Hyperkalemic Periodic Paralysis (HYPP) is a genetic disorder affecting the skeletal muscles of horses, characterized by episodes of muscle weakness or paralysis. It is caused by a mutation in the gene responsible for encoding a sodium channel in muscle cells, which leads to abnormal muscle cell membrane excitability. This condition is predominantly observed in certain lines of Quarter Horses and related breeds. Clinical signs of HYPP can range from mild muscle twitching to severe paralysis, and episodes can be triggered by factors such as stress or dietary changes. This page compiles peer-reviewed research studies and scholarly articles that explore the genetic basis, pathophysiology, clinical presentation, and management strategies for Hyperkalemic Periodic Paralysis in horses.
Glazier DB, Littledike ET, Evans RD.In 11 crossbred ponies, hyperkalemia was induced by acute intracardiac infusion of a 0.4M solution of potassium chloride. The ECG changes noticed can be assigned to 4 stages: (1) a widening and a lowering of amplitude followed by inversion and final disappearance of the P wave; (2) an increase in the amplitude of the T wave; (3) an increase in the QRS interval, with some irregularity in the ventricular rate; and (4) periods of cardiac arrest that became terminal or were followed by ventricular fibrillation. At plasma potassium values of greater than 7.5 mM/L, the T-wave amplitude and duration ...
Datt SC, Usenik EA.Physical signs and blood changes were studied in horses with artificially produced obstructions of the duodenum and the small colon and simulated volvulus of the ileum. Horses with obstruction of the duodenum had the most violent physical signs and the shortest survival time. Blood changes were an initial rise in pH followed by acidosis, hyperkalemia and a decrease in HCO3 minus, Na+ and C1 minus. Obstruction of the small colon resulted in mild physical signs. The blood parameters recorded were normal. Simulated volvulus resulted in continuous colic. Blood changes were acidosis and hyperkalemi...
Fletcher JE, Erwin K, Beech J.Previous studies have demonstrated that phenytoin decreases the levels of triacylglycerols in several tissues other than skeletal muscle. Since phenytoin is clinically effective in several skeletal muscle disorders, triacylglycerol metabolism in skeletal muscle from four normal Quarter horses and four Quarter horses with hyperkalemic periodic paralysis was examined. The horses with hyperkalemic periodic paralysis had low levels of 18:3 in the phospholipids, low levels of 16:0, 16:1 and 18:3 in the free fatty acids and low levels of 20:4 in triacylglycerols. Triacylglycerol levels were increase...
Duggan VE, MacAllister CG, Davis MS.An 18-month-old Quarter Horse filly was evaluated because of dorsal displacement of the soft palate associated with epiglottic dysfunction that caused exercise intolerance and an abnormal respiratory noise. The abnormality of the epiglottis was corrected by use of a sedative dose of xylazine hydrochloride. There was no familial predisposition to hyperkalemic periodic paralysis, which may cause similar laryngopharyngeal signs, and the horse did not respond to administration of acetazolamide. There was no known history of trauma that could have caused neuritis, which has also been suggested as a...
Quarter horses (QH), a prominent athletic breed in Brazil, are affected by muscular genetic disorders such as myosin-heavy chain myopathy (MYHM), polysaccharide storage myopathy (PSSM1), hyperkalemic periodic paralysis (HyPP), and malignant hyperthermia (MH). Bull-catching (vaquejada), primarily involving QH, is a significant equestrian sport in Brazil. Since the allele frequencies (AF) of MYHM, PSSM1, HyPP, and MH in vaquejada QH remain unknown, this study evaluated the AF in 129 QH vaquejada athletes, specifically from the Brazilian Northeast. These variants were exclusively observed in hete...
