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Topic:Physiology

The physiology of horses encompasses the study of the biological functions and processes that occur within the equine body. This includes the examination of various systems such as the cardiovascular, respiratory, musculoskeletal, digestive, and nervous systems. Understanding equine physiology is essential for comprehending how horses adapt to different environmental conditions, perform physical activities, and respond to health challenges. Research in this field often focuses on the mechanisms of energy metabolism, thermoregulation, and muscle function during exercise, as well as the physiological responses to stress and disease. This page compiles peer-reviewed research studies and scholarly articles that explore the diverse aspects of equine physiology, providing insights into the biological processes that support the health and performance of horses.
Characterization of insulin and IGF-1 receptor binding in equine liver and lamellar tissue: implications for endocrinopathic laminitis.
Domestic animal endocrinology    June 7, 2018   Volume 66 21-26 doi: 10.1016/j.domaniend.2018.05.008
Nanayakkara SN, Rahnama S, Harris PA, Anderson ST, de Laat MA, Bailey S, Sillence MN.Although it is well established that equine laminitis can be triggered by extreme hyperinsulinemia, the mechanism of insulin action is not known. High concentrations of insulin lead to separation of the weight-bearing apparatus from the hoof wall and are associated with an increased cycle of cell death and proliferation in the lamellae. Gene expression and immunohistochemistry studies have indicated that the lamellae are sparsely populated with insulin receptors, whereas IGF-1 receptors (IGF-1R) are abundant, suggesting that the action of insulin may be mediated by insulin binding to the IGF-1...
5α-dihydroprogesterone concentrations and synthesis in non-pregnant mares.
The Journal of endocrinology    June 2, 2018   Volume 238, Issue 1 25-32 doi: 10.1530/JOE-18-0215
Conley AJ, Scholtz EL, Legacki EL, Corbin CJ, Knych HK, Dujovne GD, Ball BA, Moeller BC, Stanley SD. and evidence indicates that the bioactive, 5α-reduced progesterone metabolite, 5α-dihydroprogesterone (DHP) is synthesized in the placenta, supporting equine pregnancy, but its appearance in early pregnancy argues for other sites of synthesis also. It remains unknown if DHP circulates at relevant concentrations in cyclic mares and, if so, does synthesis involve the non-pregnant uterus? Jugular blood was drawn daily from cyclic mares ( = 5). Additionally, ovariectomized mares (OVX) and geldings were administered progesterone (300 mg) intramuscularly. Blood was drawn before and after t...
Ex vivo effects of insulin on the structural integrity of equine digital lamellae.
Equine veterinary journal    June 1, 2018   Volume 51, Issue 1 131-135 doi: 10.1111/evj.12964
Sandow C, Fugler LA, Leise B, Riggs L, Monroe WT, Totaro N, Belknap J, Eades S.Laminitis has a considerable impact on the equine industry. Endocrinopathic laminitis is the most common form and affected horses often have hyperinsulinaemia due to an underlying metabolic disorder. Objective: The aim of this study was to determine if insulin weakens the structural integrity of digital lamellae and to develop an ex vivo model for the study of hyperinsulinaemia-induced lamellar failure. Methods: Ex vivo experiment. Methods: Biomechanical testing was used to assess the structural integrity of lamellar explants exposed to either medium alone (control) or medium supplemented with...
Influences of intrauterine semen administration on regulatory T lymphocytes in the oestrous mare (Equus caballus).
Theriogenology    June 1, 2018   Volume 118 119-125 doi: 10.1016/j.theriogenology.2018.05.030
Hartmann C, Gerner W, Walter I, Saalmüller A, Aurich C.In the mare, early pregnancy loss is common, but involvement of the maternal immune system in the pathogenesis of this condition has not been investigated in detail so far. In the present study, we assessed effects of exposure of the endometrium to semen or seminal plasma in oestrous mares on the response of regulatory T lymphocytes (Tregs) in the peripheral circulation as well as in the endometrium. Raw semen, seminal plasma or PBS (control) were introduced into the uterus of oestrous mares (n = 12). Blood was collected immediately before insemination or PBS infusion (time 0), and 12, 24 ...
Equine sperm-bound antisperm antibodies are associated with poor semen quality.
Theriogenology    June 1, 2018   Volume 118 212-218 doi: 10.1016/j.theriogenology.2018.05.034
Ferrer MS, Miller LMJ.Antisperm antibodies (ASAs) have been associated with infertility in stallions. The objectives of this study were to investigate the frequency of ASA-positive semen samples in satisfactory and non-satisfactory breeder stallions, the association between ASA binding and semen quality, and factors that may affect the diagnosis. Breeding soundness examinations were performed in 21 stallions and the percentage of IgG- and IgA-bound spermatozoa was evaluated using flow cytometry. Median IgG and IgA binding did not differ between the first and second ejaculates. The percentage of IgA-bound spermatozo...
A potential regulatory region near the EDN3 gene may control both harness racing performance and coat color variation in horses.
Physiological reports    May 31, 2018   Volume 6, Issue 10 e13700 doi: 10.14814/phy2.13700
Jäderkvist Fegraeus K, Velie BD, Axelsson J, Ang R, Hamilton NA, Andersson L, Meadows JRS, Lindgren G.The Swedish-Norwegian Coldblooded trotter and the heavier North-Swedish draught horse both descend from the North-Swedish horse, but the Coldblooded trotters have been selected for racing performance while the North-Swedish draught horse is mainly used for agricultural and forestry work. By comparing the genomes of Coldblooded trotters, North-Swedish draught horses and Standardbreds for a large number of single-nucleotide polymorphisms (SNPs), the aim of the study was to identify genetic regions that may be under selection for racing performance. We hypothesized that the selection for racing p...
Effects of hetastarch 130/0.4 on plasma osmolality, colloid osmotic pressure and total protein in horses anaesthetised for elective surgical procedures.
The Veterinary record    May 31, 2018   Volume 183, Issue 4 127 doi: 10.1136/vr.104634
Roska S, Morello S, Rajamanickam V, Smith LJ.Effects of lactated Ringer's solution (LRS) and hetastarch 130/0.4 (HES) on colloid osmotic pressure (COP), plasma osmolality (OSM) and total protein (TP) were investigated in 18 inhalational-anaesthetised healthy horses. Horses received 4-6 ml/kg LRS (LRS; n=9) or HES (HES; n=9) from anaesthesia induction through 60 min, after which all were administered LRS. COP, TP and OSM were measured before premedication (baseline), postinduction and 30 (n=18), 60 (n=18), 90 (n=18) and 120 (n=12) minutes. Baseline COP, OSM and TP were not different between groups. TP decreased in both groups at all t...
Variation in faecal microbiota in a group of horses managed at pasture over a 12-month period.
Scientific reports    May 31, 2018   Volume 8, Issue 1 8510 doi: 10.1038/s41598-018-26930-3
Salem SE, Maddox TW, Berg A, Antczak P, Ketley JM, Williams NJ, Archer DC.Colic (abdominal pain) is a common cause of mortality in horses. Change in management of horses is associated with increased colic risk and seasonal patterns of increased risk have been identified. Shifts in gut microbiota composition in response to management change have been proposed as one potential underlying mechanism for colic. However, the intestinal microbiota in normal horses and how this varies over different seasons has not previously been investigated. In this study the faecal microbiota composition was studied over 12 months in a population of horses managed at pasture with minima...
Temporal relationships of GH, IGF-I and fructosamine concentrations in pregnant Spanish Purebred mares: A substantial contribution from the hormonal standpoint.
Theriogenology    May 30, 2018   Volume 118 164-171 doi: 10.1016/j.theriogenology.2018.05.040
Satué K, Marcilla M, Medica P, Cravana C, Fazio E.Growth hormone (GH) and insulin-like growth factor (IGF-I) exert essential functions to maintain an adequate metabolic activity for correct placental and fetal development. Although fructosamine (FRUCT) is used in clinical evaluation to assess the glycaemic state, the relationships between GH, IGF-I and FRUCT remain unknown in the mare. Therefore, the objectives of this study were to evaluate the relationships among these parameters in pregnant mares. A total of 30 healthy Spanish Purebred mares, with an age range of 9.33 ± 3.31 years, were studied during the 11 months of gestation. Serum...
Endocrine Disorders of the Equine Athlete.
The Veterinary clinics of North America. Equine practice    May 29, 2018   Volume 34, Issue 2 299-312 doi: 10.1016/j.cveq.2018.04.003
Frank N.Equine athletes are affected by 2 major endocrine/metabolic disorders, insulin dysregulation (ID) and pituitary pars intermedia dysfunction. ID is a risk factor for laminitis in horses, which poses the greatest threat to performance because of the damage that it causes to hoof structures. This article includes an in-depth discussion of ID and other risk factors for laminitis that are grouped together as equine metabolic syndrome. As horses age, the risk of pituitary pars intermedia dysfunction increases, and this endocrine disorder may exacerbate preexisting ID and further increase the risk of...
Muscle Conditions Affecting Sport Horses.
The Veterinary clinics of North America. Equine practice    May 28, 2018   Volume 34, Issue 2 253-276 doi: 10.1016/j.cveq.2018.04.004
Valberg SJ.Optimal function of skeletal muscle is essential for successful athletic performance. Even minor derangements in locomotor muscle function will impact power output, coordination, stamina, and desire to work during exercise. In this review, the presenting clinical signs, differential diagnoses, approach to diagnostic testing and treatment of muscle atrophy and weakness, focal muscle strain, and exertional myopathies are discussed. Exertional myopathies include polysaccharide storage myopathies, recurrent exertional rhabdomyolysis, malignant hyperthermia, and myofibrillar myopathy.
The Efficacy of Intermittent Long-term Bell Boot Application for the Correction of Muscle Asymmetry in Equine Subjects.
Journal of equine veterinary science    May 26, 2018   Volume 68 73-80 doi: 10.1016/j.jevs.2018.05.214
Jensen AM, Ahmed W, Elbrønd VS, Harrison AP.It has been proposed that manipulating proprioceptive signals of the equine distal limb as part of a rehabilitation process in cases of musculoskeletal pain or neurologic deficits can be used to correct postural control and restore normal motor programs. This trial has examined the effect of treatment with a light-weight and loose-fitting bell boot (82 g) on an imbalance of muscle gluteus superficialis function in horses as measured using acoustic myography (AMG). Eight horses were trained over a 60-minute period every 3 days for 6 weeks, a protocol based on preliminary findings. Acoustic my...
Identification of mRNA of the Inflammation-associated Proteins CXCL8, CXCR2, CXCL10, CXCR3, and β-Arrestin-2 in Equine Wounded Cutaneous Tissue: a Preliminary Study.
Journal of equine veterinary science    May 26, 2018   Volume 68 51-54 doi: 10.1016/j.jevs.2018.05.216
Mund SJK, Corbett C, MacPhee DJ, Campbell J, Honaramooz A, Wobeser B, Barber SM.Horses often sustain cutaneous wounds and healing can be prolonged and difficult to treat. Compared to body wounds, limb wounds heal slower and are more likely to develop exuberant granulation tissue. Differences in healing rates and exuberant granulation tissue formation is attributed to abnormal cytokine profiles. CXCL8 and its receptor CXCR2 are involved in acute inflammation whereas CXCL10 and its receptor CXCR3 are involved in inflammation resolution. β- arrestin-2 regulates inflammation through internalization of G-protein coupled receptors (GPCRs) including CXCR2 and CXCR3. Gene expres...
Effects of Various Methods of Sulpiride Administration on Prolactin Release in Horses.
Journal of equine veterinary science    May 26, 2018   Volume 68 39-45 doi: 10.1016/j.jevs.2018.05.211
Arana Valencia N, Thompson DL, Southerland CV.Four experiments assessed factors affecting prolactin responses to sulpiride administration in horses. Experiment 1 compared the efficacy of the (-) enantiomer of sulpiride to that of the commonly used (+/-) racemic mixture. Mares were used in an 8 × 8 Latin square to compare the prolactin responses to four doses of levosulpiride to four corresponding doses of the racemic mixture at twice the dose. Responses at each dose indicated equal and similar (P > .1) responses. Experiment 2 compared the efficacy of 1 gram of orally administered racemic sulpiride to 100 mg of intramuscularly injec...
Effect of Aromatherapy on Equine Heart Rate Variability.
Journal of equine veterinary science    May 26, 2018   Volume 68 46-50 doi: 10.1016/j.jevs.2018.05.213
Baldwin AL, Chea I.This study explored whether aromatherapy increases the parasympathetic component (root mean square of successive differences [RMSSD]) of heart rate variability (HRV) in horses. Horses are highly sensitive, easily stressed, have an acute sense of smell, and have been shown to benefit from aromatherapy. The protocol, performed on eight dressage horses, followed a crossover design with an experimental treatment of humidified essential oil (lavender, Lavandula angustifolia) and a control treatment of humidified air. Heart rate variability was recorded for 7 minutes before, during, and immediately...
Dynamics of Ionic Liquid-Assisted Refolding of Denatured Cytochrome c: A Study of Preferential Interactions toward Renaturation.
Molecular pharmaceutics    May 25, 2018   Volume 15, Issue 7 2684-2697 doi: 10.1021/acs.molpharmaceut.8b00212
Singh UK, Patel R.In vitro refolding of denatured protein and the influence of the alkyl chain on the refolding of a protein were tested using long chain imidazolium chloride salts, 1-methyl-3-octylimidazolium chloride [Cmim][Cl], and 1-decyl-3-methylimidazolium chloride [Cmim][Cl]. The horse heart cytochrome c (h-cyt c) was denatured by urea and guanidinium hydrochloride (GdnHCl), as well as by base-induced denaturation at pH 13, to provide a broad overview of the overall refolding behavior. The variation in the alkyl chain of the ionic liquids (ILs) showed a profound effect on the refolding of denatured h-cyt...
Determination of reference intervals for umbilical cord arterial and venous blood gas analysis of healthy Thoroughbred foals.
Theriogenology    May 25, 2018   Volume 118 1-6 doi: 10.1016/j.theriogenology.2018.05.024
Jeawon SS, Katz LM, Galvin NP, Fogarty UM, Duggan VE.Although umbilical cord blood gas analysis is considered the best way to assess in utero oxygenation in human neonates, there is limited evaluation of this method in equine neonatology. Our objectives were to assess the practicality of obtaining umbilical cord blood gas samples in the field and to determine umbilical cord arterial and venous blood gas reference intervals (RI) for healthy, newborn foals. Thoroughbred foals >320 days gestation from healthy mares with uneventful pregnancies at one stud farm were evaluated. All parturitions were observed, with paired umbilical arterial and venous ...
Effects of seminal plasma and flash-freezing on DNA structure of stallion epididymal sperm exposed to different potentiators of DNA damage.
Theriogenology    May 24, 2018   Volume 117 34-39 doi: 10.1016/j.theriogenology.2018.05.023
Serafini R, Varner DD, Blanchard TL, Teague SR, LaCaze K, Love CC.The tolerance of sperm DNA structure to seminal plasma and freezing conditions has both clinical and basic biologic relevance. In this study, fresh (FS) or flash-frozen (FZ) stallion epididymal sperm were exposed (SP) or unexposed (SP) to seminal plasma. Sperm were then evaluated to monitor the degree of change in DNA structure following challenge with chemical (dithiothreitol-DTT), oxidative (iron sulfate; FeSO) or enzymatic (DNase I) potentiators of DNA damage. For sperm not treated with potentiators (controls), there was no effect of SP treatment (SP vs. SP) or freezing treatment (FS vs. FZ...
Stiffness and energy dissipation across the superficial and deeper third metacarpal subchondral bone in Thoroughbred racehorses under high-rate compression.
Journal of the mechanical behavior of biomedical materials    May 22, 2018   Volume 85 51-56 doi: 10.1016/j.jmbbm.2018.05.031
Malekipour F, Whitton CR, Lee PV.Subchondral bone injury due to high magnitude and repetition of compressive loading is common in humans and athletic animals such as Thoroughbred racehorses. Repeated loading of the joint surface may alter the subchondral bone microstructure and initiate microdamage in the bone adjacent to the articular cartilage. Understanding the relationship between microdamage, microstructure and mechanical properties of the subchondral bone adjacent to the articular cartilage is, therefore, essential in understanding the mechanism of subchondral bone injury. In this study, we used high-resolution µCT sca...
Nitric oxide in frozen-thawed equine sperm: Effects on motility, membrane integrity and sperm capacitation.
Animal reproduction science    May 22, 2018   Volume 195 176-184 doi: 10.1016/j.anireprosci.2018.05.022
de Andrade AFC, Arruda RP, Torres MA, Pieri NCG, Leite TG, Celeghini ECC, Oliveira LZ, Gardés TP, Bussiere MCC, Silva DF.Nitric oxide (NO) is a reactive nitrogen species (RSN) that, over the years, has been shown to be integrated with biological and physiological events, including reproductive processes. NO can affect the functionality of spermatozoa through free radical scavenging, deactivating and inhibiting the production of superoxide anions (O). However, the role of NO in mammalian spermatozoa physiology seems paradoxical. The aim of this study was to investigate the effects of NO on motility, hyperactivation, membrane integrity, peroxidation, and capacitation in cryopreserved equine sperm. Ejaculates were ...
Assessment of uterine luminal pH in mares and the effect of dilute vinegar lavage on uterine luminal pH and endometrial health.
Theriogenology    May 19, 2018   Volume 117 7-15 doi: 10.1016/j.theriogenology.2018.05.014
Thompson RL, Gunn AJ, Stephen CP, Ip H, Brookes VJ.Uterine luminal pH has been demonstrated to be a valid indicator of uterine health in species such as cattle and sheep. However, research regarding uterine luminal pH in equines is lacking. The objectives of this study were to assess uterine luminal pH in mares during the estrous cycle, and evaluate the effect of dilute vinegar lavage on both uterine luminal pH and endometrial health. The study was conducted using a randomized block design in which eight mares (four Thoroughbred and four Standardbred) were aged matched then randomly assigned to two groups. Endometrial biopsies were taken from ...
The grazing gait, and implications of toppling table geometry for primate footfall sequences.
Biology letters    May 18, 2018   Volume 14, Issue 5 20180137 doi: 10.1098/rsbl.2018.0137
Usherwood JR, Smith BJH.Many medium and large herbivores locomote forwards very slowly and intermittently when grazing. While the footfall order during grazing is the same as for walking, the relative fore-hind timing-phasing-is quite different. Extended periods of static stability are clearly required during grazing; however, stability requirements are insufficient to account for the timing. Aspects of relatively rapid rolling and pitching-toppling due to the resistance of the back to bending and twisting-can be included in a simplifying geometric model to explain the observation that, in grazing livestock, a step f...
The development of hoof balance and landing preference in the post-natal period.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 6 809-817 doi: 10.1111/evj.12961
Gorissen BMC, Serra Bragança FM, Wolschrijn CF, Back W, van Weeren PR.Foals can follow the herd within hours of birth, but it has been shown that kinetic gait parameters and static balance still have to mature. However, development of dynamic balance has not been investigated. Objective: To objectively quantify landing and pressure pattern dynamics under the hoof during the first half year of life. Methods: Prospective, cohort study performed at a single stud farm. Methods: Pressure plate measurements at walk and trot from ten Dutch warmblood foals during the first 24 weeks of life were used to quantify toe-heel and medial-lateral hoof balance asymmetry indexes ...
Effect of two months whole body vibration on hoof growth rate in the horse: A pilot study.
Research in veterinary science    May 16, 2018   Volume 119 37-42 doi: 10.1016/j.rvsc.2018.05.010
Halsberghe BT.Hoof problems are commonly seen in veterinary practice and manipulation of hoof growth rate can be practical and beneficial for that matter. The purpose of this research was to evaluate the effect of whole body vibration (WBV) on hoof growth rate of front feet in the horse. The study was an experimental, single subject, repeated measure design, with all horses serving as control and treatment. Ten horses were subject to WBV, 30 min, twice daily, five days a week, for 60 days in addition to their regular exercise routine. Hoof growth was measured from the reference hairline down to a horizo...
In vitro study of matrix metalloproteinases 1, 2, 9, 13 and serum amyloid A mRNAs expression in equine fibroblast-like synoviocytes treated with doxycycline.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    May 15, 2018   Volume 82, Issue 2 82-88 doi: 10.1155/2015/329418
Ghasemi S, Sardari K, Mirshokraei P, Hassanpour H.Application of synthetic matrix metalloproteinases (MMPs) inhibitors, such as doxycycline is one of the possible therapeutic options for osteoarthritis. However, little is known about the protective mechanism of doxycycline in equine models on MMPs inhibitors as well as on serum amyloid A (SAA) gene expression. This study investigated the effects of doxycycline on mRNA expression of MMP-1, MMP-2, MMP-9, MMP-13, and SAA of equine fibroblast-like synoviocytes (FLSs). The FLSs were established from synovial fluids of clinically normal metacarpophalangeal joints of 6 skeletally mature horses. The ...
Evaluation of wet cupping therapy on the arterial and venous blood parameters in healthy Arabian horses.
Veterinary world    May 14, 2018   Volume 11, Issue 5 620-626 doi: 10.14202/vetworld.2018.620-626
Shawaf T, El-Deeb W, Hussen J, Hendi M, Al-Bulushi S.Recently, the complementary therapies such as cupping and acupuncture are being used in veterinary medicine. This research was carried out to determine the effects of wet cupping therapy (Hijama) on the hematological and the biochemical parameters in the healthy Arabian horses for the first time. Methods: In this study, seven clinically healthy Arabian horses were randomly selected. Four points on the animal body were selected to perform the cupping therapy. Two points were selected at the back just behind the scapula on the left and right sides; another two points were located in the rump. Cu...
Endocrine and metabolic profile of peripubertal Standardbred colts.
Theriogenology    May 14, 2018   Volume 117 78-84 doi: 10.1016/j.theriogenology.2018.05.006
Ellerbrock RE, Canisso IF, Lima FS, Shipley CF, Thompson DL, Conley AJ, Kline KH.The objectives of this study were to determine the concentrations of reproductive and metabolic hormones during the peripubertal period and to assess their relationship with testicular development and body fat deposition. Blood samples were collected from 23 healthy Standardbred colts every four weeks for twelve months. Colts were weighed monthly, and percent of body fat and testicular volume estimated by ultrasound. Onset of puberty was determined as the month when testosterone was two standard deviations above the previous mean. Plasma FSH, LH, leptin, estradiol-17β, androstenedione, IGF-1,...
Interferon epsilon is constitutively expressed in equine endometrium and up-regulated during the luteal phase.
Animal reproduction science    May 12, 2018   Volume 195 38-43 doi: 10.1016/j.anireprosci.2018.05.003
Fischer CD, Wachoski-Dark GL, Grant DM, Bramer SA, Klein C.Interferon epsilon (IFNE) is type I interferon which stands out through its unusual expression profile and differing regulation compared to classic type I interferons such as interferon alpha and interferon beta. Unlike other type I interferons, the expression of IFNE is not stimulated through exposure to viral agents. Expression of IFNE is most abundant in mouse and human endometrium where it is constitutively expressed in luminal and glandular epithelial cells and expression levels are up-regulated with estrogen exposure. The aim of the current study was to determine whether a cycle or pregn...
Osteoblast differentiation of equine induced pluripotent stem cells.
Biology open    May 10, 2018   Volume 7, Issue 5 bio033514 doi: 10.1242/bio.033514
Baird A, Lindsay T, Everett A, Iyemere V, Paterson YZ, McClellan A, Henson FMD, Guest DJ.Bone fractures occur in horses following traumatic and non-traumatic (bone overloading) events. They can be difficult to treat due to the need for the horse to bear weight on all legs during the healing period. Regenerative medicine to improve fracture union and recovery could significantly improve horse welfare. Equine induced pluripotent stem cells (iPSCs) have previously been derived. Here we show that equine iPSCs cultured for 21 days in osteogenic induction media on an OsteoAssay surface upregulate the expression of osteoblast associated genes and proteins, including , , , , and We al...
Effect of induced chronic atrial fibrillation on exercise performance in Standardbred trotters.
Journal of veterinary internal medicine    May 10, 2018   Volume 32, Issue 4 1410-1419 doi: 10.1111/jvim.15137
Buhl R, Carstensen H, Hesselkilde EZ, Klein BZ, Hougaard KM, Ravn KB, Loft-Andersen AV, Fenner MF, Pipper C, Jespersen T.Atrial fibrillation (AF) is the most common arrhythmia affecting performance in horses. However, no previous studies have quantified the performance reduction in horses suffering from AF. Objective: To quantify the effect of AF on maximum velocity (Vmax ), maximum heart rate (HRmax ), heart rate recovery (T100 ), hematologic parameters and development of abnormal QRS complexes. Methods: Nine Standardbred trotters. Methods: Two-arm controlled trial. Six horses had AF induced by means of a pacemaker and 3 served as sham-operated controls. All horses were subjected to an exercise test to fatigue ...
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