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.
Hillidge CJ, Lees P.Cardiac output in the horse was measured before and at predetermined times during 2-hour periods of thiopentone-halothane and thiopentone-diethyl ether anaesthesia. Left ventricular stroke volume was decreased to a similar extent during anaesthesia with each volatile agent, but a greater reduction in cardiac output occurred during halothane anaesthesia. This finding reflected the differing effects of halothane and ether on heart rate, a slight bradycardia occurring with the former agent while ether produced a small degree of tachycardia. The latter effect was attributed to enhanced sympathoadr...
Vitums A, Grant BD, Stone EC, Spencer GR.ABSTRACT Transposition of the aorta to the right ventricle with atresia of the pulmonary trunk was described in a 2 year old horse. Clinical and physiological examinations were performed and data recorded. Teratogenesis of the present anomaly was discussed and the literature reviewed. The probable course of circulation during the fetal life and after birth of this animal was suggested. An extensive col-lateral circulation was developed to the lungs, which might explain how the animal could live so long.
Smetzer DL, Senta T, Hensel JD.Each of nine horses was treated with amphetamine alone, with atropine alone, and with amphetamine and atropine in combination. Cardiac effects of these drugs were studied by electrocardiography during resting and exercising states and immediately after exercise. Although each treatment increased heart rate significantly during the resting state, only the amphetamine plus atropine treatment increased heart rate significantly during exercise. Decrease in heart rate immediately after exercise differed significantly for each treatment; the most rapid decrease in heart rate was found after the amph...
Else RW, Holmes JR.The normal histology of cardiac tissues has been described by many authors, for example Gross and Kugel (1931), Trautmann and Fiebiger (1952), Gould (1968), Bloom and Fawcett (1969) and Ham (1969). In the horse, a few reports have described microscopic valvular pathology in detail (Ackerknecht 1923, Imre 1933, Ubach and Cler 1944). Experimentally induced lesions have been reported by Wadsworth (1919), Wadsworth and Sickles (1927) and Miller (1944), and endocarditis was described by Winqvist (1945) and Dobin (1959, 1968).
In 1966, Smetzer, Bishop and Smith outlined the valvular pathology ass...
Muir WW.The haemodynamic effects of milrinone hydrochloride were determined in halothane-anaesthetised horses. Six healthy adult horses were anaesthetised with guaifenesin and thiamylal and maintained with halothane in oxygen (end-tidal halothane concentration of 1.15%). Baseline haemodynamic data were recorded after a 45 min stabilisation period. All 6 horses received a single loading dose of milrinone HCl, 0.2 microgram/kg i.v., followed by progressively increasing infusions of 2.5, 5, 10 and 20 micrograms/kg bwt/min. Each infusion lasted for 15 min and produced dose related increases in heart rate,...
Mizuno Y, Aida H, Hara H, Fujinaga T, Hagio M.Cardiac output (CO) measurements by the three methods of dye dilution, pulsed Doppler echocardiography and thermodilution in horses under anesthetized conditions were compared. Although CO determined by the thermodilution method was slightly higher than those obtained by the other two methods, the measurements by all methods showed almost similar results. The coefficients of correlation between the dye dilution and thermodilution methods, the dye dilution and pulsed Doppler echocardiography methods, and the thermodilution and pulsed Doppler echocardiography methods were 0.87, 0.89, and 0.88, r...
Sepulveda MF, Perkins JD, Bowen IM, Marr CM.Doppler tissue imaging (DTI) is a novel noninvasive method by which myocardial velocity can be assessed directly and it allows regional, rather than global, cardiac function to be evaluated. Objective: That regional differences in myocardial velocities exist within the equine ventricle. Objective: To develop a repeatable examination technique for DTI in horses, describe DTI findings in various regions of the normal equine ventricle, compare colour (CDTI) and spectral (SDTI) techniques of DTI, and document regional differences in myocardial velocity. Methods: Five regions of the ventricles (rig...
Marr CM.Echocardiography is an extremely versatile tool for both the equine clinician and physiologist. There are three useful forms of echocardiography, B mode, M mode and Doppler. Together they provide complementary information on cardiac disease and haemodynamic status. B mode is used to image the cardiac chambers, valves, myocardium and pericardium. M mode allows determination of motion of cardiac structures; it is superior to B mode for timing of events and it is used to make precise measurements of the heart. Doppler echocardiography can assess intracardiac blood flow and its velocity. Echocardi...
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...
Langsetmo I, Weigle GE, Erickson HH, Fedde MR.Exercising horses have extremely high right and left atrial pressures. Limitation in ventricular function (i.e. relaxation) may play a role in these high pressures. We studied relaxation characteristics of the right ventricular myocardium and the impact of frusemide (2.0 mg/kg bwt i.v.) on these characteristics in horses exercising at 8, 10, 12 and 14 m/s. Exercise tests were performed 4 h after administration of frusemide. Right ventricular (RV) pressure was analysed using Fast Fourier Transform techniques to remove non cardiac components of the pressure signal. Mean right atrial (RA) pressur...
Wingfield WE, Miller CW, Voss JL, Bennett DG, Breukels J.Echocardiography is a non-invasive, safe means of assessing intracardiac structures and their motion. In the normal motion of the mitral valve there is anterior motion noted during atrial systole. In 3 horses with atrial fibrillation the mitral valve motion had no anterior motion to correspond with atrial contractions. Quinidine returned the electrocardiogram of one horse to a sinus rhythm after which echocardiography demonstrated the reappearance of the anterior motion of the mitral valve.
Gehlen H, Groner U, Rohn K, Stadler P.In 18 horses, the pulmonary artery wedge pressure and the heart rate were measured during pharmacological stress load. 12 horses were healthy (4 trained, 8 untrained) and 6 horses had a heart disease (3 trained, 3 untrained). Pharmacological stress induction was carried out with the sympathomimetic drug dobutamine at a dosage rate of 7.5 microg/kg/min over 10 minutes of infusion. At the fourth minute, the parasympatholytic drug atropine was administered (5 microg/kg bw), and the heart rate and the pulmonary artery wedge pressure were continuously measured over 26 minutes. During sole dobutamin...
Tangkawattana P, Karkoura A, Muto M, Yamano S, Taniyama H, Yamaguchi M.Numerous rod bodies were found in a heart sample from a 33-year-old pony by a conventional electron-microscopic technique. The rod bodies were concentrated in localized areas of both atria and ventricles, without a specific pattern of distribution. The rods appear to have a typical crystalline-like structure which presumably contains actin backbone filaments and alpha-actinin as major protein constituents. Diminution, fragmentation, and disorganization of the myofibrils, random expansion of electron-dense materials, especially at the fasciae adherens of the intercalated disc, an increase of in...
Stadler P, Weinberger T, Kinkel N, Deegen E.B- and M-mode echocardiography was performed on 38 horses. 34 patients had systolic heart murmur with the point of maximal intensity over mitral valve. Additionally, 17 of these patients were examined with the pulsed wave doppler echocardiography (Vingmed 200). In 26 patients with cardiac murmur and in 4 patients without cardiac murmur a mitral valve insufficiency was diagnosed by echocardiography. In 8 horses with a systolic murmur over mitral valve M- and B-mode evaluation could not reveal a haemodynamic importance of the murmur. The diagnosis of MVI was based on a dilation of left atrium wi...
Gehlen H, Haubold A, Rohn K, Stadler P.In the present study we examined, if in Icelandic horses an increase in heart and/ or breathing rate is physiological and breed dependend or a sign of a pulmonary or cardiac disease. Therefore we examined 37 Icelandic horses with the prereport of being healthy. During clinical lung examination four horses showed symptoms of a pulmonary disease like increased breathing rate and enforced breathing at rest. These horses were excluded from the study. The other 33 horses were clinically normal. 17 of these horses were unridden (untrained) and 16 horses were regularly worked (trained). After clinica...
Gehlen H, Groner U, Rohn K, Stadler P.In the present study, a right heart catheterisation was carried out on three consecutive days in 17 healthy horses to evaluate the day-to-day variability of cardiac pressure values. Cardiac pressure values were measured in the right atrium, the right ventricle, the pulmonary artery, and the pulmonary capillaries (pulmonary artery wedge pressure). Additionally it was examined wether the cardiac pressure variability was influenced by the heart rate and if there are differences between trained and untrained horses. Beside the coefficient of variances, statistical analysis with assessment of varia...
Wijnberg ID, van der Kolk JH, van Garderen E, Binkhorst GJ.A 18-year-old Dutch Warmblood mare was referred for colic. Upon arrival, lethargy, blindness, head pressing, ataxia, and circling were the main clinical signs. On rectal examination a hard mass and oedema around the cranial mesenteric artery were palpated. Plasma liver enzyme activities and the ammonia level were elevated. Atrial fibrillation with a pulse frequency of 36-52 beats per minute was noticed. On both sides a holosystolic murmer with the maximum intensity on the right side could be auscultated. Postmortem examination revealed eccentric hypertrophy of the right atrium and a pale spott...
Miller PJ, Holmes JR.Systolic time intervals (STIs), isovolumic contraction time (ICT) and left ventricular ejection time (LVET) were recorded from seven horses with supraventricular arrhythmia. The STIs were measured over a number of beats (33 to 100) directly from the left ventricular (LV) and aortic (Ao) pressure contours which were recorded simultaneously using two catheter-mounted transducers. ICT was significantly (P less than 0.01) and directly related to beat-by-beat heart rate (HR = 60/pulse interval) and LVET was significantly (P less than 0.01) and inversely related to heart rate in each of five horses....
Grubb TL, Constable PD, Benson GJ, Foreman JH, Olson WO, Thurmon JC, Tranquilli WJ, Davis LE.To determine the most repeatable method for evaluating right ventricular relaxation rate in horses and to determine and compare effects of isoflurane or halothane with and without the added influence of intravenously administered calcium gluconate on right ventricular relaxation rates in horses. Methods: 6 Thoroughbred horses from 2 to 4 years old. Methods: 6 models (2 for monoexponential decay with zero asymptote, 3 for monoexponential decay with variable asymptote, and 1 for biexponential decay) for determining right ventricular relaxation rate were assessed in conscious and anesthetized hor...
Nardelli M, Lanata A, Valenza G, Sgorbini M, Baragli P, Scilingo EP.This paper reports on a novel real time index designed to assess the quality of electrocardiographic (ECG) traces recorded in a group of five horses during a submaximal treadmill test procedure. During the experimental protocol two ECG monitoring systems were simultaneously applied to the animals. The first system was equipped with textile electrodes while the second one with standard red-dot electrodes. The procedure comprised four phases with an increased treadmill velocity, specifically, Walk 1, Trot 1, Trot 2 and Gallop. Three signal quality levels have been fixed according to the amount o...
Carlsten J, Kvart C, Jeffcott LB.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...
Anderson GF, Landsheft B.Performance horses should be thoroughly examined before sale to detect any defects that could render them unsuitable for the purchaser's intended use. With the horse in its stall, the eyes, nasolacrimal puncta, external ear canals and mouth are examined, the rectal temperature measured and the heart, lungs, trachea and sinuses auscultated. Moving the horse out of the stall, the head, parotid glands, mandibular lymph nodes, larynx, neck muscles, jugular veins and cervical vertebrae are inspected. The scapula, point of the shoulder, withers, tuber sacrale and point of the hip are palpated, after...
Hanák J, Chvátal O, Janda J.Sixty seven thoroughbred race horse of various age categories were examined electrocardiographically by bipolar leak-apex of the heart -- withers; length of training corresponded to the age categories. Basic time and voltage criteria of EKG were statistically evaluated according to electrocardiographic curves: TF = 35.1 = %/- 6.82 pulses per min., time P = 0.16 +/- 0.03 sec., PQ = 0.03 +/- 0.04 sec., QRS = 0.12 +/- +/- 0.01 sec., TQc = 0.50 sec., R = 2.83 +/- 0.63 mV, Q = 0.38 +/- 0.31 mV. Repolarization phase of the chamber complex, mainly the T wave, is the most variable component of the who...
Gehlen H, Bubeck K, Stadler P.In 12 healthy warmblood horses (six trained and six untrained) the pulmonary wedge pressure and heart frequency was measured at rest and during a standardised exercise test on a treadmill. The mean pulmonary wedge pressure at rest was 14.53 +/- 2.36 mmHg. There was no significant difference in pulmonary wedge pressure either at rest or during exercise between trained and untrained horses. During walking (1.8 m/s) the mean pulmonary wedge pressure was 19.62 +/- 4.03 mmHg, during trotting (4 und 5 m/s) it was between 22.38 +/- 3.92 mmHg and 25.28 +/- 3.7 mmHg. During canter (6 m/s) and gallop (8...
Reilly CA, Aust SD.An intracellular, membrane-bound enzyme exhibiting both p-phenylenediamine oxidase activity and ferrous iron oxidase activity was isolated with the plasma membrane fraction of horse heart and studied for its ability to load iron into ferritin. The ferroxidase activity of the tissue oxidase was stimulated approximately twofold by horse spleen apoferritin, and the iron was loaded into ferritin. The loading of iron into ferritin by the tissue oxidase was inhibited by anti-horse serum ceruloplasmin antibody. The stoichiometry of iron oxidation and oxygen consumption during iron loading into ferrit...
Jiang B, Rugh KS, Hatfield DG, Jiang D, Hahn AW.We have developed a digital signal analysis technique which can be used to evaluate various cardiac events in ponies and horses at rest and during exercise. The algorithm is designed to identify R-wave peaks on the surface electrocardiogram, consistent reference points on the left ventricular pressure waveform and the initiation of the QRS complex on the epicardial electrogram. We have used the technique to evaluate data from 10 horses and ponies at rest, during strenuous exercise and during experimentally-induced coronary artery occlusion. The technique provided rapid and accurate beat-by-bea...
Vitale V, Van Galen G, Laurberg M, Young B, Mciver V, Wereszka M, Gimeno M.Congenital heart disease is relatively uncommon in horses. Only three reports exist that describe a tetralogy of Fallot in adult horses. Whereas in humans the presence of congenital heart disease constitutes a risk factor for developing aortic aneurysms, their association has never been reported in horses. Here, we present a case with a large ascending aortic aneurysm as a complication of a tetralogy of Fallot in an adult mare. The mare was referred with sustained tachycardia and a 5 days history of mild intermittent colic, depression, inappetence and weight loss. Echocardiography was used to...
Smetzer DL, Senta T, Hensel JD.Each of nine horses was treated with amphetamine alone, with atropine alone, and with amphetamine and atropine in combination. Cardiac effects of these drugs were studied by electrocardiography during resting and exercising states and immediately after exercise. Although each treatment increased heart rate significantly during the resting state, only the amphetamine plus atropine treatment increased heart rate significantly during exercise. Decrease in heart rate immediately after exercise differed significantly for each treatment; the most rapid decrease in heart rate was found after the amph...
Wilson RB, Haffner JC.Right atrioventricular atresia with a ventricular septal defect, a rare congenital cardiac anomaly of either animals or man, was diagnosed in a one week old Arabian foal. The foal had been weak and cyanotic since birth, sometimes becoming dyspneic when stressed. Necropsy revealed a dilated and hypertrophied left ventricle with the right ventricle being small. The right atrioventricular valve was absent. The right and left ventricles communicated via a septal defect which was located immediately adjacent to the aortic valve.
Chvátal O, Hanák J.Surface electric potentials of the heart of four horses were measured by use of unipolar leak with the so called central Wilson's clip; the measurements were performed on 95 precisely fixed places of the equine body. Potentials found out in this way were re-measured with bipolar leaks: the negative electrode was fixed in the place of the highest negative potentials, the positive electrode was gradually attached to places with the highest values of positive potentials. The largest potential differences when the negative electrode was placed in the region of the heart were obtained from the regi...
Grodzki K.The receptor theory of the action of catecholamines as well as the synthesis and production of beta-adrenolytics gave new perspectives for the treatment of circulatory diseases and enabled to use the beta-adrenergic blockade in electrocardiographic diagnosis. The aim of this work was to study whether it is possible to modify the oral method of administration used in human beings, into intravenous one, and what an information could be obtained as to actual heart condition after practolol injection. The results can be summarized as follows:--Practolol-Polfa injected intravenously in amounts of 3...
Sarazan RD, Krause GF, Franklin D, Garner HE, Griggs DM.Coronary reactive hyperemia duration (RHD) and coronary blood flow debt repayment (BFDR) were compared in conscious dogs and ponies instrumented with coronary artery Doppler flow probes and pneumatic occluders. Additional ponies were instrumented with pacing electrodes. With the use of a Latin square design, eight animals of each species were subjected to a randomized series of nine coronary occlusions ranging from 5 s to 2 min in duration. In both species, postocclusion blood flow velocity rose rapidly and plateaued at similar peak levels relative to control, but in ponies this plateau lasted...
Marr CM, Bright JM, Marlin DJ, Harris PA, Roberts CA.We hypothesised that exercise in a hot and humid environment would affect echocardiographic indices of cardiac dimensions and function more than exercise in a cool environment. M-mode echocardiograms were obtained in 5 clinically normal horses before, and at 0, 10, 30 and 60 min after a treadmill exercise test. The test was performed in a controlled environment at 20 degrees C/40% relative humidity (RH) and again at 30 degrees C/80% RH. All the horses completed the exercise test in cool conditions, but only one horse completed the exercise test in the hot/humid environment. The relaxation time...
Bracher V, Steiger R, Huser S.In the present study the breath hydrogen (H2) excretion test was combined with the xylose absorption test in 4 normal horses and 9 clinical patients with chronic diarrhea (n = 3) or chronic weight loss without diarrhea (n = 6). All horses underwent a thorough clinical examination. Laboratory evaluations consisted of haematology and serum biochemistry as well as bacteriological and parasitological examination of feces. In addition, serum electrophoresis and abdominocentesis was performed in all the clinical patients. Gastroscopy was carried out in 6 patients and rectal biopsies were obtained fr...
