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.
Three cases of ruptured mitral valve chordae in the horse. The paper describes clinical observations in three horses with ruptured mitral valve chordae. Horses with ruptured mitral valve chordae may have a history of sudden onset of acute distress with predominantly respiratory symptoms. On auscultation there will be a widespread pansystolic murmur with an extension of the area of cardiac auscultation. The third heart sound may be very pronounced and unduly prolonged, associated with high volume flow during early ventricular filling in diastole. However, these sounds are not specific for chordal rupture--they are typical of severe mitral regurgitation...
Effect of monensin on the morphology of mitochondria in rodent and equine striated muscle. Heart, diaphragm, and rear limb muscle from ponies and rats treated with monensin were examined by light and electron microscopy. In both species, mitochondrial aberrations were observed in selected muscle cells. The aberrations consisted of loss of matrix substance (vacuolization) usually accompanied by swelling. Vacuolated mitochondria were characterized by an almost total loss of matrix substance with retention of the rudimentary cristae form. In ponies, most vacuolated mitochondria were observed in heart muscle though some also were found in the diaphragm. In rats, most vacuolated mitochon...
Method of selective and non-selective angiocardiography for the horse. A practical and safe method of angiocardiography for the horse is described. The technique involved the rapid injection of 50 to 150 ml contrast agent via catheters in the right and left heart, pulmonary artery and aorta. The examination was carried out with the horse in the standing position or under general anaesthesia. Angiocardiograms were performed on 10 normal horses and satisfactory pictures of the right and left ventricles, pulmonary arteries, aorta and coronary circulation were obtained. The technique was also used in a foal with severe congenital heart disease. The most practical met...
Distribution of blood flow during moderate and strenuous exercise in ponies (Equus caballus). Blood flow to the brain, heart, kidneys, diaphragm, and skeletal muscles was studied at rest and during graded treadmill exercise, using radionuclide-labeled microspheres (15 microns diameter), in 11 healthy adult ponies. Hemodynamic changes brought about by exercise included marked increases in cardiac output, mean aortic pressure, left ventricular end-diastolic pressure, and right ventricular systolic and end-diastolic pressures. Blood flow to the brain stem and cerebral hemispheres was unchanged during both moderate exercise (heart rate = 154 +/- 3 beats/min) and severe exercise (heart rate...
Ventricular septal defects in the horse. Clinical, echocardiographic, and right-side cardiac catheterization data were collected in 6 horses with ventricular septal defects. The defects were confirmed by necropsy in 5 horses. On echocardiography, the cardiac dimensions were normal in 3 horses and enlarged in 2 others. A step-up in partial oxygen pressure between right atrium and right ventricle suggested a left-to-right shunt in 3 of the 4 horses catheterized. In 1 foal, a small defect without PO2 step-up was documented by angiocardiography. The oxymetry and pressure data were compared with previous cases from the reviewed literature...
Effect of cardiac arrhythmia on left ventricular and aortic blood pressure parameters in the horse. Transaortic blood pressures were recorded in seven horses using catheter mounted transducers during various types of supraventricular arrhythmia. Changes in left ventricular (LV) and aortic (Ao) pulse contours were associated with variation in pulse interval (PI). When PI lengthened there was a rise in LV end diastolic pressure (LVEDP) associated with a prolonged filling time. In contrast, a long PI resulted in a reduced end diastolic Ao pressure (AoEDP) due to a prolonged arterial 'run off'. LVdP/dt max representing the peak rate of rise of pressure during the isovolumic contraction period wa...
Automatic noninvasive sphygmomanometry in horses. Systolic, diastolic, and mean arterial blood pressures and heart rate were determined in 73 horses, using an indirect automatic oscillometric technique. Blood pressure and heart rate data obtained by sphygmomanometry were compared with similar data obtained from cannulation of the horses' facial or dorsal metatarsal arteries. Good correlation between direct (actual) and indirect (oscillometric) blood pressures and heart rate measurements were obtained when the heart rate was low, using high sensitivity setting. Cardiac arrhythmias or hypotension prevented oscillometric measurements from being ...
Transmural coronary vasodilator reserve and flow distribution during severe exercise in ponies. Transmural distribution of myocardial blood flow and coronary vasodilator reserve (15-microns-diam radionuclide-labeled microspheres) was studied in 11 adult, healthy ponies at rest and during moderate and severe exercise performed on a treadmill (heart rate 56 +/- 4, 154 +/- 3, and 225 +/- 7 beats . min-1, respectively.). Exercise resulted in a marked increase in cardiac output, mean aortic pressure, right ventricular (RV) systolic and end-diastolic pressure, left ventricular (LV) end-diastolic pressure, and the maximum rate of rise of LV pressure LV (dP/dtmax). Accompanying these changes was...
Selective crystallization of horse isoferritins. Various precipitating agents were examined in order to crystallize horse heart and spleen ferritins. Cadmium sulfate induced the crystallization of the spleen ferritin, while 2-methyl-2,4-pentanediol and poly(ethylene glycol) only induced that of the heart ferritin. Isoelectric focusing analysis showed that the crystals grown from cadmium sulfate contained only the more acidic isoferritins, and those grown from methyl pentanediol only the less acidic isoferritins. Heart ferritin crystallizes in a cubic space group, as previously reported for spleen ferritin crystals grown from cadmium sulfate....
Echocardiographic features of aortic valve endocarditis in a dog, a cow, and a horse. A horse, a cow, and a dog with aortic valve vegetative endocarditis were studied by M-mode echocardiography. Echocardiographic abnormalities of the aortic valve, mitral valve, and left ventricle were observed. These features were identical to those reported in human beings with aortic valve endocarditis. Abnormalities associated with aortic valve endocarditis included irregular thickening of the valve, multiple linear echoes in the aortic root, diastolic prolapse of the aortic vegetation, and diastolic fluttering of a torn aortic valve. Some of these features were found in each animal. The con...
Diagnosis of cardiac lesions by contrast echocardiography. Contrast M-mode echocardiography was utilized to study animals with congenital and acquired cardiac defects. Contrast was produced through the rapid injection of isotonic NaCl solution, the patient's blood, or indocyanine green dye into the circulation. Peripheral vein and intracardiac injections of contrast material were used to document ventricular septal defect, tetralogy of Fallot, atrial septal defect, and mitral valve regurgitation. The technique was safe and useful for both small and large animals.
Antibody moieties within circulating immune complexes in heart transplant recipients. Circulating immune complexes were isolated from the sera of cardiac allograft recipients by bovine conglutinin/anti-conglutinin co-precipitation, or by gel filtration and protein A-Sepharose affinity chromatography. The antibody moieties within these isolated immune complexes were tested for specificity against heterologous anti-thymocyte globulins by solid phase radioimmunoassay, and bacterial and viral antigens by indirect immunofluorescence. The results showed that in addition to possessing specific anti-equine anti-thymocyte globulin antibodies, immune complexes also contained cross-reacti...
Atrial fibrillation in horses: factors associated with response to quinidine sulfate in 77 clinical cases. Seventy-seven horses with atrial fibrillation (AF) were treated orally with quinidine sulfate (QS) at the University of Pennsylvania, School of Veterinary Medicine, Thirty-seven horses (48%) had adverse reactions to QS, the most common of which were nasal mucosal edema, anorexia, colic, and diarrhea. The mean highest daily QS dose was slightly greater in horses showing toxicity (P less than 0.1) and their conversion rate was less (P less than 0.05). A schedule of gradually increasing QS dose was time consuming, costly and not associated with fewer adverse reactions. Horses were compared by the...
Multiple congenital heart anomalies in five Arabian foals. Five Arabian or half-Arabian foals with suspected multiple cardiac anomalies were examined. Various combinations of clinical examination, electrocardiography, angiocardiography, cardiac catheterization, blood gas analysis, radiography, and echocardiography resulted in clinical data that allowed accurate antemortem diagnoses to be made. In 4 cases, the clinical diagnosis was substantiated by postmortem findings. The confirmed diagnoses were: pseudotruncus arteriosus, a combination of patent ductus arteriosus, pulmonic stenosis, and tricuspid stenosis, pentalogy of Fallot, and tricuspid atresia....
Observations on the isoenzymes of creatine kinase in equine serum and tissues. The isoenzymes of creatine kinase have been measured in serum and selected tissues from horses. The distribution followed that reported in other species in that the MM dimer of the isoenzyme was present in voluntary and non-voluntary muscle, thyroid, liver, spleen, lung and intestine. The BB dimer of the isoenzyme was predominant in brain, pancreas, kidney, intestine, lung, spleen, liver and thyroid. In contrast, in 4 hearts examined less than 1.5 per cent of the total creatine kinase activity was attributable to the MB form of the isoenzyme. The MB isoenzyme was, however, present in intestine...
Sir Frederick Smith Memorial Lecture. A superb transport system–the circulation. This paper discusses certain aspects of circulatory physiology, including foetal circulation and the role of the thorax, and gives parameters for total blood volume, cardiac output, stroke volume and the distribution of blood between the pulmonary and peripheral circulation within the horse. The reader is taken on a journey around the circulatory system, beginning in the left atrium, into which richly oxygenated blood runs from the pulmonary veins. From here the blood is squeezed via the mitral valve into the left ventricular pump, where it is forced under high pressure through the peripheral ...
The equine electrocardiogram with standardized body and limb positions. Eleven-lead electrocardiograms (ECGs) were recorded from 50 Thoroughbred (TB) and 50 Standard bred (SB) horses at rest with 40 tracings being selected from each group for more complete analysis. Incomplete atrioventricular block with dropped beats commonly reported in mature horses was recorded only in the TB (15%), while wandering of the atrial pacemaker (WAP) thought also to be associated with variations in tone of the autonomic nervous system was detected almost equally in both breeds (30%). In some horses (12.5%), the initial component of the P wave (P1) did not vary as seen with WAP but h...
Medical management of congestive heart failure in a horse. A 4-year-old Quarter Horse gelding with atrial fibrillation, mitral regurgitation, and signs of bilateral congestive heart failure was initially treated IV with digoxin and furosemide. After parenteral digitalization, a daily maintenance dose of digoxin was administered orally at a rate of 21.7 micrograms/kg of body weight. At this dosage, a steady-state serum digoxin concentration of 2.3 ng/ml was achieved without clinical signs of toxicosis. The furosemide dosage was decreased and eventually discontinued as clinical improvement occurred. Clinical signs of congestive heart failure were contro...
Pulmonary atresia with dextroposition of the aorta and ventricular septal defect in three Arabian foals. Three Arabian males foals were presented with cyanosis, heart murmur, and exercise intolerance, Results of clinical evaluation suggested a tentative diagnosis of ventricular septal defect in conjunction with malformations of the great arteries. Each foal had a poor prognosis and was killed at the owners' requests. At necropsy, the malformed hearts of the three foals were virtually identical. Each heart had a large defect in the upper interventricular septum. The aorta originated from the hypertrophied right ventricle and partially overrode the ventricular septal defect. The aortic ostium was g...
Fibrinous pericarditis in the horse. During a period of 18 months, between July 1978 and January 1980, 4 adult horses were referred to the New York State College of Veterinary Medicine with evidence of congestive heart failure. Characteristic clinical abnormalities included marked muffling of heart sounds, tachycardia, jugular vein distention, and peripheral edema. Treatment with antibiotics, diuretics, and anti-inflammatory drugs was unsuccessful, and all four died or were euthanatized and necropsied. At necropsy, there was marked distention of the pericardial sac with fluid, and thick layers of fibrin were deposited uniformly o...
Myocardial necrosis secondary to neural lesions in domestic animals. Focal myocardial necrosis secondary to neural lesions was diagnosed in 2 dogs and 1 horse. In each case, the neural lesions were traumatic in origin. Spinal cord injury was evident in 1 dog; brain damage was evident in the other dog and presumably in the horse. Retrospective analysis of necropsy material showed that many species were affected, without apparent age or sex predisposition. Central nervous system injury resulting from trauma, infection or space-occupying lesions was associated with acute myocardial necrosis in all cases. The myocardial necrosis was rarely fatal; however, it did ca...
Chronic obstructive pulmonary disease anatomical cardiac studies. An abattoir survey on horses diagnosed as suffering from chronic obstructive pulmonary disease (COPD) on clinical grounds showed that the right ventricular wall thickness was not significantly different from that of normal horses. However, the weight ratio between the left and right ventricles was found to be significantly (P less than 0.001) different in COPD affected, compared with control, horses in a study of 17 physiologically and pathologically confirmed COPD cases, using ventricular weight measurements. No clinical evidence of right heart failure nor post mortem evidence of right heart ...
The heart score theory in the racehorse. During the last three decades in Australia and New Zealand the heart score theory has been used in the cardiovascular assessment of racehorses in training (Steel 1957, 1963, 1966-67; Irvine 1964, 1966; Stewart and Steel 1970; Steel and Stewart 1972, 1974). In particular the heart score has been of value as one of several factors employed in assessing the potential of the horse for different types of racing. More recently, studies indicating the heritability of heart score and its possible sex-linkage (Steel et al 1977) have suggested its use also as one of several criteria for selection in rac...