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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.
Apgar Score, Clinical, Hemato-Biochemical, and Venous Blood Gas Parameters in a Cohort of Newborn Mule Foals: Preliminary Data.
Journal of equine veterinary science    September 10, 2023   Volume 130 104917 doi: 10.1016/j.jevs.2023.104917
The study aimed to assess Apgar scores and collect data on clinical, hemato-biochemical, and venous blood gas parameters in seven mules during their first 48 hours of life. Apgar scores, heart rate (HR), respiratory rate (RR), body temperature (BT), body weight (BW), time to achieve sternal recumbency, stand, nurse, and pass meconium were recorded. Blood samples were collected at birth (T0), 6 (T6), 12 (T12), 24 (T24), 48 (T48) hours of life. Data distribution was verified and differences in laboratory parameters over time assessed. One foal had an Apgar score of 6/8, thus excluded from the st...
Ionophores.
The Veterinary clinics of North America. Equine practice    September 9, 2023   S0749-0739(23)00054-8 doi: 10.1016/j.cveq.2023.08.001
Fritz SA, Hall JO.Ionophores are a class of polyether antibiotics that are commonly used as anticoccidial agents and growth promotants in ruminant diets. Ionophores transport ions across lipid membranes and down concentration gradients, which results in mitochondrial destruction, reduced cellular energy production, and ultimately cell death. Cardiomyocytes are the primary target in equine patients when exposed to toxic concentrations and the clinical disease syndrome is related to myocardial damage. Animals can survive acute exposures but can have permanent heart damage that may result in acute death at future ...
Association of the severity of colic in horses with oxidative stress biomarkers, acute-phase proteins, and certain trace elements.
Journal of equine science    September 8, 2023   Volume 34, Issue 3 73-81 doi: 10.1294/jes.34.73
Hajimohammadi A, Ghane M, Ghari Tehrani M, Paravar B, Mirzaei A, Razavi S, Nikzad M.Sixty-one horses were enrolled in this study and divided into 3 different groups according to their severity of colic (heart rate, oral mucous membrane color, and abdominal distention): a strangulating colic (SC) group (n=21), non-strangulating colic (NC) group (n=20), and control group (n=20) consisting of randomly selected normal horses without signs of colic. The serum concentrations of haptoglobin, tumor necrosis factor-α (TNFα), nitric oxide (NO), malondialdehyde (MDA), zinc, iron, and copper were evaluated in all horses. The average concentration of TNFα in the SC group was higher tha...
Sepsis-induced cardiomyopathy in animals: From experimental studies to echocardiography-based clinical research.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2023   Volume 64, Issue 9 871-877 
Naseri A, Akyuz E, Turgut K, Guzelbektes H, Sen I.The term "sepsis-induced cardiomyopathy" (SIC) is used to describe transient cardiac dysfunction in septic patients. However, there is no universally accepted definition of SIC; a reduction in left ventricular ejection fraction (LVEF) is often used. In addition to systolic dysfunction, diastolic dysfunction is now recognized as an essential component of SIC. It can be emphasized that previous animal experiments played an essential role in revealing SIC and hemodynamic instability in sepsis and septic shock. The diagnostic and prognostic capabilities of echocardiography for the assessment of SI...
Morphological and histological investigation of the conduction system in the equine atrial muscle sleeve of pulmonary veins.
Equine veterinary journal    September 2, 2023   Volume 56, Issue 5 1059-1067 doi: 10.1111/evj.13996
Kovacs S, Racz B, Sotonyi P, Bakos Z.Atrial fibrillation is the most common arrhythmia in horses causing poor performance. The role of pulmonary vein triggers in the pathogenesis has been identified in horses. Ablation methods have been investigated, but the available information on anatomical, histological and immunohistochemical assessment of the pulmonary vein ostia and the conduction system of the myocardial sleeve is still limited. Objective: The aim of the study was to describe the morphological properties of the myocardial sleeve in healthy horses. Methods: Cross-sectional. Methods: Eighty-three equine hearts were dissecte...
Effects of pregnancy on electrocardiographic, vasovagal tonus index, and echocardiographic variables in horses.
Veterinary world    August 28, 2023   Volume 16, Issue 8 1765-1771 doi: 10.14202/vetworld.2023.1765-1771
Chompoosan C, Pongthaisong P, Kenchaiwong W, Pontaema T, Lerdweeraphon W.Pregnancy affects maternal hemodynamics. The changes in autonomic nervous system activity for hemodynamics adaptation in pregnant horses are still unclear. Thus, this study aimed to examine the effect of pregnancy on electrocardiographic, vasovagal tonus index, and echocardiographic variables in horses. Unassigned: A total of 23 Thai native crossbred mares without any cardiac abnormalities were included in this study. The animals were assigned into two groups, a non-pregnant mare group (n =12) and a pregnant mare group (n = 11). Electrocardiogram recordings (paper speed = 25 mm/s and calibrati...
Electrocardiographic Reference Values in Clinically Healthy Lusitano Horses.
Veterinary sciences    August 10, 2023   Volume 10, Issue 8 doi: 10.3390/vetsci10080518
Triguinho A, Fontes-Sousa AP, Pimenta J, Cotovio M.The Lusitano horse is gaining popularity in the equestrian world, and as a result, the significance of applied sports medicine for this breed is growing. As cardiology plays a crucial role in this field, numerous studies have been conducted to establish electrocardiographic reference values in various breeds to ensure a more accurate evaluation. However, studies regarding healthy Lusitano horses are lacking. So, this study aimed to establish electrocardiographic reference values for Lusitano horses, utilizing a sample of 82 clinically healthy animals. The evaluation involved lead II and base-a...
Heart and brain: Change in cardiac entropy is related to lateralised visual inspection in horses.
PloS one    August 8, 2023   Volume 18, Issue 8 e0289753 doi: 10.1371/journal.pone.0289753
Cerebral lateralisation is the tendency for an individual to preferentially use one side of their brain and is apparent in the biased use of paired sensory organs. Horses vary in eye use when viewing a novel stimulus which may be due to different physiological reactions. To understand the interplay between physiology and lateralisation, we presented a novel object (an inflated balloon) to 20 horses while electrocardiogram traces were collected. We measured the amount of time each horse looked at the balloon with each eye. We calculated 'sample entropy' as a measure of non-linear heart rate var...
Application of the Alivecor KardiaMobile smartphone modulated ECG device for use in horses.
Journal of the South African Veterinary Association    June 22, 2023   doi: 10.36303/JSAVA.540
Piketh G, Williams A, Schliewert EC.Electrocardiography is the method used to monitor the electrical impulses in the heart. These diagnostics are increasingly making use of smartphone-based technologies. The objective of this research was to determine whether the Alivecor KardiaMobile (ECG) smartphone-modulated electrocardiographic device, a novel ECG device, can be used to obtain reliable electrocardiogram (ECG) readings in horses. The device was initially tested in 36 Nooitgedacht pony mares to determine the best site of application, method of skin preparation, and ECG device orientation for reliable ECG tracings. Once the mos...
Premature depolarisations in horses competing in United States Eventing Association and Fédération Equestre Internationale-sanctioned 3-day events.
Equine veterinary journal    May 30, 2023   doi: 10.1111/evj.13948
Durando MM, Slack J, Birks E, Belcher C, Kohn C.Injuries and sudden death during the cross-country (XC) phase of eventing have raised interest in the frequency and types of cardiac arrhythmias occurring in these equine athletes. Objective: To characterise the frequency and types of rhythm disturbances and examine possible risk factors for premature depolarisations (PDs) occurring during the XC phase of United States Eventing Association (USEA) and Fédération Equestre Internationale (FEI)-sanctioned events. Methods: Prospective, cross-sectional study. Methods: Continuous electrocardiographic (ECG) recordings were obtained from horses prior...
Association of myostatin gene polymorphism with echocardiographic and muscular ultrasonographic measurements in Hungarian thoroughbreds horses.
Research in veterinary science    May 26, 2023   Volume 160 45-49 doi: 10.1016/j.rvsc.2023.05.009
Kis J, Rózsa L, Husvéth F, Mezőszentgyörgyi D, Kovács S, Bakos Z, Zsolnai A, Anton I.The g.66493737C/T polymorphism of the myostatin gene (MSTN) majorly influences muscle fiber composition and best race distance of Thoroughbreds. Thus, a better understanding of this process may lead to superior genetic exploitation for maximizing Thoroughbred athletic potential. Our objective is to investigate whether myostatin genotypes are associated with muscular development and cardiac variables of Thoroughbreds. Echocardiography and muscular ultrasonography were performed on three groups having C/C, C/T, and T/T genotypes, respectively. Each group consisted of 22 animals. Homogeneity of v...
Water stabilizes an alternate turn conformation in horse heart myoglobin.
Scientific reports    April 13, 2023   Volume 13, Issue 1 6094 doi: 10.1038/s41598-023-32821-z
Bronstein A, Marx A.Comparison of myoglobin structures reveals that protein isolated from horse heart consistently adopts an alternate turn conformation in comparison to its homologues. Analysis of hundreds of high-resolution structures discounts crystallization conditions or the surrounding amino acid protein environment as explaining this difference, that is also not captured by the AlphaFold prediction. Rather, a water molecule is identified as stabilizing the conformation in the horse heart structure, which immediately reverts to the whale conformation in molecular dynamics simulations excluding that structur...
Long-Term Training Increases Atrial Fibrillation Sustainability in Standardbred Racehorses.
Journal of cardiovascular translational research    April 4, 2023   Volume 16, Issue 5 1205-1219 doi: 10.1007/s12265-023-10378-6
Carstensen H, Nissen SD, Saljic A, Hesselkilde EM, van Hunnik A, Hohl M, Sattler SM, Fløgstad C, Hopster-Iversen C, Verheule S, Böhm M, Schotten U....Atrial fibrillation (AF) is more prevalent in athletes, and currently, the mechanisms are not fully understood. Atrial fibrillation inducibility and stability was investigated in trained and untrained Standardbred racehorses. The horses underwent echocardiography for evaluation of atrial size. High-density mapping during AF was performed, and the presence of structural remodeling, as well as the expression of inflammatory and pro-inflammatory markers in the atria, was studied. Atrial fibrillation sustained significantly longer after tachypacing in the trained horses, whereas no difference in A...
Limitations of transthoracic echocardiography in equine patients.
Veterinary medicine and science    March 30, 2023   Volume 9, Issue 4 1618-1620 doi: 10.1002/vms3.906
Vitale V, Laurberg M, van Galen G, van Loon G.No abstract available
The impact of strategic ventilation adjustments on stress responses in horses housed full-time in a vector-protected barn during the African horse sickness outbreak in Thailand.
Animal welfare (South Mimms, England)    March 23, 2023   Volume 32 e19 doi: 10.1017/awf.2023.10
Poochipakorn C, Joongpan W, Tongsangiam P, Phooseerit A, Leelahapongsathon K, Chanda M.The severe outbreak of African horse sickness (AHS) in Thailand has forced horses to reside full-time inside barns that are covered by a small mesh net to prevent minuscule AHS insect vectors from gaining access. However, housing in the net-covered barn induces stress in horses, which compromises their welfare. Implementing strategic airflow adjustment while retaining the vector-protection characteristics has been proposed to help alleviate this problem. The present study aimed to investigate the effect of strategic ventilation adjustment on blood cortisol levels, heart rate and behaviour in h...
Assessment of P Wave Indices in Healthy Standardbred Horses.
Animals : an open access journal from MDPI    March 16, 2023   Volume 13, Issue 6 doi: 10.3390/ani13061070
White R, Nath L, Hebart M, Franklin S.P wave indices are used as non-invasive electrocardiographic markers of atrial remodelling in humans. Few studies have investigated their use in animals. The aim of this study was to measure P wave duration and P wave dispersion (Pd) in healthy standardbred horses and investigate variables that might influence these measurements. A 12-lead electrocardiogram was recorded at rest and P wave indices were calculated in 53 horses. A general linear model was used to investigate the main effects: age, bodyweight, sex, resting heart rate, presence of a murmur, exercise status and the number of years r...
Three-dimensional electro-anatomical mapping and radiofrequency ablation as a novel treatment for atrioventricular accessory pathway in a horse: A case report.
Journal of veterinary internal medicine    March 3, 2023   Volume 37, Issue 2 728-734 doi: 10.1111/jvim.16668
Buschmann E, Van Steenkiste G, Boussy T, Vernemmen I, Schauvliege S, Decloedt A, van Loon G.We describe the diagnosis and treatment of an atrioventricular accessory pathway (AP) in a horse using 3-dimensional electro-anatomical mapping (3D EAM) and radiofrequency catheter ablation (RFCA). During routine evaluation of the horse, intermittent ventricular pre-excitation was identified on the ECG, characterized by a short PQ interval and abnormal QRS morphology. A right cranial location of the AP was suspected from the 12-lead ECG and vectorcardiography. After precise localization of the AP using 3D EAM, ablation was performed and AP conduction was eliminated. Immediately after recovery ...
M-Mode Echocardiographic Measurements of Interventricular Septum, Left Ventricular Internal Diameter, and Left Ventricular Free-Wall Thickness in Normal Horses-A Meta-Analytical Study.
Animals : an open access journal from MDPI    February 23, 2023   Volume 13, Issue 5 doi: 10.3390/ani13050809
Marzok M, Kandeel M, Babiker H, Alkhodair KM, Farag A, Ibrahim H, El-Ashker M, Alghuwainem Y, El-Khodery S.The purpose of this study was to provide a systematic meta-analysis on echocardiographic measurements in normal Thoroughbred and Standardbred horses. The current systematic meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). All the available published papers on the reference values of echocardiographic assessment via M-mode echocardiography were searched, and fifteen studies were finally selected for analysis. In both fixed and random effect, the confidence interval (CI) for the interventricular septum (IVS) was 2.8-3.1 and 4.7-7.5; for the ...
Validation of an Equine Smart Textile System for Heart Rate Variability: A Preliminary Study.
Animals : an open access journal from MDPI    February 1, 2023   Volume 13, Issue 3 512 doi: 10.3390/ani13030512
McCrae P, Spong H, Golestani N, Mahnam A, Bashura Y, Pearson W.Electrocardiograms (ECGs), and associated heart rate (HR) and heart rate variability (HRV) measurements, are essential in assessing equine cardiovascular health and fitness. Smart textiles have gained popularity, but limited validation work has been conducted. Therefore, the objective of this study was to compare HR and HRV data obtained using a smart textile system (Myant) to the gold-standard telemetric device (Televet). Simultaneous ECGs were obtained using both systems in seven horses at rest and during a submaximal exercise test. Bland-Altman tests were used to assess agreement between th...
Intramural Purkinje fibers facilitate rapid ventricular activation in the equine heart.
Acta physiologica (Oxford, England)    January 18, 2023   Volume 237, Issue 3 e13925 doi: 10.1111/apha.13925
Elbrønd VS, Thomsen MB, Isaksen JL, Lunde ED, Vincenti S, Wang T, Tranum-Jensen J, Calloe K.The Purkinje fibers convey the electrical impulses at much higher speed than the working myocardial cells. Thus, the distribution of the Purkinje network is of paramount importance for the timing and coordination of ventricular activation. The Purkinje fibers are found in the subendocardium of all species of mammals, but some mammals also possess an intramural Purkinje fiber network that provides for relatively instantaneous, burst-like activation of the entire ventricular wall, and gives rise to an rS configuration in lead II of the ECG. To relate the topography of the horse heart and the dis...
Heart rate variability during high-speed treadmill exercise and recovery in Thoroughbred racehorses presented for poor performance.
Equine veterinary journal    January 10, 2023   Volume 55, Issue 5 727-737 doi: 10.1111/evj.13908
Hammond A, Sage W, Hezzell M, Smith S, Franklin S, Allen K.Heart rate variability (HRV) analysis measures the inter-beat interval variation of successive cardiac cycles. Measurement of these indices has been used to assess cardiac autonomic modulation and for arrhythmia identification in exercising horses. Objective: To report HRV indices during submaximal exercise, strenuous exercise and recovery, and explore relationships with clinical conditions (arrhythmias, lameness, equine gastric ulcer syndrome [EGUS], lower airway inflammation and upper respiratory tract obstructions [URTOs]) in Thoroughbred racehorses. Methods: Retrospective, observational cr...
Changes in Heart Rate Variability with Induction of Gastric Ulcers in Adult Horses.
Journal of equine veterinary science    December 11, 2022   Volume 121 104192 doi: 10.1016/j.jevs.2022.104192
Louie EW, Berryhill EH, Nieto J, Wensley F, Knych H, Finno CJ, Morgan JM.Gastric ulceration can be induced by athletic training and is a significant welfare concern. The objective of this study was to evaluate the effect of gastric ulcer induction on heart rate variability (HRV) in the horse. We hypothesized that induction of gastric ulcers would decrease HRV and increase low frequency fluctuations, consistent with increased sympathetic tone. A convenience sample of 8 horses in a larger study were enrolled. Horses were randomly assigned to receive water or 2 mg/kg omeprazole orally once daily for 28 days. Gastric ulcers were induced through intermittent feed withho...
Mid-term performance of decellularized equine pericardium in congenital heart surgery.
Interactive cardiovascular and thoracic surgery    November 7, 2022   ivac269 doi: 10.1093/icvts/ivac269
Weixler VHM, Kuschnerus K, Romanchenko O, Ovroutski S, Cho MY, Berger F, Sigler M, Sinzobahamvya N, Photiadis J, Murin P.The aim was to report mid-term performance of decellularized equine pericardium used for repair of various congenital heart defects in the pediatric population. Methods: A retrospective review of all patients undergoing patch implantation between 2016 - 2020 was performed. Patch quality, surgical handling, hemostasis and early patch-related complications were studied on all patients. Mid-term performance was observed in patients with ≥12 months follow-up and intact patch at discharge (without reoperation/stent implantation). Results: A total of 201 patients with median age of 2.5 years [inte...
Frequency of cardiac arrhythmias in horses during straight and untethered swimming.
Equine veterinary journal    November 3, 2022   Volume 55, Issue 5 738-746 doi: 10.1111/evj.13895
Santosuosso E, David F, Massie S, Filho SA, McCrae P, Johnson S, Leguillette R.Cardiac arrhythmias have not been previously reported in horses while swimming. Objective: To describe the type and frequency of encountered arrhythmias during repetitive swimming cycles. Methods: Descriptive observational study. Methods: Sixteen horses swam five pool lengths (75 m), each separated by an active recovery walk. Continuous electrocardiograms (ECGs) were recorded (n = 80) and analysed during the pre-swim, swim and active-recovery periods. Arrhythmias were categorised as sinus arrhythmia (SA), sinus block, sinus pause (compensatory and non-compensatory), second degree atriovent...
Cartilaginous Intrusion of the Atrioventricular Node in a Quarter Horse with a High Burden of Second-Degree AV Block and Collapse: A Case Report.
Animals : an open access journal from MDPI    October 24, 2022   Volume 12, Issue 21 2915 doi: 10.3390/ani12212915
Nissen SD, Saljic A, Kjeldsen ST, Jespersen T, Hopster-Iversen C, Buhl R.Second-degree atrioventricular (AV) block is the most common cardiac arrhythmia in horses, affecting 40-90% depending on breed. Usually, the AV blocks occur while the horses are resting and disappear upon exercise and are, therefore, considered to be uneventful for horses. However, if the AV blocks occur frequently, this may result in syncope and collapse. Identifying the cause of second-degree AV block is difficult and often subscribed to high vagal tone. In this report, we present an eight-year-old Quarter horse with a high burden of second-degree AV blocks and multiple collapses. The clinic...
Equine echocardiography: Can dobutamine infusion correct alterations due to sedation with alpha-2 agonists?
PloS one    October 18, 2022   Volume 17, Issue 10 e0276256 doi: 10.1371/journal.pone.0276256
Vitale V, Vezzosi T, Di Franco C, Briganti A, Tognetti R, Conte G, Bucchioni E, Sgorbini M.For the echocardiographic examination horses should not be sedated unless absolutely necessary because this alters cardiac dimensions and indices of function. However, some horses do not tolerate the echocardiographic procedure and require sedation to conduct the examination safely and obtain good quality images. The objective of this study was to evaluate whether the concurrent infusion of dobutamine in horses sedated with romifidine counteracts the cardiovascular changes observed with sedation alone. Twelve healthy untrained Standardbred mares were used. Three echocardiographic examinations ...
Retrospective review of atrial fibrillation in Standardbred racehorses at a tertiary care facility in Atlantic Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    October 4, 2022   Volume 63, Issue 10 1051-1056 doi: 10.1111/evj.13551
Burns JJ, MacMillan KM, John EE.Atrial fibrillation (AF) is the most clinically relevant cardiac arrhythmia identified in the Standardbred racehorse. However, there is limited literature regarding athletic ability in Standardbred racehorses following AF conversion. To investigate this issue, the objectives of this review were to: i) determine the success rate in using quinidine sulphate to treat AF in a population of hospitalized equine patients in Atlantic Canada between January 2008 and December 2019; and ii) measure return to athletic ability (using racetrack earnings and top-3 finishes) following cardioversion with quini...
Acetogenin-induced fibrotic heart disease from avocado (Persea americana, Lauraceae) poisoning in horses.
Toxicon : official journal of the International Society on Toxinology    September 17, 2022   Volume 219 106921 doi: 10.1016/j.toxicon.2022.09.007
Freitas MS, Pereira AHB, Pereira GO, Menezes IS, Lucena AR, Almeida CRF, Pereira EG, Santos LA, Tozin LRS, Alves FM, Macedo AL, Silva DB, Ubiali DG.Poisoning by avocado (Persea americana) has been confirmed in sheep, goats, dogs, rabbits and ostriches. The clinical signs and lesions are attributed to the acetogenin, persin. Little is known regarding the epidemiology, clinical signs, lesions and therapy caused by acetogenin-induced heart damage. During the two-year study, we investigated a horse farm with six horses that often fed themselves with P. americana leaves or mature fruit pulp and skin on the ground. Two horses died, and one underwent necropsy, histopathology, and immunohistochemistry using the anti-cardiac troponin C (cTnC). Gro...
Assessing the cardiac valves conditions in athletic horses with poor performance.
Veterinary research forum : an international quarterly journal    September 15, 2022   Volume 13, Issue 3 423-429 doi: 10.30466/vrf.2021.130366.2997
Khalesi H, Sakha M, Veshkini A, Rezakhani A.Heart murmurs and valvular regurgitation are common in horses and often have no effect on their performance. However, when structural changes occur in the heart size, they can affect performance adversely. This study aimed to examine the correlation between cardiac valves disease and poor performance in athletic horses. A total of 300 athletic Thoroughbred and mix-breed horses including 164 mares and 136 stallions, with a history of poor performance, were selected. Horses with cardiac murmurs were identified and further cardiac examination including precise auscultation, base-apex electrocardi...
Cardiovascular changes in horses with atrial fibrillation and high thyroid hormone concentration: a case-control study.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    August 20, 2022   Volume 43 93-100 doi: 10.1016/j.jvc.2022.08.003
Ter Woort F, Stefanovski D, Reef VB.Hyperthyroidism is a predisposing factor for atrial fibrillation (AF) in humans. The relationship between high thyroid hormone (TH) and AF in horses has not been evaluated. Objective: The aim of this study is to identify whether (1) high TH concentrations were present in horses with AF, (2) other cardiovascular effects were observed in horses with high TH and AF, and (3) TH status affected recurrence rate. Methods: Twenty-three horses presented with naturally occurring AF. Methods: Prospective case-control clinical study. Thyroid hormone concentration was measured in horses presenting with AF....