AG), low athletic performance (ordinary group, OG), and untrained (untrained group, UN). The results showed remodeling ...
Effect of N-Butylscopolammonium Bromide and Metamizol Sodium on Heart Rate, Blood Pressure, and Echocardiographic Measurements in Warmblood Horses With Aortic and Mitral Valve Regurgitation. Administration of N-butylscopolammonium bromide (NBB) with metamizol sodium (NBBM) causes tachycardia and hypertension, and has been associated with accentuated cardiac murmurs. Objective: To evaluate the effect of a pharmacological challenge using NBBM on valvular regurgitation and cardiac murmurs in horses with aortic (AR) and mitral valve regurgitation (MR). Methods: Twenty Warmblood horses with AR and 20 with MR. Methods: Cardiac auscultation and two-dimensional (2D), M-mode, color flow, pulsed wave Doppler flow, and tissue Doppler echocardiography were performed with simultaneous ECG reco...
Multiple Catheter Recording in Horses to Investigate Atrial Depolarization Pattern During Sinus Rhythm and Induced Premature Atrial Complexes. Detailed characterization of arrhythmias can be performed by multiple catheter mapping; but this has not yet been explored in horses. Objective: Perform ultrasound-guided multiple catheter mapping of the right heart during sinus rhythm and right and left atrial pacing to identify activation patterns characteristic of the origin of ectopy. Obtain His signals and effective refractory periods (ERP). Methods: Eight healthy adult horses. Methods: Experimental study. Recording catheters were placed at the terminal crest, intervenous tubercle, caudal vena cava, and coronary sinus. Right atrial pacing...
