Respiratory disease in horses encompasses a range of conditions affecting the respiratory system, including the upper and lower airways. These diseases can result from various etiologies such as infectious agents, environmental factors, or genetic predispositions. Common respiratory conditions in horses include equine asthma, equine influenza, and strangles. Clinical signs often associated with respiratory disease in horses include coughing, nasal discharge, and labored breathing. Diagnostic approaches may involve endoscopy, imaging, and laboratory tests to assess the function and health of the respiratory tract. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, and management of respiratory diseases in equine populations.
Studdert MJ.DNA was prepared from 43 equine herpesvirus type 1 (EHV 1) isolates, 11 of which were from horses with respiratory disease, 22 from aborted equine foetuses, and 10 from foals that died perinatally. The restriction endonuclease DNA fingerprints of 10 of the 11 respiratory isolates, known with certainty to have been recovered from horses with respiratory disease, were entirely different from all but 3 of the 32 foetal or perinatal foal isolates. The exceptional respiratory isolate, EHV 1 Army 183, had a foetal (F) strain fingerprint but this virus cannot be said with certainty to have been isola...
Roberts MC, Seawright AA, Ng JC, Norman PD.Chronic mercuric chloride intoxication in an aged horse given 0.8 mg Hg/kg/day for 14 weeks was manifest by signs of progressive respiratory difficulty and renal disease. The effects were not self-limiting after mercury was withdrawn, and the animal was destroyed six weeks later. Renal function changes included heavy glycosuria, modest proteinuria, phosphaturia, reduced urine osmolality, gradually increasing urine production, reduced glomerular filtration rate, and terminally, azotemia. The condition bore similarities to the Fanconi syndrome in man. Urinary gamma-glutamyl transpeptidase, alkal...
Littlejohn A, Bowles F, Maluleka W.The percentage venous admixture was calculated in 21 clinically normal horses and ponies and in 13 horses and ponies with chronic obstructure pulmonary disease (COPD). The oxygen contents of pulmonary end-capillary blood, arterial and mixed venous blood were calculated from blood and respiratory gas values and substituted in the shunt equation. The mean percentage venous admixture of the COPD subjects was significantly greater than that of the normal subjects. It was concluded that a larger proportion of alveoli in the lungs of COPD subjects were hypoventilated than that of alveoli of the norm...
Derksen FJ, Slocombe RF, Robinson NE.In standing sedated ponies, we measured dynamic lung compliance (Cdyn) and pulmonary resistance (RL) during IV infusion of various doses of histamine; this was done in a given pony 3 times at 1-week intervals between experiments. Histamine doses causing a decrease in Cdyn of 50% and 75% and an increase in RL of 300% and 600% (ED50Cdyn, ED75Cdyn, ED300RL and ED600RL, respectively) were interpolated from the histamine dose-response curves. We also measured respiratory frequency, tidal volume, minute ventilation, functional residual capacity, arterial oxygen tension, arterial carbon dioxide tensi...
Derksen FJ, Robinson NE, Slocombe RF.In awake sensitized ponies, we studied the effect of aerosol ovalbumin challenge on ventilation, pulmonary mechanics, lung volume, and gas exchange before and after vagal blockade. We also challenged the left lung and measured respiratory rate (f) and right and left respiratory system resistance (RrsR, RrsL) before and after both left and bilateral vagal section. Bilateral ovalbumin aerosol challenge increased f, minute ventilation (VE), total respiratory system resistance (Rrs), and minimal volume, decreased dynamic compliance, total lung capacity, and arterial oxygen tension, and was without...
Raphel CF.A flexible fiberoptic endoscope was used to examine the upper respiratory tract of 479 horses and 41 (8.6%) had abnormalities. Pharyngeal lymphoid hyperplasia (PLH) was found in 141 horses (29.5%). Statistical analysis showed a relationship between the age of the horse and the prevalence of PLH. Sixteen (3.3%), 10 (2.1%), and 6 (1.3%), of the horses had laryngeal hemiplegia, epiglottic entrapment, and dorsal displacement of the soft palate, respectively. There was no association between the age of the horse and the prevalence of any of these abnormalities; nor was there a positive correlation ...
O'Callaghan MW, Goulden BE.This paper describes the distinctive radiographic changes detected in the dorso-caudal lungfields of four racing thoroughbreds recently affected by exercise-induced epistaxis. A diffuse but localized increase in density was seen in all four cases, which demonstrated a variation from a predominantly alveolar density to an interstitial pattern and finally to increased bronchial markings. Evolution of the radiographic pattern of the pulmonary densities appeared to be related to the time that had elapsed since the bleeding incident. The implications of the changing pattern and site of the densitie...
Bumgardner MK, Dutta SK, Campbell DL, Myrup AC.Six pony foals, free of detectable serum neutralization (SN) antibody against equine herpesvirus type 1 by the standard virus-neutralization (VN) test, were inoculated with equine herpesvirus type 1. The ponies showed typical clinical signs of respiratory tract disease and developed a transient leukopenia, involving lymphocytes as well as neutrophils. The leukopenia reached its lowest point on postinoculation days (PID) 3 to 5 and then returned to base-line values by PID 8 to 10. On quantitation of lymphocyte subpopulations, T and B lymphocytes were decreased during the onset of leukopenia and...
Carman MG, Hodges RT.Nineteen isolates of Actinobacillus suis were recovered from horses during the period October 1978-December 1980. Animals varied in age from a full term foetus to 12 years. One isolate was obtained from the nose of an apparently healthy horse, the remainder were obtained from still-born foetuses (2), foals dying within a week of birth (5), older animals with respiratory (6) or genital infections (3) or abscesses in the jaw (1). One isolate was obtained from the lung of a 2-week-old foal which had shown diarrhoea. The bacteriological characteristics of the isolates and the pathological lesions ...
Kirchhoff H, Ammar AM, Heitmann J, Dubenkropp H, Schmidt R.Sera from horses with respiratory disease (RD) have been investigated using the complement fixation test, indirect hemagglutination test, enzyme immune assay, and the metabolic inhibition test, and sera from mares after abortion, using the complement fixation test, indirect hemagglutination test and enzyme immune assay, for antibodies against Mycoplasma equirhinis, M subdolum, M. equigenitalium, M. pulmonis, M. felis, Acholeplasma laidlawii, A. hippikon and A. equifetale. Antibodies were found against all mycoplasma and acholeplasma species tested, more often against acholeplasmas. The antibod...
Derksen FJ, Robinson NE, Slocombe RF, Hill RE.In unanesthetized ponies, arterial blood gas tensions, pulmonary mechanics, and lung volumes were determined before and 24 to 48 hours after oral administration of 500 ml of corn oil or 100 mg of 3-methylindole (3MI)/kg of body weight in 500 ml of corn oil. In the latter group, variables were also measured after bilateral cervical vagotomy. Respiratory rate and minute ventilation were increased by 3MI treatment and decreased after vagotomy, suggesting that the tachypnea induced by 3MI was vagally mediated. The arterial O2 tension (PaO2) was unaffected but arterial CO2 tension (PaCO2) decreased...
Derksen FJ, Robinson NE, Slocombe RF, Riebold TW, Brunson DB.Arterial blood gas tensions, pulmonary mechanics, and lung volumes were measured in 4 sedated ponies every hour for 6 hours and in 5 ponies 4 times at 2-month intervals to assess the short- and long-term reproducibility of pulmonary function measurements. Variability in blood gas tensions was small over the short- and long-term measurement periods, whereas the variability in total respiratory resistance and functional residual capacity was small over the short term but larger over the long term. The variability in tidal volume, minute ventilation, respiratory rate, and dynamic and quasistatic ...
Martens RJ, Fiske RA, Renshaw HW.Subacute pyogranulomatous pneumonia was experimentally induced in 3 neonatal foals following multiple challenge with aerosols containing Corynebacterium equi. On each of 7 consecutive days the foals were exposed to approximately 3.5 X 10(7) viable C equi in droplets small enough to reach the terminal airways. Clinical, pathological and bacteriological features of the induced syndrome were indistinguishable from those exhibited by cases with spontaneous subacute C equi foal pneumonia. Radiographic evidence of advanced pulmonary damage preceded the appearance of clinical signs and ante mortem cu...
Mutimer MD, Prescott JF, Woolcock JB.One hundred strains of Rhodococcus equi from various animal species and sources in Australia were examined for capsular serotype. Eighty-four of the strains fell into the existing 7 serotypes, and just under half of the strains belonged to serotype 1. Isolates from the intestines and faeces of horses, cattle, pigs and other species, and from soil, were found to belong to the same serotypes as those recovered from the lungs of foals with R. equi pneumonia. There was no clear relationships between capsular serotype and source of origin of the isolates.
Goulden BE, Anderson LG.During the years 1971-1979, 127 horses with left laryngeal hemiplegia were studied. The physical characteristics and clinical signs observed in this study were recorded in Part I and Part II of ths series of papers. Of these 127 horses, 81 were treated by the laryngoplasty procedure. Complications of surgery are described and the effects of the operation on respiratory noise and performance are evaluated. In 54.8% of horses the chronic respiratory noise observed during exercise was apparently diminished or eliminated post-operatively. The performance of 44% of horses was apparently improved af...
McChesney SL, England JJ, McChesney AE.An agent lethal to embryonated chicken eggs was isolated from lung tissues of a quarter horse mare with a fatal respiratory disease. The lesions induced in embryonated chicken eggs, the tinctoral properties, the ultrastructural morphology, the resistance of the organism to sodium sulfadiazine, and the presence of a chlamydial complement fixing antigen, identify this isolate as a member of the family Chlamydiaceae and suggest the agent to be Chlamydia psittaci. Two Shetland ponies experimentally infected with the isolated agent developed subclinical infection as demonstrated by an increase in c...
Deegen E, Müller P, Petzoldt K.On the basis of cytological similarities in chronic obstructive disease (COPD) in human beings and in horses during 1981 a total number of 144 horses with COPD were examined. Bronchial secretions were taken under endoscopic control and stained with a modified Hansel staining procedure. Whereas 26 horses did not exhibit signs of allergic reactions cytologically and 94 horses showed low amounts of eosinocytes and/or mast cells in their secretion; only the secretions of 24 horses (16,67%) were characterized by fairly high contents of these allergy associated cells and low numbers of neutrophilic ...
Baskerville A.Related to its potential vulnerability the respiratory tract has a very complex and effective defence apparatus. The interaction between these defence mechanisms and certain characteristics of aetiological agents results in a pattern in which initial infections by these agents tend to occur at specific sites in the tract. Infections in which the primary portal of entry is in the upper respiratory tract include Bordetella bronchiseptica and Haemophilus spp in pigs; Pasteurella spp in cattle, sheep, pigs; Mycoplasma spp in cattle, sheep, pigs and poultry; equine herpesvirus 1 in horses; infectio...
Littlejohn A, Bowles F.The haemoglobin concentration, the partial pressures of oxygen and carbon dioxide, the oxygen content and the pH were determined in the arterial and mixed venous blood of 5 normal and 3 horses with chronic obstructive pulmonary disease (COPD) at 3 stages of an exercise distance of 1200 m. Arterial and mixed venous samples were collected simultaneously by means of an automatic technique during the walk, trot and gallop at 0-100 m, at 500-600 m and at 1100-1200 m. The standard bicarbonate and the lactic and pyruvic acid concentrations were also determined in arterial and mixed venous blood. High...
Raïsky C, Vives BM, Leduc L, Symoens A, Tavanaeimanesh H, Richard H, Juette T, Bédard C, Leclère M.Steaming hay reduces respirable particles and is commonly used to feed horses with asthma. However, it showed inconsistent benefits in clinical studies. Objective: (1) To assess the effects of steamed hay on lung function and airway inflammation in horses with severe equine asthma (SEA) in remission; (2) To compare these effects with a dry hay diet. Methods: Cross-over in vivo experiment. Methods: Horses were fed steamed and dry hay for 4 weeks in a prospective, cross-over study, with a 4-week washout period. Lung function, bronchoalveolar lavage (BALF) cytology, and a 23-point weighted clin...
Kremer H, Bartling B.The nasal vestibule of numerous horses is pigmented. In the ventral part of the nasal vestibule, this pigmentation is often disturbed resulting in a clearly depigmented area. As nasal discharge passes this area, our study aimed at the practical quantification of the depigmented area in the nasal vestibule of horses and the analysis of its relation to nasal discharge and other parameters.This study included 74 horses (59 warmblood horses, 15 ponies) with pigmented nasal vestibule. When a depigmentation was found to be present in the ventral part, this area was photographed and quantified by use...
Maier-Bock H, Ehrlein HJ.During a gradually increasing exercise test heart rates were determined in healthy animals and in 2 groups of sick horse. These included 31 animals with a chronic pulmonary disorder and 5 with chronic heart disease. The alteration in heart rate was correlated with the clinical signs exhibited. In the horses with lung disease there was a close correlation between the stage of the diseases and the heart rate during the exercise test. In 3 animals with heart valve disease there was no apparent difference in heart rate compared with healthy horses. On the other hand the exercising heart rate of ho...
Retteg Pauls S, Jottini S, Takai S, Venner M, Wohlsein P.A 3-month-old female trotter foal was euthanized due to severe dyspnoea. Pathomorphologically a chronic granulomatous to necrotizing pneumonia was found and Rhodoccocus (R.) equi was isolated microbiologically. An immunohistological method using a murine monoclonal antibody against a 15-17 kDa antigen of virulent R. equi was established in formalin-fixed and paraffin-embedded tissue sections using various antigen retrieval techniques to optimize the staining results. Microwave treatment was most suitable for the demonstration of bacterial antigen localized predominantly in intralesional macrop...
Nieth J, Köhler K, Wehrend A.Two cases of an innate hyperplastic goiter in foals as well as the sonographic evaluation of the hyperplastic gland are presented. One foal displayed skeletal deformities in the form of a mandibular prognathism and forelimb contractures in addition to the swollen thyroid gland. Because of a poor prognosis, the animal was euthanized. The second foal was premature and displayed respiratory signs. Under symptomatic therapy, the goiter regressed within a few weeks.
Moore BR, Reed SM, Kowalski JJ, Bertone JJ.A National Show Horse with a mediastinal granuloma was presented with clinical signs which included fever, nasal discharge and cough. The mediastinal mass was identified radiographically and ultrasonographically. A presumptive diagnosis of aspergillosis was made following isolation of Aspergillus spp. from both transtracheal aspirate and bronchoalveolar lavage fluid samples and agar gel immunodiffusion (AGID) identification of serum antibody to Aspergillus spp. The diagnosis was confirmed by histopathologic examination of the mediastinal mass obtained at necropsy examination.
Boyle AG.Respiratory distress in the horse and foal is an emergency. Managing equine respiratory distress in the field starts with appropriate assessment of the patient to determine whether the breathing obstruction stems from the upper or lower respiratory tract or is nonrespiratory in origin. From a thorough, but efficient, physical examination to point-of-care ultrasound and endoscopy, the veterinarian has many tools in the field to help diagnose the patient.
Rosendal S, Blackwell TE, Lumsden JH, Physick-Sheard PW, Viel L, Watson S, Woods P.Mycoplasma felis has been isolated from horses with pleuritis, and limited research indicates that mycoplasma pleuritis can be reproduced in horses. The serodiagnostic potential of the indirect hemagglutination and the metabolism-inhibition tests was evaluated by testing 177 horses for antibodies to M felis. Seven horses with M felis pleuritis developed antibodies, and 6 horses with sterile or bacterial pleuritis had high titers suggesting a previous M felis infection. Six horses with pleuritis (one sterile and five bacterial) had low or no titers to M felis. Only one of 30 horses with conditi...
Simms JG, Rosser WW.A case of Farmer's Lung in a city dweller who rides horses for recreation is reported. A survey of the members of an urban riding club found that 13% of the persons surveyed had antibodies to T. polyspora in their circulation.Comparing the average rainfall in the area of the riding club to average rainfall throughout regions across the country, it is likely that Farmer's Lung is more prevalent than previously thought.More information about the incidence of this preventable respiratory disease in Canada is needed.
Traub-Dargatz JL.Bacterial pneumonia in the horse often occurs secondary to viral respiratory infection; however, primary infections can occur. A diagnosis of bacterial pneumonia is made on the basis of history, physical examination, and laboratory and radiographic findings. Treatment consists of appropriate antimicrobial therapy for at least 7 to 10 days; further therapy may be needed in more severe cases. Prevention of bacterial pneumonia includes attempting to prevent viral respiratory infections and appropriate management to prevent stress to the respiratory tract.
Littlejohn A, Bowles F, Maluleka W.The percentage venous admixture was calculated in 21 clinically normal horses and ponies and in 13 horses and ponies with chronic obstructure pulmonary disease (COPD). The oxygen contents of pulmonary end-capillary blood, arterial and mixed venous blood were calculated from blood and respiratory gas values and substituted in the shunt equation. The mean percentage venous admixture of the COPD subjects was significantly greater than that of the normal subjects. It was concluded that a larger proportion of alveoli in the lungs of COPD subjects were hypoventilated than that of alveoli of the norm...
Hardy J.Upper airway obstruction may result from nasal, pharyngeal, or tracheal diseases. In the young horse, a relatively severe obstruction usually is present before clinical signs are evident. This article reviews the clinical manifestations, diagnostic features, treatment, and outcome of commonly encountered conditions of the nasal passages, pharynx, larynx, and trachea in young horses.
Alworth LC, Hart KA, Kelly LM, Harvey SB.Transtracheal access enables researchers to obtain diagnostic samples from or infuse materials into the lower respiratory tract. This column describes transtracheal aspiration and infusion of horses.
Alstad AD, Sahu SP, Pedersen DD, Saari DA, Kawaoka Y, Webster RG.An influenza virus, A/equine/Alaska/1/91 (H3N8), was isolated from horses from Alaska with an acute respiratory infection. Pathogenic and serologic studies revealed that this virus is similar to previously isolated equine H3N8 influenza viruses. Antigenic analyses utilizing hemagglutination inhibition and neuraminidase inhibition assays indicated an antigenic drift from the prototype equine H3N8 influenza virus, A/equine/Miami/1/63. Partial sequence analysis of the A/equine/Alaska influenza virus indicated that each of 8 gene sequences are of equine origin.
Menozzi A, Pozzoli C, Poli E, Delvescovo B, Serventi P, Bertini S.We investigated the effects of nonselective muscarinic antagonist (atropine) and of selective muscarinic subtype 1 (M1), 2 (M2), 3 (M3) antagonists (VU0255035, methoctramine, pFHHSiD, respectively) on the contractions evoked by electrical field stimulation (EFS) or by exogenous ACh in isolated horse bronchial muscle. Atropine completely inhibited neurogenic contractions in a concentration-dependent fashion, whereas selective muscarinic antagonists induced relevant modifications only at the highest concentration tested. Experiments with selective muscarinic antagonists in combination showed tha...
Belknap JK, Derksen FJ, Nickels FA, Stick JA, Robinson NE.Upper airway flow mechanics and arterial blood gas measurements were used to assess the efficacy of subtotal arytenoidectomy for treatment of induced left laryngeal hemiplegia in horses. Measurements were collected with the horses at rest, and trotting or pacing on a treadmill (6.38 degrees incline) at speeds of 4.2 and 7.0 m/s. Experimental protocols were performed after right common carotid artery exteriorization (baseline), after left recurrent laryngeal neurectomy (LRLN), and after left subtotal arytenoidectomy. At baseline, increasing treadmill speed progressively increased peak inspirato...
Riley CB, Yovich JV, Bolton JR.Bilateral hypoplasia of the soft palate and aspiration pneumonia occurred in a Standardbred foal. The filly was presented with a history of illthrift, dyspnoea, coughing and bilateral nasal discharge. Abnormal sounds (crackels and wheezes) were auscultated over all lung fields and the cervical trachea. Endoscopy revealed a shortened soft palate with a uvula-like mass protruding from the free border into the nasopharynx. Mucopurulent material was present in the trachea. Samples obtained by tracheal wash were submitted for cytology, culture and sensitivity testing. Results indicated a septic inf...
Andrews FM.A thorough examination of the respiratory system is an important part of the work-up for poor performance in horses. This article provides a systematic approach to field evaluation of horses with poor performance due to respiratory system dysfunction. The information is organized to help the reader evaluate pertinent historical and physical examination findings so that a list of differential diagnoses can be generated. Also, pertinent ancillary diagnostic modalities that can help further characterize and localize causes for respiratory dysfunction in horses presented for poor performance are d...
Clarke CJ, Roeder PL, Dixon PM.A severe, advanced case of nutritional osteodystrophia fibrosa is described in a 10-year-old gelding with primary upper respiratory obstruction and chronic weight loss, which was one of a group of similarly affected horses in Ethiopia. The diagnosis was based on the clinical signs, gross lesions, histopathology and management history. The affected bones had suffered severe mineral depletion.
Cercone M, Brown BN, Stahl EC, Mitchell LM, Fortier LA, Mohammed HO, Ducharme NG.Respiratory function in the horse can be severely compromised by arytenoid chondritis, or arytenoid chondropathy, a pathologic condition leading to deformity and dysfunction of the affected cartilage. Current treatment in cases unresponsive to medical management is removal of the cartilage, which can improve the airway obstruction, but predisposes the patient to other complications like tracheal penetration of oropharyngeal content and dynamic collapse of the now unsupported soft tissue lateral to the cartilage. A tissue engineering approach to reconstructing the arytenoid cartilage would repr...
Saulez MN, Slovis NM, Louden AT.Tracheal trauma with resultant rupture is uncommonly reported in veterinary literature. We report the case of a 16-year-old Thoroughbred gelding that sustained a 1 cm longitudinal perforation of the dorsal tracheal membrane in the proximal cervical region. The horse subsequently developed dyspnoea due to acute upper respiratory obstruction secondary to severe emphysema of the guttural pouches. A temporary tracheostomy caudal to the site of tracheal perforation was performed under local anaesthesia. This procedure helped relieve the upper airway obstruction and aided resolution of the injury by...
Guida N, Mesplet M, Di Gennaro E, Digilio P, Moras EV.Aspergillus fumigatus is a cosmopolitan opportunistic fungal associated to rhinopharyngitis, sinusitis and guttural pouches infection with nasal discharges. All them are similar with Strangle's sign, the infectious disease produced by Streptococcus equi spp. The aim of this work was to detect A. fumigatus in healthy horses living in boxes and field. 226 nasopharyngeal swabbing samples were obtained by mycological routine. A. fumigatus was isolated in 26 (11.5%) horses.
Folz SD, Hanson BJ, Griffin AK, Dinvald LL, Swerczek TW, Walker RD, Foreman JH.Ceftiofur sodium was evaluated as a therapy for respiratory infections in horses. This cephalosporin antimicrobial was administered intramuscularly every 24 h and at a dose of 2.2 mg/kg (1.0 mg/lb) of body weight. The efficacy of ceftiofur sodium was compared with that of a positive control drug, ampicillin sodium (recommended dose of 6.6 mg/kg [3 mg/lb], given every 12 h). Both treatments were continued for 48 h after clinical symptoms were no longer evident (maximum of 10 days). Fifty-five (55) horses with naturally acquired respiratory infections were included in the study; 28 were treated ...
da Silva AC, Brass KE, da Silva Loreto E, Vinocur ME, Pozzobon R, da Silva Azevedo M.The aim was to detect the presence of polymorphisms at exons 1, 2, 3 and 4 of the Spi2 gene, and evaluate a possible association between them and recurrent airway obstruction (RAO) or inflammatory airway disease (IAD) in thoroughbred horses, through single-strand conformational-polymorphism (SSCP) screening. Although polymorphism was not detected in exons 1, 2 and 3, three alleles and six genotypes were identified in exon 4. The frequencies of allele A (0.6388) and genotype AA (0.3888) were higher in horses affected by RAO, although no association was found between polymorphism and horses with...
Sainsbury DW.The physiological requirements of the horse appear to be reasonably well established and should be adequately provided by ventilation based on straightforward principles, relying largely on natural air flow. On the other hand, there are few objective values for ventilation required to promote good health or alleviate equine respiratory disease. In the absence of such knowledge it is only possible to rely on a logical application of sound principles and experience. Both indicate the satisfactory nature of ventilation by stack effect, aspiration and perflation. Buildings should be well insulated...
Adeyefa CA, Durojaiye OA.Serum samples obtained from 107 Polo horses showing clinical signs of viral respiratory disease were tested for precipitating antibodies to adenovirus by agar gel precipitation test and counter-immunoelectrophoresis method. The results obtained demonstrate serological evidence of adenovirus infection in Polo horses in Nigeria. The counter-immunoelectrophoresis method was observed to be about 3 times more sensitive than the agar gel precipitation test with 19.3 vs 64.5%. It could thus be used to screen a large number of serum samples within a short period.
Tulleners EP.Fifty-seven Standardbred and 44 Thoroughbred racehorses and 1 Thoroughbred polo mare with primary clinical signs of exercise intolerance or respiratory tract noise or combined exercise intolerance and respiratory tract noise were referred for laser correction of epiglottic entrapment. Significantly (P less than 0.001) more Standardbred than Thoroughbred racehorses were affected, compared with the observed hospital population during the same period. At referral, 14 horses did not have evident epiglottic entrapment and were returned to exercise without development of entrapment after treatment, ...
