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Topic:Noninvasive Procedures

Noninvasive procedures in horses refer to diagnostic and therapeutic techniques that do not require incision into the body or removal of tissue. These procedures are designed to minimize discomfort and risk to the animal while providing valuable information for veterinary care. Common noninvasive methods include ultrasonography, thermography, and endoscopy, which allow for the examination of internal structures without surgery. Additionally, techniques such as laser therapy and extracorporeal shock wave therapy are employed for treatment purposes. These procedures are beneficial for assessing and managing a variety of conditions, including musculoskeletal disorders and soft tissue injuries. This page compiles peer-reviewed research studies and scholarly articles that explore the application, effectiveness, and advancements of noninvasive procedures in equine medicine.
Nasal high flow oxygen therapy in hospitalised neonatal foals.
Equine veterinary journal    October 13, 2021   Volume 54, Issue 5 946-951 doi: 10.1111/evj.13515
Floyd E, Danks S, Comyn I, Mackenzie C, Marr CM.Respiratory disease is common in critically ill neonatal foals. Traditional oxygen therapy (TOT) with nasal insufflation of oxygen is often used to provide first-line respiratory support. Mechanical ventilation is used in foals which require a greater level of support but requires specialist expertise and can be associated with significant complications. Non-invasive ventilation (NIV) enables a greater level of respiratory support without the need for intubation. High flow oxygen therapy (HFOT) is a mode of NIV commonly used in human intensive care. Objective: To describe the use of HFOT in ho...
Bi-Level Positive Airway Pressure for Non-invasive Respiratory Support of Foals.
Frontiers in veterinary science    September 29, 2021   Volume 8 741720 doi: 10.3389/fvets.2021.741720
Raidal SL, Catanchin CSM, Burgmeestre L, Quinn CT.Respiratory insufficiency and pulmonary health are important considerations in equine neonatal care. As the majority of foals are bred for athletic pursuits, strategies for respiratory support of compromised foals are of particular importance. The administration of supplementary oxygen is readily implemented in equine practice settings, but does not address respiratory insufficiency due to inadequate ventilation and is no longer considered optimal care for hypoxia in critical care settings. Non-invasive ventilatory strategies including continuous or bi-level positive airway pressure are effect...
Measurement of Tissue Oximetry in Standing Unsedated and Sedated Horses.
Veterinary sciences    September 22, 2021   Volume 8, Issue 10 202 doi: 10.3390/vetsci8100202
Cowling N, Woldeyohannes S, Sole Guitart A, Goodwin W.Near infrared spectroscopy (NIRS) noninvasively measures peripheral tissue oxygen saturation (StO) and may be useful to detect early changes in StO in anaesthetized and critically ill horses. This study aimed to identify the muscle belly that provided the highest percentage of successful StO readings and the highest mean StO value. Fifty adult horses were enrolled in a prospective controlled study. StO was measured at six different muscles in each horse, for each intervention: hair overlying the muscle was clipped (post clipping: PC), clipped skin was cleaned with chlorhexidine (post-surgical ...
Accuracy and trending capability of haemoglobin measurement by noninvasive pulse co-oximetry in anaesthetized horses.
Veterinary anaesthesia and analgesia    September 9, 2021   Volume 49, Issue 1 76-84 doi: 10.1016/j.vaa.2021.06.017
Tayari H, Flaherty D, Schauvliege S, La Rosa L, Auckburally A.To assess the accuracy and trending capability of continuous measurement of haemoglobin concentration [Hb], haemoglobin oxygen saturation (SaO) and oxygen content (CaO) measured by the Masimo Radical-7 pulse co-oximeter in horses undergoing inhalational anaesthesia. Methods: Prospective observational clinical study. Methods: A group of 23 anaesthetized adult horses. Methods: In 23 healthy adult horses undergoing elective surgical procedures, paired measurements of pulse co-oximetry-based haemoglobin concentration (SpHb), SaO (SpO), and CaO (SpOC) and simultaneous arterial blood samples were co...
Evaluation of noninvasive blood pressure in anesthetized horses: Bias, limits of agreement, and comparative detection of a predetermined mean blood pressure warranting treatment.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2021   Volume 62, Issue 9 994-998 
Radhakrishnan S, Lorenzutti AM, Araos JD, Martin-Flores M.Oscillometric blood pressure monitoring may be a practical tool for short procedures or those performed outside of the operating room. Oscillometric and direct blood pressure values in 30 juvenile and adult horses in a clinical setting using mixed effect models were compared. The limits of agreement and percentage errors were also calculated. We evaluated the sensitivity and false positive rate for the oscillometric method to trigger an intervention for treating blood pressure [direct mean arterial pressure (MAP) < 70 mmHg]. Oscillometric MAP and diastolic arterial pressure (DAP) differed f...
Thermal features, ambient temperature and hair coat lengths: Limitations of infrared imaging in pregnant primitive breed mares within a year.
Reproduction in domestic animals = Zuchthygiene    August 16, 2021   Volume 56, Issue 10 1315-1328 doi: 10.1111/rda.13994
Maśko M, Witkowska-Piłaszewicz O, Jasiński T, Domino M.Infrared thermography is a non-invasive technique which allows to distinguish between pregnant and non-pregnant animals. Detecting accurate body surface temperatures can be challenging due to external factors altering thermograph measurements. This study aimed to determine the associations between the ambient temperature, the hair coat features and the temperatures of mares' abdomens. It compared pregnant and non-pregnant mares throughout 11 months. The research was carried out on 40 Konik Polski mares, which were divided into pregnant and non-pregnant groups. The temperature (Tmax, maximal; ...
Transrectal three-dimensional fetal volumetry in early pregnant mares: Relationships between maternal factors and equine fetal volume measurements.
Theriogenology    August 6, 2021   Volume 174 20-26 doi: 10.1016/j.theriogenology.2021.08.003
Becsek A, Tzanidakis N, Blanco M, Schmicke M, Bollwein H.The aim of this study was to investigate the effects of maternal, hormonal, and fetal factors on early fetal volume (FV) measurements in mares obtained by three-dimensional (3D) ultrasound. Furthermore, postpartum parameters were explored in regard to their association with early FV. For this purpose, 149 German warmblood mares that were artificially inseminated and confirmed to be pregnant between days 14-16 of gestation, were examined transrectally at day 45 ± 1 of gestation with the portable 3D ultrasound device Voluson® i (GE, Zipf, Austria). FV was calculated by using the extension so...
Agreement of Bioreactance Cardiac Output Monitoring With Thermodilution in Healthy Standing Horses.
Frontiers in veterinary science    August 3, 2021   Volume 8 701339 doi: 10.3389/fvets.2021.701339
Hopster K, Hurcombe SDA.Bioreactance is the continuous analysis of transthoracic voltage variation in response to an applied high frequency transthoracic current and was recently introduced for non-invasive cardiac output measurement (NICOM). We evaluated NICOM compared to thermodilution (TD) in adult horses. Six healthy horses were used for this prospective, blinded, experimental study. Cardiac output (CO) measurements were performed simultaneously using TD and the bioreactance method. Different cardiac output scenarios were established using xylazine (0.5 mg/kg IV) and dobutamine (1.5-3 mcg/kg/min). Statistical ana...
A Systematic Approach to Comparing Thermal Activity of the Thoracic Region and Saddle Pressure Distribution beneath the Saddle in a Group of Non-Lame Sports Horses.
Animals : an open access journal from MDPI    April 13, 2021   Volume 11, Issue 4 1105 doi: 10.3390/ani11041105
MacKechnie-Guire R, Fisher M, Mathie H, Kuczynska K, Fairfax V, Fisher D, Pfau T.Thermography is a non-invasive method for measuring surface temperatures and may be a convenient way of identifying hypo/hyperthermic areas under a saddle that may be related to saddle pressures. A thermal camera quantified minimum/maximum/mean temperatures at specific locations (left/right) of the thoracic region at three-time points: (1) baseline; (2) post lunging; (3) post ridden exercise in eight non-lame sports horses ridden by the same rider. A Pliance (Novel) pressure mat determined the mean/peak saddle pressures (kPa) in the cranial and caudal regions. General linear mixed models with ...
Administration of pilocarpine by microneedle patch as a novel method for cystic fibrosis sweat testing.
Bioengineering & translational medicine    April 3, 2021   Volume 6, Issue 3 e10222 doi: 10.1002/btm2.10222
Li S, Hart K, Norton N, Ryan CA, Guglani L, Prausnitz MR.The sweat test is the gold standard for the diagnosis of cystic fibrosis (CF). The test utilizes iontophoresis to administer pilocarpine to the skin to induce sweating for measurement of chloride concentration in sweat. However, the sweat test procedure needs to be conducted in an accredited lab with dedicated instrumentation, and it can lead to inadequate sweat samples being collected in newborn babies and young children due to variable sweat production with pilocarpine iontophoresis. We tested the feasibility of using microneedle (MN) patches as an alternative to iontophoresis to administer ...
The Dynamics of Circulating Immune Complexes in Horses with Severe Equine Asthma.
Animals : an open access journal from MDPI    April 2, 2021   Volume 11, Issue 4 1001 doi: 10.3390/ani11041001
Slowikowska M, Bajzert J, Miller J, Stefaniak T, Niedzwiedz A.Non-invasive diagnostic biomarkers of equine asthma syndrome (EAS) from blood or urine are sought. The aim of this study was to assess the absorbance of circulating immune complexes (CICs) during the exacerbation, remission, and treatment of an asthma episode and assess the potential usefulness of CIC levels in the diagnosis and monitoring of the disease. The control group, asthma group, and treated asthma group each contained six horses. Following an initial examination and group classification, the horses were kept in a dusty environment for seven days and then moved to an asthma-friendly en...
Variation of skeletal muscle ultrasound imaging intensity in horses after treadmill exercise: a proof of concept for glycogen content estimation.
BMC veterinary research    March 16, 2021   Volume 17, Issue 1 121 doi: 10.1186/s12917-021-02818-9
Glycogen in skeletal muscle is a major source of energy during exercise and an important determinant of endurance capacity, so that its measurement may provide a meaningful marker of athletes' preparation and a possible predictor of performance, both in humans and in equines. Gold standard of glycogen concentration measurement is the histochemical and biochemical analysis of biopsy-derived muscle tissue, an invasive and potentially injuring procedure. Recently, high-frequency ultrasound (US) technology is being exploited in human sports medicine to estimate muscle glycogen content. Therefore, ...
Pilot Videodermoscopic Examination of Hair and Skin in Arabian Mare Horses During the Winter Season.
Journal of equine veterinary science    February 3, 2021   Volume 99 103400 doi: 10.1016/j.jevs.2021.103400
Pomorska-Zniszczyńska A, Szczepanik M, Kalisz G.Videodermoscopy is a novel, noninvasive technique used to examine the appearance of skin and its adnexa. The aim of this study was to assess specific dermoscopic parameters in Arabian purebred mares in particular areas of the body during the winter season. The study was performed in the winter season. Videodermoscopic evaluations of the hair and skin were performed over seven areas of the body: the forehead, mane, neck, chest, flank, croup, and tail. Twenty-one healthy, non-breeding Arabian mares aged 3 to 21 years were selected for the study. The Video-Dermatoscope Vidix 7 (Medici Medical SRL...
Evaluation of the efficiency of TaqMan duplex real-time PCR assay for non-invasive pre-natal assessment of foetal sex in equine.
Reproduction in domestic animals = Zuchthygiene    December 14, 2020   Volume 56, Issue 2 287-291 doi: 10.1111/rda.13831
Kadivar A, Rashidzadeh H, Davoodian N, Nazari H, Dehghani Tafti R, Heidari Khoei H, Seidi Samani H, Modaresi J, Ahmadi E.Accurate diagnosis of foetal sex in pregnant mare is helpful for many breeders, both for private or commercial purposes. In this study, in order to pre-natal foetal sexing in equine, we used TaqMan duplex real-time PCR to detect the specific regions of SRY and TSPY genes on extracted cell-free foetal DNA from maternal blood. Peripheral blood samples from 50 pregnant Arabian mares with singleton foetuses were collected. Cell-free foetal DNA was extracted from maternal plasma, and duplex real-time PCR assays were performed with TaqMan probes and primers. Amplification of glyceraldehyde-3-phospha...
The Use of Percutaneous Thermal Sensing Microchips for Body Temperature Measurements in Horses Prior to, during and after Treadmill Exercise.
Animals : an open access journal from MDPI    December 2, 2020   Volume 10, Issue 12 2274 doi: 10.3390/ani10122274
Kang H, Zsoldos RR, Woldeyohannes SM, Gaughan JB, Sole Guitart A.Accurately measuring body temperature in horses will improve the management of horses suffering from or being at risk of developing postrace exertional heat illness. PTSM has the potential for measuring body temperature accurately, safely, rapidly, and noninvasively. This study was undertaken to investigate the relation between the core body temperature and PTSM temperatures prior to, during, and immediately after exercise. The microchips were implanted into the nuchal ligament, the right splenius, gluteal, and pectoral muscles, and these locations were then compared with the central venous te...
Ultrasonographic evaluation of the effects of the administration of neostigmine and metoclopramide on duodenal, cecal, and colonic contractility in Arabian horses: A comparative study.
Veterinary world    November 16, 2020   Volume 13, Issue 11 2447-2451 doi: 10.14202/vetworld.2020.2447-2451
Beder NA, Mourad AA, Aly MA.As means for enhancing gastrointestinal (GI) motility, prokinetics have previously been evaluated in different breeds of horses with varying success. No previous studies were conducted to evaluate the effect of prokinetics on the intestinal tract of Arabian horses breed. Using B-mode ultrasound in the quantification of intestinal contractility, this study aimed to compare the impact of neostigmine and metoclopramide on the intestinal motility of healthy Arabian horses. Methods: Twenty-one clinically healthy Arabian horses were equally distributed into three groups. The control group was admini...
Infrared Thermography Correlates with Lactate Concentration in Blood during Race Training in Horses.
Animals : an open access journal from MDPI    November 9, 2020   Volume 10, Issue 11 2072 doi: 10.3390/ani10112072
Witkowska-Piłaszewicz O, Maśko M, Domino M, Winnicka A.In horse racing the most acceptable way to objectively evaluate adaptation to increased exertion is to measure lactate blood concentration. However, this may be stressful for the horse, therefore, a simple, noninvasive procedure to monitor race progress is desirable. Forty Thoroughbreds attended race training, with blood samples collected at rest, immediately after, and 30 min after exercise. The lactate concentration was determined 60 s after blood collection using an Accusport. Thermal imaging of the neck and trunk areas was performed following international veterinary standards from a dista...
An investigation into factors influencing basal eye temperature in the domestic horse (Equus caballus) when measured using infrared thermography in field conditions.
Physiology & behavior    October 23, 2020   Volume 228 113218 doi: 10.1016/j.physbeh.2020.113218
Jansson A, Lindgren G, Velie BD, Solé M.Infrared thermography (IRT) is a popular technology used for the detection of thermal changes given its non-invasive nature and lack of direct contact with the individual. Accordingly, the maximal eye temperature (MaxET) measured with IRT has been extensively applied in equine research. However, there is little information available about the potential limitations of the MaxET in field studies. Thus, the aims of this study were to 1) quantify the individual variation of MaxET in field conditions and the effects of individual, breed, body size (height at withers), eye side, sex and age, 2) dete...
B-Mode Ultrasonographic Abnormalities and Power Doppler Signal in Suspensory Ligament Branches of Nonlame Working Quarter Horses.
Journal of equine veterinary science    September 12, 2020   Volume 94 103254 doi: 10.1016/j.jevs.2020.103254
Rabba S, Petrucci V, Petrizzi L, Giommi DW, Busoni V.Information concerning B-mode ultrasonographic abnormalities and power Doppler (PD) signal in suspensory ligament branches of nonlame working Quarter Horses are not reported. The aims of this study were to investigate the prevalence of B-mode ultrasonographic abnormalities and PD signal in suspensory ligament branches in a group of nonlame working Quarter Horses and to compare B-mode findings with PD findings of horses in two different training (barrel racing and team roping). Twenty-one Quarter Horses in training, 14 barrel racing (Group B) and seven team roping horses (Group R), were assesse...
Association Between Disease Severity, Heart Rate Variability (HRV) and Serum Cortisol Concentrations in Horses with Acute Abdominal Pain.
Animals : an open access journal from MDPI    September 2, 2020   Volume 10, Issue 9 1563 doi: 10.3390/ani10091563
Gehlen H, Faust MD, Grzeskowiak RM, Trachsel DS.Heart rate variability (HRV) is a noninvasive technique to detect changes in the autonomous nervous system. It has rarely been investigated in horses with colic. Therefore, the objective was to assess the evolution of HRV parameters and cortisol concentrations in horses with colic. The 43 horses included in this study were categorized into three groups according to the treatment (1, surgical; 2, conservative; 3, euthanized). The HRV and laboratory variables were measured at admission (T1), the day after admission (T2), and at discharge (T3) and compared between groups and over time with an ANO...
No-contact microchip measurements of body temperature and behavioural changes prior to foaling.
Theriogenology    August 21, 2020   Volume 157 399-406 doi: 10.1016/j.theriogenology.2020.08.004
Auclair-Ronzaud J, Jousset T, Dubois C, Wimel L, Jaffrézic F, Chavatte-Palmer P.Gestational length is highly variable in horses ranging from 320 to 360 days. Thus, determining parturition time is an important challenge for the horse industry. Body temperature can be used in cows and ewes as an indicator of parturition. Thus, the aim of this study is to determine if temperature can also be used as indicator of foaling. Thirty-nine mares were monitored over two foaling seasons (2018 and 2019). They were housed in 16 m stalls with access to pasture in group three times a week from 10:00 to 16:00. Night watch as well as video monitoring was ensured during foaling periods. Bo...
Doppler indices of the equine fetal carotid artery throughout gestation.
Theriogenology    July 12, 2020   Volume 156 196-204 doi: 10.1016/j.theriogenology.2020.07.009
Bucca S, De Oliveira IRS, Cunanan JC, Vinardell T, Troedsson MHT.Assessment of pregnancy viability in the equine patient is currently based on gestational profiles of limited prognostic value. In recent years Doppler technology has been applied to uterine and umbilical arteries of pregnant mares to monitor fetal responsive haemodynamics, suggestive of compromise. To date, uterine artery Doppler indices failed to provide sufficient evidence of pregnancy viability and the umbilical cord of the equine fetus is inconsistently visualized past 250 days gestation. The objectives of this study were to: i) evaluate intracranial blood flow impedance by Doppler examin...
A wireless endoscopy capsule suitable for imaging of the equine stomach and small intestine.
Journal of veterinary internal medicine    June 8, 2020   Volume 34, Issue 4 1622-1630 doi: 10.1111/jvim.15825
Steinmann M, Bezugley RJ, Bond SL, Pomrantz JS, Léguillette R.Capsule endoscopy offers a new method for visualization of the gastrointestinal mucosa in horses where other imaging technologies have diagnostic limitations. Objective: To (1) test the feasibility of using this novel endoscopy capsule to visualize intestinal mucosa in horses, including an objective assessment of image quality, (2) assess how changes in preadministration preparation affect the transit time and the amount of gastrointestinal mucosa visualized, and (3) describe intestinal mucosa lesions in healthy horses. Methods: Five healthy adult horses. Methods: Three protocols were used in ...
Non-invasive Electroarthrography Measures Load-Induced Cartilage Streaming Potentials via Electrodes Placed on Skin Surrounding an Articular Joint.
Cartilage    June 5, 2020   Volume 13, Issue 2_suppl 375S-385S doi: 10.1177/1947603520928583
Changoor A, Garon M, Quenneville E, Bull SB, Gordon K, Savard P, Buschmann MD, Hurtig MB.We aimed to demonstrate that electroarthrography (EAG) measures streaming potentials originating in the cartilage extracellular matrix during load bearing through electrodes adhered to skin surrounding an articular joint. Equine metacarpophalangeal joints were subjected to simulated physiological loads while (1) replacing synovial fluid with immersion buffers of different electrolyte concentrations and (2) directly degrading cartilage with trypsin. An inverse relationship between ionic strength and EAG coefficient was detected. Compared to native synovial fluid, EAG coefficients increased ( &l...
Assessing the Influence of Buried Archaeology on Equine Locomotion Comparison with Ground Penetrating Radar Results.
Sensors (Basel, Switzerland)    May 22, 2020   Volume 20, Issue 10 doi: 10.3390/s20102938
Linford N, MacKechnie-Guire R, Cassar M.The aim of this trial project was to identify whether buried archaeological remains may have an influence on equine locomotion, through comparison with a non-invasive Ground Penetrating Radar (GPR) survey. This study was conducted at the world-renowned Burghley Horse Trials site, near Stamford, City of Peterborough, U.K. that has a diverse range of heritage assets throughout the wider park land centred on the Grade 1 listed Elizabethan Burghley House. The initial aim of the research was to first use geophysical survey to identify and characterise archaeological remains, and then to determine a...
Age-related differences in blood pressure, ultrasound-derived arterial diameters and arterial wall stiffness parameters in horses.
Equine veterinary journal    April 10, 2020   Volume 52, Issue 6 868-875 doi: 10.1111/evj.13263
Vera L, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.Arterial rupture mainly affects older horses. The reason why older horses are more prone to arterial rupture and which underlying vascular changes predispose older horses to aortic rupture is still unclear. Objective: To investigate the effect of ageing on the equine arterial wall and blood pressure. Methods: Cohort study. Methods: Non-invasive blood pressure measurement using a tail cuff and vascular ultrasound from aorta, common carotid artery and external iliac artery was performed in 50 healthy young (3-7 years) and 50 healthy old Warmblood horses (>18 years). Arterial diameters and c...
Evaluating Ultrasound as a Noninvasive Technique for Investigating Anatomical Variations of the Equine Nuchal Ligament Lamellae.
Journal of equine veterinary science    April 8, 2020   Volume 90 103017 doi: 10.1016/j.jevs.2020.103017
May-Davis S, Gee C, Brown WY.Ultrasound is a well-established modality in equine investigative and diagnostic procedures. Although to date, it has not been utilized in examining the attachments of the equine nuchal ligament lamellae (NLL) onto the cervical vertebrae, for which a noninvasive technique is currently lacking. This study presents a standardized methodology for investigating the equine NLL using ultrasonography, and further evaluates the ultrasound images against postmortem dissection in two nonrelated horses. The ultrasound images in both horses clearly presented the attachment points of the NLL to the dorsal ...
Non-invasive evaluation of the equine gastrointestinal mucosal transcriptome.
PloS one    March 16, 2020   Volume 15, Issue 3 e0229797 doi: 10.1371/journal.pone.0229797
Coleman MC, Whitfield-Cargile C, Cohen ND, Goldsby JL, Davidson L, Chamoun-Emanuelli AM, Ivanov I, Eades S, Ing N, Chapkin RS.Evaluating the health and function of the gastrointestinal tract can be challenging in all species, but is especially difficult in horses due to their size and length of the gastrointestinal (GI) tract. Isolation of mRNA of cells exfoliated from the GI mucosa into feces (i.e., the exfoliome) offers a novel means of non-invasively examining the gene expression profile of the GI mucosa. This approach has been utilized in people with colorectal cancer. Moreover, we have utilized this approach in a murine model of GI inflammation and demonstrated that the exfoliome reflects the tissue transcriptom...
Non-invasive stress evaluation in domestic horses (Equus caballus): impact of housing conditions on sensory laterality and immunoglobulin A.
Royal Society open science    February 19, 2020   Volume 7, Issue 2 191994 doi: 10.1098/rsos.191994
Marr I, Preisler V, Farmer K, Stefanski V, Krueger K.The study aimed to evaluate sensory laterality and concentration of faecal immunoglobulin A (IgA) as non-invasive measures of stress in horses by comparing them with the already established measures of motor laterality and faecal glucocorticoid metabolites (FGMs). Eleven three-year-old horses were exposed to known stressful situations (change of housing, initial training) to assess the two new parameters. Sensory laterality initially shifted significantly to the left and faecal FGMs were significantly increased on the change from group to individual housing and remained high through initial tr...
Differences in ultrasound-derived arterial wall stiffness parameters and noninvasive blood pressure between Friesian horses and Warmblood horses.
Journal of veterinary internal medicine    February 7, 2020   Volume 34, Issue 2 893-901 doi: 10.1111/jvim.15705
Vera L, De Clercq D, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.Aortic rupture is more common in Friesians compared to Warmbloods, which might be related to differences in arterial wall composition and, as such, arterial wall stiffness (AWS). Currently, nothing is known about differences in AWS between these breeds. Objective: Comparison of AWS parameters and noninvasive blood pressure between Friesians and Warmbloods. Methods: One hundred one healthy Friesians and 101 age-matched healthy Warmbloods. Methods: Two-dimensional and pulsed-wave Doppler ultrasound examination was performed of the aorta, common carotid artery, and external iliac artery to define...