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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.
Volumetric capnography to diagnose venous air embolism in an anaesthetised horse.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 189-190 doi: 10.1111/vaa.12383
Sacks M, Mosing M.No abstract available
Endocrine changes, fetal growth, and uterine artery hemodynamics after chronic estrogen suppression during the last trimester of equine pregnancy.
Biology of reproduction    February 17, 2017   Volume 96, Issue 2 414-423 doi: 10.1095/biolreprod.116.140533
Esteller-Vico A, Ball BA, Troedsson MHT, Squires EL.Equine pregnancy is characterized by very high circulating concentrations of estrogens. The physiological roles of estrogens during equine gestation are largely unknown, although some studies suggest a role in the regulation of uterine artery hemodynamics and a relationship between low circulating estrogen concentrations and late pregnancy loss. The objectives of this experiment were to evaluate the effects of estrogen suppression on uterine artery hemodynamics and on pregnancy outcome. Estrogen synthesis was suppressed using letrozole, a potent aromatase inhibitor. Twelve pregnant mares were ...
Exercise-Induced Cardiac Remodeling: Lessons from Humans, Horses, and Dogs.
Veterinary sciences    February 12, 2017   Volume 4, Issue 1 9 doi: 10.3390/vetsci4010009
Shave R, Howatson G, Dickson D, Young L.Physical activity is dependent upon the cardiovascular system adequately delivering blood to meet the metabolic and thermoregulatory demands of exercise. Animals who regularly exercise therefore require a well-adapted heart to support this delivery. The purpose of this review is to examine cardiac structure, and the potential for exercise-induced cardiac remodeling, in animals that regularly engage in strenuous activity. Specifically, we draw upon the literature that has studied the "athlete's heart" in humans, horses, and dogs, to enable the reader to compare and contrast cardiac remodeling i...
Development of a technique for determination of pulmonary artery pulse wave velocity in horses.
Journal of applied physiology (Bethesda, Md. : 1985)    February 9, 2017   Volume 122, Issue 5 1088-1094 doi: 10.1152/japplphysiol.00962.2016
Silva GTA, Guest BB, Gomez DE, McGregor M, Viel L, O'Sullivan ML, Runciman J, Arroyo LG.Calcification of the tunica media of the axial pulmonary arteries (PA) has been reported in a large proportion of racehorses. In humans, medial calcification is a significant cause of arterial stiffening and is implicated in the pathogenesis of cardiac, cerebral, and renal microvascular diseases. Pulse wave velocity (PWV) provides a measure of arterial stiffness. This study aimed to develop a technique to determine PA-PWV in horses and, secondarily, to investigate a potential association between PA-PWV and arterial fibro-calcification. A dual-pressure sensor catheter (PSC) was placed in the ma...
Echocardiographic Assessment of Left Ventricular Function in Healthy Horses and in Horses with Heart Disease Using Pulsed-Wave Tissue Doppler Imaging.
Journal of veterinary internal medicine    January 21, 2017   Volume 31, Issue 2 556-567 doi: 10.1111/jvim.14641
Koenig TR, Mitchell KJ, Schwarzwald CC.Assessment of left ventricular (LV) function by tissue Doppler imaging (TDI) is not well established in horses with heart disease. Objective: To describe the use of pulsed-wave (PW) TDI for the assessment of LV function, establish reference intervals, investigate effects of mitral regurgitation (MR), aortic regurgitation (AR), and primary myocardial disease (MD), and provide proof of concept for the use of PW TDI in Warmblood horses with heart disease. Methods: Thirty healthy horses, 38 horses with MR, 25 with AR, 8 with MD. Methods: Echocardiograms were retrospectively analyzed. Reference int...
The effect of anesthetic drug choice on accuracy of high-definition oscillometry in laterally recumbent horses.
Veterinary anaesthesia and analgesia    January 11, 2017   Volume 44, Issue 3 589-593 doi: 10.1016/j.vaa.2016.08.006
Duke-Novakovski T, Ambros B, Feng C, Carr AP.To determine the accuracy of high-definition oscillometry (HDO) for arterial pressure measurement during injectable or inhalation anesthesia in horses. Methods: Prospective, clinical study. Methods: Twenty-four horses anesthetized for procedures requiring lateral recumbency. Methods: Horses were premedicated with xylazine, and anesthesia induced with diazepam-ketamine. Anesthesia was maintained with xylazine-ketamine-guaifenesin combination [TripleDrip (TD; n = 12) or isoflurane (ISO; n = 12)]. HDO was used to obtain systolic (SAP), mean (MAP) and diastolic (DAP) arterial pressures, and he...
Cardiopulmonary effects of pleural insufflation with CO2 during two-lung ventilation in dorsally recumbent anesthetized horses.
Veterinary anaesthesia and analgesia    January 10, 2017   Volume 44, Issue 3 483-491 doi: 10.1016/j.vaa.2016.07.004
Bohaychuk-Preuss KS, Carrozzo MV, Duke-Novakovski T.To record the cardiopulmonary effects of pleural CO2 positive pressure insufflation in anesthetized horses. Methods: Prospective study. Methods: Seven horses (mean ± standard deviation, 530.9 ± 68.1 kg) undergoing terminal surgery. Methods: Horses were sedated with xylazine. Anesthesia was induced with ketamine-propofol and maintained with isoflurane, positive pressure ventilation, detomidine infusion, and butorphanol with the horses in dorsal recumbency. Baseline measurements were cardiac output, heart rate, pulmonary and systemic arterial and right atrial blood pressures, body temperature,...
Cardiopulmonary measurements in six horses with naturally-acquired colic (acute abdominal crisis).
Veterinary anaesthesia and analgesia    November 16, 2016   Volume 27, Issue 2 106 doi: 10.1016/S1467-2987(16)31357-5
Wagner AE, Dunlop CI, Parker DA.No abstract available
The effects of ventilation on intercranial and cerebral perfusion pressures in isoflurane-anaesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 91-92 doi: 10.1046/j.1467-2995.2002.00704.x
Brosnan RJ, Steffey EP, LeCouteur RA, Imai A, Kortz GD.No abstract available
Blood pressure and electrocardiographic effects of acepromazine in anaesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 94-95 doi: 10.1046/j.1467-2995.2003.00132_11.x
Murison PJ, Clutton RE, Blissitt KJ, Funnell OD.No abstract available
The effects of pre-anesthetic administration of xylazine on the cardiovascular responses to dobutamine in halothane anaesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 95-96 doi: 10.1046/j.1467-2995.2003.00132_13.x
McMurphy RM, Egger CM, Lillich JD.No abstract available
Cardiopulmonary, hematological, serum chemistry and peritoneal fluid alterations associated with abdominal insufflation with carbon dioxide during standing laparoscopy in healthy horses sedated with detomidine and butorphanol.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 107-108 doi: 10.1046/j.1467-2995.2002.00078_26.x
Latimer F, Eades S, Pettifer G, Tetens J, Hosgood G, Moore R.No abstract available
Intracranial and cerebral perfusion pressures in awake versus isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 105 doi: 10.1046/j.1467-2995.2002.00078_20.x
Brosnan RJ, LeCouteur RA, Imai A, Kortz GD, Steffey EP.No abstract available
The effects of ephedrine on intramuscular blood flow and other cardiopulmonary parameters in halothane-anesthetized ponies.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 171-181 doi: 10.1046/j.1467-2995.2002.00095.x
Lee YL, Clarke KW, Alibhai HI, Song DY.To evaluate the effect of ephedrine on intramuscular blood flow and hemodynamic parameters during equine anesthesia. Methods: Prospective experimental study. Methods: Six healthy adult Welsh Mountain ponies (five males, one female, mean weight: 267 kg, range: 213-347 kg). Methods: Halothane-anesthetized ponies received an IV bolus of ephedrine (0.1 mg kg), followed 30 minutes later by a second IV ephedrine injection (0.2 mg kg). Changes in intramuscular blood flows (IMBF) in upper and lower triceps brachii were measured by laser Doppler flowmetry. Cardiopulmonary measurements were made at inte...
Anaesthesia in horses using halothane and intravenous ketamine-guaiphenesin: a clinical study.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 1 20-28 doi: 10.1046/j.1467-2987.2001.00060.x
Spadavecchia C, Stucki F, Moens Y, Schatzmann U.The aim of this study was to define and evaluate a combined inhalation-intravenous anaesthetic protocol for use in equine anaesthesia. Methods: Prospective, randomized clinical trial. Methods: Twenty-eight horses (body mass 522 ± 82; 330-700 kg [mean ± SD; range]) with a mean age of 6 ± 4 years (range: 2-18 years) presented to the university hospital for various surgical procedures requiring general anaesthesia. Methods: Animals were randomly allocated to one of two treatment groups. Anaesthesia was maintained in 14 horses with halothane alone (H group). The mean end-tidal halothane concent...
Cardiopulmonary effects associated with head-down position in halothane-anesthetized ponies with or without capnoperitoneum.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 2 76-89 doi: 10.1046/j.1467-2995.2002.00077.x
Duke T, Cruz AM, Cruz JI, Howden KJ.To compare the cardiopulmonary effects of the head-down position, with or without capnoperitoneum, in halothane-anesthetized horses. Methods: Prospective randomized study. Methods: Five ponies (four mares, one stallion; bodyweight 302 ± 38.4 kg [mean ± SD]) were used. Methods: The ponies were anesthetized with xylazine, guiafenesin, ketamine, and maintained with halothane/oxygen and lungs were ventilated to 40 ± 2 mm Hg (5.3 ± 0.3 kPa) end-tidal CO tension. After baseline cardiopulmonary measurements, ponies were kept in horizontal position for 30 minutes, then tilted head-down 30° to the...
The cardiopulmonary effects of severe blood loss in anesthetized horses.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 30, Issue 2 80-86 doi: 10.1046/j.1467-2995.2003.00102.x
Wilson DV, Rondenay Y, Shance PU.To characterize the acute cardiopulmonary effects of severe hemorrhage in anesthetized horses. Methods: Prospective experimental study. Methods: Three geldings and six mares, aged 14.4 ± 2.7 years, weighing 486 ± 41 kg (range: 425-550 kg). Methods: Horses were anesthetized using xylazine, guaifenesin, ketamine and halothane or isoflurane. Cardiovascular variables, hematocrit, total solids, capillary refill time (CRT) and color of mucous membranes were measured as blood was collected from the carotid artery into sterile plastic bags. Arterial blood gas analysis was also performed. Results: Th...
[Heart disease in sports horses: Current recommendations of the 2014 ACVIM / ECEIM consensus statement].
Schweizer Archiv fur Tierheilkunde    October 7, 2016   Volume 158, Issue 10 677-689 doi: 10.17236/sat00086
Schwarzwald C.Heart murmurs and arrhythmias are common in horses. Assessment of their clinical relevance concerning health, performance, safety and longevity of sports horses is of highest importance. A comprehensive cardiovascular examination is crucial for diagnosis and assessment of the severity of disease. Recently, an expert panel of the American College of Veterinary Internal Medicine (ACVIM) and the European College of Equine Internal Medicine (ECEIM) developed a consensus statement containing recommendations for sports horses with heart disease. This article summarizes the most relevant recommendati...
Comparison of the pharmacokinetics of two formulations of hydroxyethyl starch in healthy horses.
Journal of veterinary pharmacology and therapeutics    September 21, 2016   Volume 40, Issue 3 309-313 doi: 10.1111/jvp.12359
Epstein KL, Bergren A, Nie B, Arnold RD, Brainard BM.A lower molecular weight and molar substitution formulation (130/0.4) of hydroxyethyl starch solution has been shown to have a more sustained effect on COP and similar hemodynamic effects as a higher molecular weight and molar substitution formulation (600/0.75) in healthy horses. In humans, these pharmacodynamic characteristics are coupled with more rapid clearance and decreased adverse coagulation effects and accumulation. The objective of this study was to determine and compare the pharmacokinetics of these two formulations in horses. Eight healthy horses were given a 10 mL/kg bolus of eac...
A comparison of the effects of a 4% modified fluid gelatin and a 6% hydroxyethyl starch on haemodilution, colloid osmotic pressure, haemostasis and renal parameters in healthy ponies.
Equine veterinary journal    July 28, 2016   Volume 49, Issue 3 363-368 doi: 10.1111/evj.12594
Gratwick Z, Viljoen A, Page PC, Goddard A, Fosgate GT, Lyle CH.Adverse effects on renal health and haemostasis have been documented in human patients administered hydroxyethyl starches (HESs). Gelatins may represent useful substitutes should similar adverse effects be identified in horses. Objective: To compare the effects of a 4% modified fluid gelatin (MFG) with a 6% (130/0.4) HES on haemodilution, colloid osmotic pressure (COP), haemostasis and renal parameters in healthy ponies. Methods: Randomised crossover experiment. Methods: Three treatments (Treatment A: 10 ml/kg bwt HES; Treatment B: 10 ml/kg bwt MFG; Treatment C: 20 ml/kg bwt MFG) were administ...
Changes in blood pressure, heart rate, and blood profile in mares during the last 3 months of gestation and the peripartum period.
Theriogenology    June 14, 2016   Volume 86, Issue 7 1856-1864 doi: 10.1016/j.theriogenology.2016.06.001
Nagel C, Trenk L, Aurich J, Wulf M, Aurich C.In this study, peripartum changes in complete blood count, plasma electrolyte concentrations, blood pressure, heart rate, and heart rate variability (HRV) were determined in pregnant Warmblood mares (n = 10). Blood was collected from Days 245 to 330 of gestation (phase A), 2Days 3 to 1 before foaling (phase B), repeatedly within 12 hours after foaling (phase C), and on Days 1 to 3 postpartum (phase D). On the same days as blood collection, blood pressure and cardiac beat-to-beat intervals were measured and time domain HRV variables were calculated. Blood pressure decreased during the past 3...
Equine aortic regurgitation: The search for objective repeatable and reproducible indicators of severity.
Veterinary journal (London, England : 1997)    May 4, 2016   Volume 213 91-92 doi: 10.1016/j.tvjl.2016.04.016
Keen JA.No abstract available
Accuracy and Precision of Noninvasive Blood Pressure in Normo-, Hyper-, and Hypotensive Standing and Anesthetized Adult Horses.
Journal of veterinary internal medicine    April 5, 2016   Volume 30, Issue 3 866-872 doi: 10.1111/jvim.13928
Heliczer N, Lorello O, Casoni D, Navas de Solis C.Blood pressure is relevant to the diagnosis and management of many medical, cardiovascular and critical diseases. The accuracy of many commonly used noninvasive blood pressure (NIBP) monitors and the accuracy of NIBP measurements in hypo- and hypertensive standing horses has not been determined. Objective: The objective of this study was to investigate the accuracy of an oscillometric BP monitor in standing horses before and during pharmacologically induced hyper- and hypotension and to compare results in standing and anesthetized horses. Methods: Eight standing mares from a research herd (SG)...
Cardiopulmonary effects and anaesthesia recovery quality in horses anaesthetized with isoflurane and low-dose S-ketamine or medetomidine infusions.
Veterinary anaesthesia and analgesia    February 25, 2016   Volume 43, Issue 6 623-634 doi: 10.1111/vaa.12359
Menzies MP, Ringer SK, Conrot A, Theurillat R, Kluge K, Kutter AP, Jackson M, Thormann W, Bettschart-Wolfensberger R.To evaluate cardiopulmonary effects and anaesthesia recovery quality in horses anaesthetized with isoflurane receiving medetomidine or S-ketamine infusions. Methods: Randomized, blinded, prospective clinical trial. Methods: Fifty horses undergoing elective surgery. Methods: After acepromazine and flunixin meglumine premedication, horses received medetomidine (7 μg kg-1 ) intravenously (IV). Anaesthesia was induced with midazolam and racemic ketamine (Med treatment group; 2.2 mg kg-1 ; n = 25) or S-ketamine (S-ket treatment group; 1.1 mg kg-1 ; n = 25) IV and maintained with isoflura...
Cardiovascular, respiratory and metabolic responses to apnea induced by atlanto-occipital intrathecal lidocaine injection in anesthetized horses.
Veterinary anaesthesia and analgesia    February 5, 2016   Volume 43, Issue 6 590-598 doi: 10.1111/vaa.12344
Guedes A, Aleman M, Davis E, Tearney C.To determine physiologic responses to apnea-induced severe hypoxemia in anesthetized horses. Methods: Prospective experimental study. Methods: Six university-owned horses with a median (range) body weight of 500 (220-510) kg and aged 13.5 (0.8-24.0) years scheduled for euthanasia. Methods: Xylazine-midazolam-ketamine-anesthetized horses breathing room air spontaneously were instrumented with a facial artery catheter for pressure measurement and blood sampling, and were made apneic with atlanto-occipital intrathecal lidocaine (4 mg kg ). Cardiopulmonary, biochemical and hematologic variable...
Assessing aortic regurgitation severity from 2D, M-mode and pulsed wave Doppler echocardiographic measurements in horses.
Veterinary journal (London, England : 1997)    January 18, 2016   Volume 210 34-38 doi: 10.1016/j.tvjl.2016.01.011
Ven S, Decloedt A, Van Der Vekens N, De Clercq D, van Loon G.Aortic regurgitation (AR) in horses can lead to left ventricular (LV) eccentric hypertrophy, ventricular arrhythmia and heart failure. Objective quantification of the severity of regurgitation is difficult. The aim of this study was to evaluate dimensional measurements, systolic time intervals and blood flow velocities, acquired by standard 2D, M-mode and pulsed wave Doppler echocardiography, for quantification of AR. Echocardiography was performed in 32 healthy horses and 35 horses with AR that were subdivided in three groups (mild, moderate or severe AR). From the recorded images LV, left at...
The effect of isosorbide dinitrate on uterine and ovarian blood flow in cycling and early pregnant mares: A pilot study.
Theriogenology    January 14, 2016   Volume 85, Issue 9 1562-1567 doi: 10.1016/j.theriogenology.2016.01.009
Zoller D, Lüttgenau J, Steffen S, Bollwein H.Poor uterine perfusion has been proposed as a cause of infertility in mares. The objective of this study was to investigate the effect of isosorbide dinitrate (ISDN), a nitric oxide donor, on uterine and ovarian blood flow resistance during diestrus and early pregnancy in mares. Six Trotter mares, aged 7 to 14 years, were examined daily during the first 11 days of three diestrous periods, and five of those mares were also examined during the first 11 days of two pregnancies. Six mares randomly received a placebo, a low dose (30 mg, ISDN30), or a high dose of ISDN (60 mg, ISDN60) through t...
Sepsis and Septic Shock in the Equine Neonate.
The Veterinary clinics of North America. Equine practice    November 28, 2015   Volume 31, Issue 3 483-496 doi: 10.1016/j.cveq.2015.09.001
Fielding CL, Magdesian KG.Sepsis and septic shock represent a major cause of morbidity and mortality in equine neonates and in all species. Early recognition of the condition is important, but definitive examination and laboratory variables to predict equine neonatal sepsis are lacking. Early and aggressive treatment should include broad-spectrum antimicrobial coverage, source control, and hemodynamic support. Field practitioners and intensive care clinicians work together in the management of this condition because the recognition and initial treatment should begin as early as possible.
Accuracy and precision of oscillometric blood pressure in standing conscious horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 21, 2015   Volume 26, Issue 1 85-92 doi: 10.1111/vec.12411
Olsen E, Pedersen TL, Robinson R, Haubro Andersen P.Arterial blood pressure (BP) is a relevant clinical parameter that can be measured in standing conscious horses to assess tissue perfusion or pain. However, there are no validated oscillometric noninvasive blood pressure (NIBP) devices for use in horses. Methods: Seven healthy horses from a teaching and research herd. Objective: To evaluate the accuracy and precision of systolic arterial pressure (SAP), diastolic arterial pressure (DAP), and mean arterial pressure (MAP) in conscious horses obtained with an oscillometric NIBP device when compared to invasively measured arterial BP. Methods: An ...
The cardiovascular status of isoflurane-anaesthetized horses with and without dexmedetomidine constant rate infusion evaluated at equivalent depths of anaesthesia.
Veterinary anaesthesia and analgesia    October 21, 2015   Volume 43, Issue 4 412-423 doi: 10.1111/vaa.12315
Risberg ÅI, Ranheim B, Krontveit RI, Lervik A, Haga HA.To compare cardiac index and oxygen extraction at equivalent depths of anaesthesia between isoflurane-anaesthetized horses and horses anesthetized with isoflurane and dexmedetomidine CRI. Methods: Sequential, blinded, randomized, balanced, crossover study. Methods: Eight horses weighing a mean ± standard deviation of 478 ± 58 kg. Methods: Horses were premedicated with 0.03 mg kg(-1) acepromazine intramuscularly (IM) and 8 μg kg(-1) dexmedetomidine intravenously (IV). Anaesthesia was induced with 2.5 mg kg(-1) ketamine and 0.1 mg kg(-1) midazolam IV and maintained with isofluran...