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Topic:Longitudinal Study

A longitudinal study in the context of equine research involves the systematic observation and data collection from the same group of horses over an extended period. This research approach aims to track changes and developments in various health parameters, behaviors, or conditions within the equine population being studied. By repeatedly assessing the same subjects, researchers can identify patterns, establish temporal sequences, and infer potential causal relationships. Longitudinal studies in horses can encompass a wide range of topics, including growth and development, disease progression, and the impact of environmental or management changes. This page gathers peer-reviewed research studies and scholarly articles that explore the methodologies, findings, and implications of longitudinal studies in equine science.
Influence of 8-Week Horseback Riding Activity on Balance and Pelvic Movements in an Older Adult Population.
Journal of aging and physical activity    February 7, 2022   Volume 30, Issue 5 906-915 doi: 10.1123/japa.2021-0237
Severyn AMH, Luzum NR, Vernon KL, Van Puymbroeck M, DesJardins JD.The biomechanical relationship between horse and rider in equine-assisted activities and therapies has been largely unexplored. The three-dimensional stimulation of the horse's gait has potential to improve rider musculature and coordination, especially in an older adult population. This study utilized dual-axis goniometers and video motion capture tracking to simultaneously track horse and rider hip flexion and extension. Ten older adult riders participated in 8 weeks of horseback riding lessons, where pelvis kinematics and balance assessments were compared between Weeks 1 and 8. Pelvic roll ...
Effects of age, disease and anastomosis on short- and long-term survival after surgical correction of small intestinal strangulating diseases in 89 horses.
Equine veterinary journal    January 21, 2022   Volume 54, Issue 6 1031-1038 doi: 10.1111/evj.13558
Rudnick MJ, Denagamage TN, Freeman DE.Although survival rates have been reported after small intestinal surgery for strangulating diseases in horses, none have followed survival for periods relevant to the long lifespan of horses and none have described effect of age, disease and surgical treatments over such long survival periods. Objective: To examine effects of age, disease and type of surgery on long-term survival in horses after surgical treatment of small intestinal strangulating diseases over periods relevant to the expected lifespan of a horse. Methods: Retrospective clinical study. Methods: Post-operative data were gather...
Long-Term Follow-Up of Restorations of Equine Cheek Teeth Infundibula (2006-2017).
Frontiers in veterinary science    January 14, 2022   Volume 8 793631 doi: 10.3389/fvets.2021.793631
Pearce CJ, Brooks N.Caries of the infundibula of equine cheek teeth can lead to significant dental disease including increased attritional wear, pulpar and apical disease, secondary sinusitis, and dental fracture. Restorations of cavities of equine cheek teeth infundibula have been performed since 1889. Recent advances in dental materials, instrumentation, and techniques have facilitated the use of dental restoration techniques by equine veterinary practitioners. No studies to date have demonstrated the safety or efficacy of restorations of equine cheek teeth infundibula. Objective: To assess the long-term result...
Algorithms predicting gestational stage from the maternal steroid metabolome of mares.
The Journal of endocrinology    November 24, 2021   Volume 252, Issue 1 45-57 doi: 10.1530/JOE-21-0249
Shorten PR, Legacki EL, Chavatte-Palmer P, Conley AJ.Hormone secretion by the maternal ovaries, trophoblast/placenta and fetus occurs sequentially, creating distinct steroid metabolomic 'signatures' in systemic blood of pregnant mares that vary with gestational stage. Algorithms were developed to predict the gestational day (GD) from the maternal steroid metabolome (nine steroids; pregnenolone (P5), progesterone (P4), 5α-dihydroprogesterone (DHP), 17α-hydroxyprogesterone, allopregnanolone, 20α-hydroxy-DHP, 3β,20α-dihydroxy-DHP, DHEA and androstenedione) determined by liquid chromatography-tandem mass spectrometry (LC-MS/MS) of eight thoroug...
First clinical expression of equine insect bite hypersensitivity is associated with co-sensitization to multiple Culicoides allergens.
PloS one    November 15, 2021   Volume 16, Issue 11 e0257819 doi: 10.1371/journal.pone.0257819
Birras J, White SJ, Jonsdottir S, Novotny EN, Ziegler A, Wilson AD, Frey R, Torsteinsdottir S, Alcocer M, Marti E.Insect bite hypersensitivity (IBH) is an IgE-mediated allergic dermatitis in horses incited by salivary allergens from Culicoides spp. IBH does not occur in Iceland, as the causative agents are absent, however a high prevalence is seen in horses exported to Culicoides-rich environments. To study the natural course of sensitization to Culicoides allergens and identify the primary sensitizing allergen(s) in horses exported from Iceland utilizing a comprehensive panel of Culicoides recombinant (r-) allergens. IgE microarray profiling to 27 Culicoides r-allergens was conducted on 110 serological s...
Effects of Topically Applied Betulinic Acid and NVX-207 on Melanocytic Tumors in 18 Horses.
Animals : an open access journal from MDPI    November 13, 2021   Volume 11, Issue 11 3250 doi: 10.3390/ani11113250
Weber LA, Delarocque J, Feige K, Kietzmann M, Kalbitz J, Meißner J, Paschke R, Cavalleri JV.The naturally occurring betulinic acid (BA) and its derivative NVX-207 induce apoptosis in equine melanoma cells in vitro. After topical application, high concentrations of the substances can be reached in healthy equine skin. With the aim to investigate the effect and safety of topically applied BA and NVX-207 in horses with melanocytic tumors, the longitudinal, prospective, randomized, double-blind, placebo-controlled study protocol included eighteen Lipizzaner mares with early-stage cutaneous melanoma assigned to three groups. Melanocytic lesions were topically treated either with a placebo...
Variation in insulin response to oral sugar test in a cohort of horses throughout the year and evaluation of risk factors for insulin dysregulation.
Equine veterinary journal    November 8, 2021   Volume 54, Issue 5 905-913 doi: 10.1111/evj.13529
Karikoski NP, Box JR, Mykkänen AK, Kotiranta VV, Raekallio MR.The oral sugar test (OST) is commonly used to diagnose insulin dysregulation (ID) and equine metabolic syndrome; however, possible seasonal changes in OST results have not been evaluated. Objective: To determine the possible variation in insulin response to OST throughout the year and risk factors associated with maximum insulin concentration (InsMax) and ID. Methods: Prospective, longitudinal cohort study. Methods: The OST was performed on 29 Finnhorses every other month six times. Serum total adiponectin concentration and phenotypic variables related to obesity were also measured. Changes in...
An Evaluation of Current Preventative Measures Used in Equine Practice to Maintain Distal Forelimb Functionality: A Mini Review.
Frontiers in veterinary science    November 2, 2021   Volume 8 758970 doi: 10.3389/fvets.2021.758970
Clarke EJ, Gillen A, Turlo A, Peffers MJ.Horses are used in a variety of equestrian disciplines predisposing them to musculoskeletal injury or disease including osteoarthritis and tendinopathy. As a result, a number of preventative measures are used within equine medicine and husbandry, ranging from therapeutic shoeing to the use of nutraceuticals. Despite their popularity and routine use evidence base and clinical outcomes are variable, bringing into question the efficacy of these prophylactic measures. In recent years a small number of studies have been performed examining the effect of specific strategies in order to quantify the ...
Factors associated with racing performance and career duration for Victorian-born Thoroughbreds.
Australian veterinary journal    October 14, 2021   Volume 100, Issue 1-2 48-55 doi: 10.1111/avj.13128
Flash ML, Crabb HK, Hitchens PL, Firestone SM, Stevenson MA, Gilkerson JR.The number of horses leaving the Australian Thoroughbred (TB) racing industry each year is of concern to animal welfare advocates, public and regulators. A horse's previous athletic performance is a significant driver of retirement from racing. Racehorse performance can be measured in terms of the total number of starts, duration of racing and prize money earned. This study investigated Australian racing records for the 2005 and 2010 Victorian TB foal crops to identify factors associated with total number of starts, racing career duration, prize money earned and age of last race start-up to th...
Free Faecal Water: Analysis of Horse Faecal Microbiota and the Impact of Faecal Microbial Transplantation on Symptom Severity.
Animals : an open access journal from MDPI    September 23, 2021   Volume 11, Issue 10 2776 doi: 10.3390/ani11102776
Laustsen L, Edwards JE, Hermes GDA, Lúthersson N, van Doorn DA, Okrathok S, Kujawa TJ, Smidt H.Free faecal water (FFW) in equines results in pollution of the hindquarters and tail and can also involve clinical signs. Though the cause of FFW is unknown, it was hypothesized that it may involve the gut microbiota. This hypothesis was addressed as follows. First, the faecal prokaryotic community composition of horses suffering from FFW relative to healthy controls ( = 10) was compared. Second, FFW horses were treated with a standardised faecal microbiota transplantation (FMT) protocol ( = 10), followed by assessment of FFW symptom severity and faecal prokaryotic community composition over a...
Musculoskeletal injuries in Standardbred racehorses on Prince Edward Island.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2021   Volume 62, Issue 9 987-993 
Rouette J, Cockram MS, Sanchez J, MacMillan KM.A study of musculoskeletal injuries in Standardbred racehorses on Prince Edward Island was conducted to determine the incidence and risk factors for injury. Monthly information was collected from 10 trainers and 153 Standardbred horses over a 12-month period. Seventeen new injuries were identified in pacers, representing a horse level incidence risk of 23% and an incidence rate of injury of 2.19 per horse-month at risk. Forty-one percent of the injuries occurred during a race, 53% during training and 6% during jogging. Fourteen horses had experienced a previous injury and 3 of these horses exp...
Clinical observations and molecular detection of Type-A influenza virus in some of the family Equidae in eastern Saudi Arabia winter-2019.
Veterinary research communications    August 26, 2021   Volume 45, Issue 4 423-430 doi: 10.1007/s11259-021-09822-2
Alnaeem A, Shawaf T, Ali AM, Hemida MG.In the current study, we are investigating the viral causes of some respiratory clinical signs in some animals belongs to the family Equidae in eastern Saudi Arabia (ESA) during winter- 2019. We observed the progression of severe respiratory clinical signs among some horses, donkeys, and ponies in the ESA. Animals showed rapid respiration, fever, nasal discharges (started as serous then changed into mucopurulent with the progression of the infection per some animals). We conducted a longitudinal study to monitor the progression of this outbreak. We conducted molecular surveillance for the infl...
Seasonal Variation in the Faecal Microbiota of Mature Adult Horses Maintained on Pasture in New Zealand.
Animals : an open access journal from MDPI    August 4, 2021   Volume 11, Issue 8 2300 doi: 10.3390/ani11082300
Fernandes KA, Gee EK, Rogers CW, Kittelmann S, Biggs PJ, Bermingham EN, Bolwell CF, Thomas DG.Seasonal variation in the faecal microbiota of forage-fed horses was investigated over a 12-month period to determine whether the bacterial diversity fluctuated over time. Horses ( = 10) were maintained on pasture for one year, with hay supplemented from June to October. At monthly intervals, data were recorded on pasture availability and climate (collected continuously and averaged on monthly basis), pasture and hay samples were collected for nutrient analysis, and faecal samples were collected from all horses to investigate the diversity of faecal microbiota using next-generation sequencing ...
Three-year study to evaluate an anthelmintic treatment regimen with reduced treatment frequency in horses on two study sites in Belgium.
Veterinary parasitology    July 30, 2021   Volume 298 109538 doi: 10.1016/j.vetpar.2021.109538
Geurden T, De Keersmaecker F, De Keersmaecker S, Claerebout E, Leathwick DM, Nielsen MK, Sauermann CW.In the present study, an anthelmintic treatment regimen with reduced treatment frequency was evaluated in horses on two study sites in Belgium during three consecutive summer pasture seasons. Historically, the horses on both study sites were treated up to 6 times a year with ivermectin (IVM) or up to 4 times a year with moxidectin (MOX), and previous efficacy evaluations indicated a reduced egg reappearance period in some of the treated horses for both IVM (28 days) and MOX (42 days). In the present study, all horses were treated with IVM or MOX in the spring and in autumn. Faecal egg counts (...
Clinical Course of Infection and Cross-Species Detection of Equine Parvovirus-Hepatitis.
Viruses    July 26, 2021   Volume 13, Issue 8 doi: 10.3390/v13081454
Reinecke B, Klöhn M, Brüggemann Y, Kinast V, Todt D, Stang A, Badenhorst M, Koeppel K, Guthrie A, Groner U, Puff C, de le Roi M, Baumgärtner W....Since its first discovery by Arnold Theiler in 1918, serum hepatitis also known as Theiler's disease has been reported worldwide, causing idiopathic acute hepatitis and liver failure in horses. Recent studies have suggested a novel parvovirus, named equine parvovirus hepatitis (EqPV-H), to be associated with Theiler's disease. Despite the severity and potential fatality of EqPV-H infection, little is known about the possibility of developing chronic infections and putative cross-species infection of equine sister species. In the present longitudinal study, we employed qPCR analysis, serology, ...
Attrition of Thoroughbred and Standardbred racehorses at New York Racetracks due to exercise and non-exercise related fatalities during the 2016 – 2019 racing seasons.
Journal of equine veterinary science    July 10, 2021   Volume 104 103703 doi: 10.1016/j.jevs.2021.103703
Palmer S, Gomez AMM, Mohammed HO.A longitudinal retrospective study was carried out to investigate the attrition of Thoroughbred (TB) and Standardbred (SB) horses racing at New York racetracks during the 2016 to 2019 seasons. The data were collected from the New York State Gaming Commission (NYSGC) Equine Breakdown, Death, Injury and Incident (EBDII), The Jockey Club InCompass Solutions, and The United States Trotting Association Pathway databases. Survival analysis was used to compare the predisposing factors by breed of the horse. The study included 431 horses (360 TB and 71 SB). There was a significant difference between t...
Long-term athletic performance in sport horses after desmotomy of the accessory ligament of the deep digital flexor tendon.
Equine veterinary journal    June 29, 2021   Volume 54, Issue 3 495-501 doi: 10.1111/evj.13472
Wismann ES, Jacobsen S, Thøfner M, Ladefoged S, Ekstrøm C, Lindegaard C.Outcome after desmotomy of the accessory ligament of the deep digital flexor tendon (AL-DDFT) to treat flexural deformity of the distal interphalangeal joint has been reported to be excellent. However, no studies have compared long-term athletic performance of sport horses exposed to desmotomy of the AL-DDFT to that of matched controls. Objective: The objective of this study is to compare long-term athletic performance in sports horses subjected to desmotomy of the AL-DDFT with the performance of matched controls. Methods: This is an observational multicentre retrospective matched cohort study...
Longitudinal study of the cutaneous microbiota of healthy horses.
Veterinary dermatology    June 24, 2021   Volume 32, Issue 5 467-e128 doi: 10.1111/vde.12983
O'Shaughnessy-Hunter LC, Yu A, Rousseau JD, Foster RA, Weese JS.Next-generation sequencing techniques have revealed that human and animal skin is colonised by a rich and diverse population of bacteria, and that microbial composition varies between different body sites and individuals. Very little is known about the normal microbiota of healthy equine skin. Objective: To describe the taxonomic distributions of cutaneous bacterial microbiota in a population of healthy horses in Ontario, Canada, and to evaluate the effects of body site, individual and time of year on microbial diversity and community composition. Methods: Samples were collected from four body...
Hay versus haylage: Forage type influences the equine urinary metabonome and faecal microbiota.
Equine veterinary journal    June 23, 2021   Volume 54, Issue 3 614-625 doi: 10.1111/evj.13456
Leng J, McNally S, Walton G, Swann J, Proudman C, Argo C, Emery S, La Ragione R, Eustace R.Gut microbial communities are increasingly being linked to diseases in animals and humans. Obesity and its associated diseases are a concern for horse owners and veterinarians, and there is a growing interest in the link among diet, the intestinal microbiota and metabolic disease. Objective: Assess the influence of long-term hay or haylage feeding on the microbiota and metabolomes of 20 Welsh mountain ponies. Methods: Longitudinal study. Methods: Urine, faeces and blood were collected from 20 ponies on a monthly basis over a 13-month period. Urine and faeces were analysed using proton magnetic...
Longitudinal tendon healing assessed with multi-modality advanced imaging and tissue analysis.
Equine veterinary journal    June 8, 2021   doi: 10.1111/evj.13478
Johnson SA, Valdés-Martínez A, Turk PJ, Wayne McIlwraith C, Barrett MF, McGilvray KC, Frisbie DD.The range of diagnostic modalities available to evaluate superficial digital flexor tendon (SDFT) injury includes magnetic resonance imaging (MRI), computed tomography (CT) and ultrasonography (US). Direct, comprehensive comparison of multi-modality imaging characteristics to end-point data has not previously been performed using a model of tendinopathy but is required to obtain a better understanding of each modality's diagnostic capabilities. Objective: To compare CT, MRI and US evaluation to outcome measures for histologic, biochemical and biomechanical parameters using an equine surgical m...
Spontaneous Behaviors of Post-Orchiectomy Pain in Horses Regardless of the Effects of Time of Day, Anesthesia, and Analgesia.
Animals : an open access journal from MDPI    May 31, 2021   Volume 11, Issue 6 doi: 10.3390/ani11061629
Trindade PHE, Taffarel MO, Luna SPL.This prospective and longitudinal study aimed to identify spontaneous post-orchiectomy pain behaviors in horses regardless of the effects of anesthesia, analgesia, and recording time of day. Twenty-four horses divided into four groups were submitted to: inhalation anesthesia only (GA), or combined with previous analgesia (GAA), or orchiectomy under pre (GCA), or postoperative (GC) analgesia. The data obtained from the subtraction of frequency and/or duration of 34 behaviors recorded during seven 60-min time-points in the 24 h after the anesthesia from those recorded in the mirrored time-points...
Age and Hydration of Competing Horses Influence the Outcome of Elite 160 km Endurance Rides.
Frontiers in veterinary science    May 14, 2021   Volume 8 668650 doi: 10.3389/fvets.2021.668650
Bollinger L, Bartel A, Küper A, Weber C, Gehlen H.High elimination rates and the concern for horse welfare are important issues in endurance riding. An improved understanding of the causes of elimination could increase completion rates in this sport. We have identified pre-ride risk factors that allow an assessment of potential elimination before the ride. A longitudinal cohort study was performed among 49 healthy horses competing in the 160 km endurance ride at the 2016 World Championship of Endurance Riding in Samorin/Slovakia. Blood samples were drawn before the ride. For statistical evaluation, horses were categorized in three groups: fin...
Training related risk factors for exercise induced pulmonary haemorrhage in British National Hunt racehorses.
Equine veterinary journal    May 9, 2021   Volume 54, Issue 2 283-289 doi: 10.1111/evj.13448
McGilvray TA, Cardwell JM.Exercise induced pulmonary haemorrhage (EIPH) is an important condition of horses performing high intensity exercise, with reported prevalence among racehorses of up to 95%, based on the detection of blood on tracheobronchoscopy. Previously identified risk factors include age, sex, season, race type, years spent in racing and lower airway inflammation. Objective: To estimate the prevalence of EIPH in British National Hunt racehorses as indicated by two outcome measures: presence of tracheal blood on tracheobronchoscopy, and presence of moderate-large (significant) proportions of haemosideropha...
Epidemiology of Chlamydia psittaci infections in pregnant Thoroughbred mares and foals.
Veterinary journal (London, England : 1997)    April 26, 2021   Volume 273 105683 doi: 10.1016/j.tvjl.2021.105683
Anstey S, Lizárraga D, Nyari S, Chalmers G, Carrick J, Chicken C, Jenkins C, Perkins N, Timms P, Jelocnik M.Late-term foal loss due to the traditional avian pathogen Chlamydia psittaci recently emerged as a threat to the Australian Thoroughbred industry. A longitudinal study of 14 stud farms was undertaken to better understand C. psittaci infection in pregnant mares and their foals by evaluating C. psittaci prevalence, equine herpesvirus-1 (EHV-1) co-infection, avian reservoirs, and potential risk factors. Mucosal swabs taken from 228 healthy pregnant mares and their foals were tested for C. psittaci and EHV-1 using species-specific qPCR assays. No foal loss was recorded due to either pathogen, and ...
Effectiveness of Equine-Assisted Activities and Therapies for Improving Adaptive Behavior and Motor Function in Autism Spectrum Disorder.
Journal of clinical medicine    April 16, 2021   Volume 10, Issue 8 1726 doi: 10.3390/jcm10081726
Zoccante L, Marconi M, Ciceri ML, Gagliardoni S, Gozzi LA, Sabaini S, Di Gennaro G, Colizzi M.Equine-assisted activities and therapies (EAAT) have been suggested to improve adaptive behavior, and possibly motor function, in autism spectrum disorder (ASD). This study investigated the effects of EAAT on adaptive behavior and motor function in 15 children with ASD (13 males) aged 7-15 years as well as the impact of EAAT on the magnitude of stress in the parent-child system and the evolution in the child interaction with both the trained therapist and the therapeutic animal through the 20 weekly sessions of EAAT. EAAT were associated with greater adaptive behavior and coordination (all â‰...
Colonic Health in Hospitalized Horses Treated with Non-Steroidal Anti-Inflammatory Drugs – A Preliminary Study.
Journal of equine veterinary science    March 26, 2021   Volume 101 103451 doi: 10.1016/j.jevs.2021.103451
van Galen G, Saegerman C, Hyldahl Laursen S, Jacobsen S, Andersson Munk M, Sjöström H, Holm Lindmark S, Verwilghen D.Non-steroidal anti-inflammatory drugs (NSAIDs) can cause right dorsal colitis, but longitudinal clinical studies are lacking. This study investigates whether NSAID treated horses develop right dorsal colonic pathology in a clinical setting. Non-gastrointestinal hospitalized horses treated with NSAIDs >4 days, and untreated hospital-owned teaching horses and non-gastrointestinal client-owned hospitalized horses were included. All horses were monitored over time with clinical examinations (focusing on presence of colic, depression, reduced appetite, unstructured feces), ultrasonographic intestin...
A Prospective Study of Training Methods for Two-Year-Old Thoroughbred Racehorses in Queensland, Australia, and Analysis of the Differences in Training Methods between Trainers of Varying Stable Sizes.
Animals : an open access journal from MDPI    March 25, 2021   Volume 11, Issue 4 928 doi: 10.3390/ani11040928
Crawford KL, Finnane A, Greer RM, Phillips CJC, Bishop EL, Woldeyohannes SM, Perkins NR, Ahern BJ.Worldwide, musculoskeletal injuries remain a major problem for the Thoroughbred racing industry. There is a strong interest in developing training and management strategies to reduce the impact of musculoskeletal injuries, however, progress has been limited by studies reporting conflicting findings, and a limited understanding of the role of different training methods in preventing injury. There is little data on patterns of rest periods and exercise data and how these vary between trainers. This prospective study of two-year-old racehorses was conducted in Queensland, Australia and involved w...
Studying the Shape Variations of the Back, the Neck, and the Mandibular Angle of Horses Depending on Specific Feeding Postures Using Geometric Morphometrics.
Animals : an open access journal from MDPI    March 10, 2021   Volume 11, Issue 3 doi: 10.3390/ani11030763
Raspa F, Roggero A, Palestrini C, Marten Canavesio M, Bergero D, Valle E.The effects of specific feeding positions upon the horse's shape variations of the back and neck postures as well as the variations of the mandibular angle have never been objectively studied. For this reason, geometric morphometrics was applied. Six horses, aged 14 ± 8 years (mean ± standard deviation, SD), were video-recorded while using three different feeding positions: on the ground-control position (CP); neck held 15 ± 3° below withers height with low hay net position (LP); neck held 15 ± 3° above withers height with high hay net position (HP). Data were analyzed using principal co...
Long-term storage of feces at -80 °C versus -20 °C is negligible for 16S rRNA amplicon profiling of the equine bacterial microbiome.
PeerJ    March 9, 2021   Volume 9 e10837 doi: 10.7717/peerj.10837
Gavriliuc S, Stothart MR, Henry A, Poissant J.The development of next-generation sequencing technologies has spurred a surge of research on bacterial microbiome diversity and function. But despite the rapid growth of the field, many uncertainties remain regarding the impact of differing methodologies on downstream results. Sample storage temperature is conventionally thought to be among the most important factors for ensuring reproducibility across marker gene studies, but to date much of the research on this topic has focused on short-term storage in the context of clinical applications. Consequently, it has remained unclear if storage a...
Single-Chamber Cardiac Pacemaker Implantation in a Donkey with Complete AV Block: A Long-Term Follow-Up.
Animals : an open access journal from MDPI    March 9, 2021   Volume 11, Issue 3 746 doi: 10.3390/ani11030746
Sedlinská M, Kabeš R, Novák M, Kološ F, Melková P.A five-month-old African jenny was presented with a history of exercise intolerance and syncopal episodes. Severe bradycardic arrhythmia due to a high-grade second-degree atrioventricular (AV) block with progression to complete AV block was diagnosed. The jenny underwent a transvenous single-chamber pacemaker implantation. The implantation procedure was performed in a lateral recumbency and the ventricular lead was inserted through the jugular vein. Positioning of the lead was guided by echocardiography. The pacemaker was programmed to VVI mode with a minimal ventricular rate of 40 pulses per ...