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Topic:Hemodynamics
Hemodynamics in horses refers to the study of blood flow and the forces involved in circulation within the equine cardiovascular system. It encompasses the examination of heart function, blood pressure, and the distribution of blood to various tissues and organs. Key parameters in equine hemodynamics include cardiac output, vascular resistance, and blood volume. These factors are integral to understanding how horses respond to exercise, stress, and various health conditions. This page aggregates peer-reviewed research studies and scholarly articles that explore the mechanisms, measurement techniques, and clinical implications of hemodynamic processes in equine physiology and veterinary medicine.
O2 transport in ponies during treadmill exercise. We assessed cardiovascular variables and blood O2 contents in order to characterize O2 transport in ponies during treadmill exercise. In normal ponies at 1.8, 3, and 6 mph, respectively, cardiac output (Qc) increased from 12 l/min at rest to maximum levels of 19.7, 28.7, and 39.9 l/min between 30 and 60 s. Qc then decreased to steady-state levels of 18.2, 24.6, and 32.7 l/min by 4 min. Heart rate (HR) showed a similar biphasic response in the 1st min of exercise. Systolic and diastolic arterial blood pressure (BP) decreased at the onset of exercise by 20-25 Torr (P less than 0.05) and then inc...
Echocardiography in foals from birth to three months old. Simultaneous echocardiograms, phonocardiograms and electrocardiograms were performed on 16 foals at the following times after birth: 15 mins, 60 mins, 2, 4, 12, 24, 48 h, four, seven, 14 days and four, eight and 12 weeks. Positive correlations were found between both age and body weight and the following measurements: left ventricular end-diastolic dimension, right ventricular end-diastolic dimension, left atrial dimension and aortic root dimension, posterior left ventricular wall thickness and interventricular septal thickness. Heart rate was negatively correlated with left ventricular electr...
Blood pressure, electrocardiogram and echocardiogram measurements in the growing pony foal. Twelve newborn pony foals underwent cardiovascular examinations (auscultation, arterial blood pressure measurements, electrocardiograms and M-mode echocardiograms) on their first day of life and then on Days 7, 14, 21, 30, 60 and 90. An age dependent, statistically significant, rapid increase of the arterial blood pressure in the first month was documented together with a slower decrease of the resting heart rate after two and three months of life. Innocent soft systolic murmurs were audible over the left heart base in a large number of the foals. The electrocardiograms showed age dependent in...
Relationships of left side systolic time intervals to beat-by-beat heart rate and blood pressure variables in some cardiac arrhythmias of the horse. 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....
Computer processing of transaortic valve blood pressures in the horse using the first derivative of the left ventricular pressure trace. A method is described of processing transaortic valve pressures in the horse using the first derivative of the left ventricular pressure to define the beginning and end of each systolic complex. To determine the beginning of each systole three definitions of left ventricular end diastolic pressure (LVEDP), based on a 100, 150 or 200 mmHg/sec rate of left ventricular diastolic pressure rise, were evaluated. These definitions were also evaluated for their ability to determine isovolumic contraction time (ICT) and pulse interval. The best of these, LVEDP 150, was defined as the last point in dias...
Hemodynamics before and after conversion of atrial fibrillation to normal sinus rhythm in horses. Hemodynamic measurements were obtained from 17 horses with atrial fibrillation or flutter. Eight horses had atrial fibrillation of unknown duration. In 7 horses, atrial fibrillation developed during anesthesia. Atrial flutter developed during recovery from anesthesia in 2 horses. Hemodynamic measurements were considered normal in 7 of 8 conscious horses with atrial fibrillation. Cardiac output was decreased and pulmonary arterial blood pressure and right atrial pressure were increased in 1 conscious horse which had signs of congestive heart failure. Arterial blood pressure decreased in 5 of 7 ...
Cardiovascular and pulmonary effects of recumbency in two conscious ponies. Respiratory dead-space, tidal volume, respiratory rate, blood gases, cardiac output, heart rate and arterial and pulmonary arterial blood pressures were measured in two conscious, trained ponies in the standing position and in left lateral recumbency. The ponies were reluctant to remain lying down for more than about 20 mins but the reason for this did not become apparent. Tidal volume was reduced during recumbency but the respiratory rate increased, tending to maintain the minute volume at about that of the standing animal. Arterial carbon dioxide tension did not change significantly from sta...
Arterial blood gas tensions during exercise in a horse with laryngeal hemiplegia, before and after corrective surgery. Arterial blood samples were collected during maximal exercise over 1.6 km in a thoroughbred horse with left laryngeal hemiplegia. Acid-base and blood gas measurements were performed on each sample and compared to the results from samples which were similarly collected 48 hours after laryngoplasty surgery was performed. Before surgery, the PaO2 was 53.2 mm Hg and the PaCO2 was 58.1 mm Hg after 1.6 km. After surgery, the corresponding results were 83.6 mm Hg (PaO2) and 39.0 mm Hg (PaCO2). There was no significant difference in the times taken for each gallop. The exercise intolerance associated ...
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...
Effects of butorphanol, flunixin, levorphanol, morphine, and xylazine in ponies. The analgesic and behavioral effects of butorphanol (0.22 mg/kg), flunixin (2.2 mg/kg), levorphanol (0.033 mg/kg), morphine (0.66 mg/kg), and xylazine (2.2 mg/kg), given IM were observed in 8 ponies. These ponies were instrumented to measure response objectively to painful superficial and visceral stimuli. Effects on the cardiopulmonary system and rectal temperature also were evaluated in 6 of these ponies. Observations were conducted before drug injection (base-line values) and after injection at 30, 60, 120, 180, and 240 minutes. Xylazine provided the highest pain threshold for the first 60 ...
Pulmonary arterial haemodynamics and blood gas values of Thoroughbred racehorses with a history of epistaxis during a race. In ten Thoroughbred racehorses which suffered epistaxis during a race, the mean pulmonary arterial diastolic pressure (PADP) was significantly higher, and the mean pulmonary arterial oxygen tension (PaO2) was significantly lower, than the corresponding mean values of a sample of fourteen clinically normal Thoroughbreds in training. The authors conclude that in horses with epistaxis during a race, pulmonary dysfunction may persist for up to two months after the episode, and that the results indicate a need for pulmonary function studies before and after racing, in order to resolve problems conc...
Survey of resting blood pressure values in clinically normal horses. Resting coccygeal blood pressure values were measured, indirectly, on 296 horses (97 Thoroughbreds, 97 Standardbreds and 102 hacks). Blood pressure was found to vary with the class of horse examined; on average Thoroughbreds had significantly higher values than Standardbreds and hacks, whereas blood pressures of the last two groups were not significantly different. There was no demonstrable effect of sex, height or heart rate on blood pressure, but temperature and age did influence the value recorded. Mean (+/- sd) (n = 296) coccygeal uncorrected values (systolic pressure/diastolic pressure) w...
Cerebrovascular response to acute decreases in arterial PO2. The purpose of these studies was to examine the time course of the cerebrovascular response to acute hypoxia in unanesthetized ponies. An electromagnetic flow transducer chronically placed on the internal carotid artery of the pony allowed continuous recording of internal carotid artery blood flow (ICBF) which has been shown to be representative of cerebral blood flow (CBF). The ponies were subjected to three levels of acute isocapnic hypoxia (PaO2 = 62, 44, and 39 mm Hg for hypoxia level I, II, and III, respectively), and the temporal and steady-state cerebrovascular response was examined. IC...
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...
A new analgesic drug combination in the horse. A xylazine and butorphanol drug combination produced minimal and transient hemodynamic effects and no significant respiratory depression when administered to 6 healthy horses. Combining xylazine and butorphanol produced a synergistic analgesic effect and provided good chemical restraint for a standing surgical procedure.
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...
Regional myocardial blood flow and coronary vascular reserve in unanesthetized ponies during pacing-induced ventricular tachycardia. To examine the effects of tachycardia on coronary circulation, transmural distribution of myocardial blood flow (MBF, 15-micron diameter radionuclide-labeled microspheres) was studied in six healthy adult ponies at rest (heart rate = 60 +/- 7 beats . min-1), during ventricular pacing at 150 and 200 beats . min-1, as well as with ventricular pacing at 250 beats . min-1 before and during maximal coronary vasodilatation (iv adenosine infusion; 4 mumole . kg-1 . min-1). Mean aortic pressure and cardiac output were unchanged from control values with ventricular pacing. Whereas ventricular pacing at...
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...
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 ...
Cardiovascular effects of submaximal aerobic training on a treadmill in Standardbred horses, using a standardized exercise test. Seven healthy, unexercised, previously trained, adult Standardbred horses were allotted to 2 groups and trained 78 days on a treadmill set at a 7 degree 30' angle. The groups were trained on different schedules, and the effects of training on heart rate, cardiac output, stroke volume, arteriovenous oxygen difference, systemic blood pressure, and venous lactic acid were determined. Measurements were made at rest, during exercise on the treadmill at rates of 55 m/min, 75 m/min, 100 m/min, and 154 m/min, and at 5 minutes after exercise (standardized exercise test). Heart rate and cardiac output d...
Effects of naloxone on endotoxin-induced changes in ponies. The value of naloxone (1 mg/kg of body weight/hr for 4 hrs), a beta-endorphin antagonist, was assessed in the management of endotoxin-induced shock in ponies. Three groups of 5 ponies each were used: controls, ponies given Escherichia coli endotoxin put untreated, and ponies given endotoxin and then treated with naloxone. Endotoxin-induced changes in hemodynamics, blood chemical values, regional blood flow, plasma enzymes, and energy supplies were measured at selected times during the first 6 hours after endotoxin was given. There was no evidence that beta-endorphins released during shock were...
Plasma and blood viscosities, and aggregation of red cells in racehorses. Nineteen racehorses have been studied for haemorheologic factors as earlier studies showed a definite correlation between physical fitness and these factors in humans. Results included individual values for all viscosity factors, and the arithmetic means, the latter showing 4.70 +/- 0.49 cP for blood viscosity measured at a shear rate of 180 s-1; 1.100 +/- 0.048 cP for plasma viscosity; 1.045 +/- 0.063 for the rigidity of red cells defined by term 'Tk'; 42.2 +/- 4.1% haematocrit; 290 +/- 39 mg per 100 ml for fibrinogen level; and 278 +/- 75 mm h-1 for aggregation of red cells at 37 degrees C (...
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 ...
Hemodynamic effects of prostacyclin (prostaglandin I2) in conscious ponies. The infusion (IV) of prostacyclin (PGI2) into conscious ponies resulted in systemic arterial hypotension and tachycardia. Mean systemic arterial pressure decreased from 103.3 mm of Hg to 88.5 mm of Hg when 125 ng of PGI2/kg/minute was infused, and heart rate increased from 55.0 to 102.0 beats/minute. When 208 ng of PGI2/kg/minute was infused, mean systemic arterial pressure decreased from 103.3 to 78.0 mm of Hg and heart rate increased from 55.0 to 109.3 beats/minute. There were no significant alterations in pulmonary arterial pressure, lactate, PCV, total WBC count, platelet count, serum lact...
Thromboxane, prostaglandin I2 (epoprostenol), and the hemodynamic changes in equine endotoxin shock. This study had 2 objectives: (i) to correlate plasma thromboxane and prostaglandin I2 (epoprostenol) concentrations with hemodynamic changes occurring in equine endotoxin shock, and (ii) to determine the effects of flunixin meglumine on plasma concentrations of these prostaglandins relative to hemodynamic changes. Shock was induced in 2 groups, each of 4 anesthetized ponies, and in a 3rd group of 2 ponies. Group A ponies were given endotoxin only (and were not treated), and group B ponies were given endotoxin and then treated with flunixin meglumine. Group C ponies were treated with flunixin m...
Blood gas and acid–base status in spontaneously delivered, term-induced and induced premature foals. Six spontaneously delivered foals, 8 Thoroughbred foals induced at term with fluprostenol and 17 Pony foals induced prematurely with fluprostenol and oxytocin at a gestational age of 270 to 330 days were studied to determine PO2, PCO2, pH, base excess and HCO3 values in arterial blood between birth and 7 days of age. The Pony foals were subdivided into those that survived greater than 24 h (N = 9) and less than 9 h (N = 8). Blood gas and acid base values in the term-induced foals were similar to those in spontaneously delivered foals. The induced premature foals surviving greater than 24 h had...
Correct occlusive bladder width for indirect blood pressure measurement in horses. The influence of occlusive bladder width on blood pressure, measured indirectly using a doppler ultrasound technique at the middle coccygeal artery, was studied in 6 anesthetized horses. The relationship was investigated on tails with and without hair, and the optimum bladder width (BW)/tail girth (TG) ratio was determined for systolic pressure (SP) and diastolic pressure (DP), with the data grouped as unclipped tails (TT-1), clipped tails (TT-2), and both unclipped and clipped tails collectively (TTB). The optimum BW/TG ratios for SP and DP were 0.296 and 0.866 for TT-1, 0.376 and 1.156 for T...
