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Topic:Respiratory Health

Respiratory health in horses encompasses the study of the equine respiratory system, its function, and the various conditions that can affect it. The respiratory system in horses includes the upper airways, lungs, and associated structures, which facilitate gas exchange and are vital for maintaining physiological homeostasis during rest and exercise. Common respiratory conditions in horses include equine asthma, infectious diseases like strangles, and exercise-induced pulmonary hemorrhage (EIPH). These conditions can impact a horse's performance and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, pathophysiology, and management of respiratory health in horses.
Retrospective survey of bronchoalveolar lavage fluid cytology in Western Australian horses presented for evaluation of the respiratory tract: effect of season on relative cell percentages.
Australian veterinary journal    May 6, 2015   Volume 93, Issue 5 152-156 doi: 10.1111/avj.12315
Secombe CJ, Lester GD, Robertson ID, Cullimore AM.To characterise the cytological changes in equine bronchoalveolar lavage (BAL) samples over multiple years to determine if the prevalence of a relative mast cell response was influenced by season. Methods: Medical records of 228 horses with clinical signs consistent with non-infectious respiratory disease or poor performance where a BAL was performed were reviewed retrospectively. BAL fluid cytology and categorised clinical variables were analysed using a Chi-square test to determine associations. Results: The predominant signalment was a racing horse between 2 and 6 years of age, and poor ath...
Disseminated lymphoma with large granular lymphocyte morphology diagnosed in a horse via abdominal fluid and transtracheal wash cytology.
Veterinary clinical pathology    May 4, 2015   Volume 44, Issue 3 437-441 doi: 10.1111/vcp.12262
Mastrorilli C, Cesar F, Joiner K, Wooldridge AA, Christopherson PW.A 22-year-old Tennessee Walking Horse mare was presented to the Auburn University Large Animal Teaching Hospital with a 3-day history of lethargy, anorexia, and mild signs of colic. The mare had a several-month history of weight loss and refractory cough. Physical examination revealed an increased respiratory rate, and crackles and wheezes were heard on thoracic auscultation. Thoracic ultrasonographic examination showed disseminated, minor, bilateral comet tail-like lesions on the parietal pleural surfaces. Abdominal ultrasonographic examination was unremarkable. Trans-rectal palpation reveale...
Individual and occupational characteristics associated with respiratory symptoms among Latino horse farm workers.
American journal of industrial medicine    May 4, 2015   Volume 58, Issue 6 679-687 doi: 10.1002/ajim.22452
Swanberg JE, Clouser JM, Gan W, Mannino DM, Flunker JC.Latino workers are likely exposed to a variety of respiratory hazards in the horse barn, yet the potential impact of these exposures on respiratory health has not been investigated. Methods: Using a community-based sample of 225 Latino horse farmworkers we investigated the prevalence of upper and lower respiratory symptoms and occupational characteristics associated with them. Multivariable logistic regression was used to identify factors associated with respiratory symptomology. Results: Upper respiratory symptoms prevalence ranged from 24% to 45%. Half of workers reported lower respiratory s...
Response to Richards letter.
Equine veterinary journal    April 22, 2015   Volume 47, Issue 3 377 doi: 10.1111/evj.12405
Riggs CM, Preston S.No abstract available
Risk factors for epistaxis in jump racing in Great Britain (2001-2009).
Veterinary journal (London, England : 1997)    April 9, 2015   Volume 205, Issue 1 44-49 doi: 10.1016/j.tvjl.2015.04.003
Reardon RJ, Boden LA, Mellor DJ, Love S, Newton RJ, Stirk AJ, Parkin TD.The aim of this study was to evaluate risk factors associated with developing epistaxis in jump racing in Great Britain (GB). A retrospective analysis of records from horses running in all hurdle and steeplechase races in GB between 2001 and 2009 identified diagnoses of epistaxis whilst still at the racecourse. Data were used from 603 starts resulting in epistaxis (event) and 169,065 starts resulting in no epistaxis (non-event) in hurdle racing, and from 550 event starts and 102,344 non-event starts in steeplechase racing. Two multivariable logistic regression models to evaluate risk factors a...
Comparison of cardiorespiratory variables in dorsally recumbent horses anesthetized with guaifenesin-ketamine-xylazine spontaneously breathing 50% or maximal oxygen concentrations.
The Canadian veterinary journal = La revue veterinaire canadienne    April 2, 2015   Volume 56, Issue 4 387-392 
Karrasch NM, Hubbell JA, Aarnes TK, Bednarski RM, Lerche P.This study compared cardiorespiratory variables in dorsally recumbent horses anesthetized with guaifenesin-ketamine-xylazine and spontaneously breathing 50% or maximal (> 90%) oxygen (O2) concentrations. Twelve healthy mares were randomly assigned to breathe 50% or maximal O2 concentrations. Horses were sedated with xylazine, induced to recumbency with ketamine-diazepam, and anesthesia was maintained with guaifenesin-ketamine-xylazine to effect. Heart rate, arterial blood pressures, respiratory rate, lithium dilution cardiac output (CO), inspired and expired O2 and carbon dioxide partial pr...
Paroxysmal atrial fibrillation and clinically reversible cor pulmonale in a horse with complicated recurrent airway obstruction.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    March 23, 2015   Volume 43, Issue 2 109-114 doi: 10.15653/TPG-140075
Hanka J, van den Hoven R, Schwarz B.Cor pulmonale is considered an uncommon complication in horses with recurrent airway obstruction (RAO). This case report describes the history, clinical and further examination findings, treatment, progression and outcome of a horse diagnosed with cor pulmonale and paroxysmal atrial fibrillation of 2 days duration due to a severe exacerbation of RAO. To our best knowledge, this is the first report of RAO induced pulmonary hypertension in a horse causing atrial fibrillation. However, even severe cardiac changes due to respiratory dysfunction seem to be largely reversible in horses.
Update on exercise-induced pulmonary hemorrhage.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 187-198 doi: 10.1016/j.cveq.2014.11.011
Sullivan S, Hinchcliff K.Exercise-induced pulmonary hemorrhage (EIPH) is an important disease of horses that perform high-intensity athletic activity. EIPH is an ongoing concern for the racing industry because of its high prevalence; potential impact on performance; welfare concerns; and use of prophylactic medications, such as furosemide, on race day. During the last 10 years, significant progress has been made in understanding the pathogenesis and risk factors for EIPH and the impact of the disease on performance and career. This article summarizes the most recent advances in EIPH.
Update on interstitial pneumonia.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 137-157 doi: 10.1016/j.cveq.2014.11.006
Wilkins PA, Lascola KM.Interstitial pneumonias encompass a wide variety of acute and chronic respiratory diseases and include the specific diseases equine multinodular pulmonary fibrosis and acute lung injury and acute respiratory distress. These diseases have been diagnosed in all age groups of horses, and numerous agents have been identified as potential causes of interstitial pneumonia. Despite the varied causes, interstitial pneumonia is uniformly recognized by the severity of respiratory disease and often poor clinical outcome. This article reviews the causal agents that have been associated with the developmen...
Update on noninfectious inflammatory diseases of the lower airway.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 159-185 doi: 10.1016/j.cveq.2014.11.008
Mazan MR.Inflammatory airway disease and recurrent airway obstruction are 2 nonseptic diseases of the equine respiratory system with a shared cause of exposure to particulate matter. They appear to occupy 2 ends of a spectrum of disease, but are differentiated by history, clinical signs, and response to treatment. Diagnosis can be made by sampling of respiratory fluids and lung function testing. Treatment consists of environmental modification and pharmacologic treatment with systemic or inhaled corticosteroids and bronchodilators.
Updates on respiratory medicine and surgery.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 xv-xvi doi: 10.1016/j.cveq.2015.01.001
Reuss SM, Chesen AB.No abstract available
Science-in-brief: The 9th Meeting of the International Conference on Equine Exercise Physiology 2014. Biochemistry, nutrition and cardiorespiratory function of athletic horses.
Equine veterinary journal    March 5, 2015   Volume 47, Issue 3 254-256 doi: 10.1111/evj.12381
McKenzie E, Marlin D.No abstract available
Exercise-induced pulmonary haemorrhage: A progressive disease affecting performance?
Equine veterinary journal    February 24, 2015   Volume 47, Issue 3 339-340 doi: 10.1111/evj.12412
Robinson NE, Williams KJ, Stack A, Jackson WF, Derksen FJ.No abstract available
Efficacy of a portable oxygen concentrator with pulsed delivery for treatment of hypoxemia during equine field anesthesia.
Veterinary anaesthesia and analgesia    February 14, 2015   Volume 42, Issue 5 518-526 doi: 10.1111/vaa.12246
Coutu P, Caulkett N, Pang D, Boysen S.Hypoxemia is common during equine field anesthesia. Our hypothesis was that oxygen therapy from a portable oxygen concentrator would increase PaO2 during field anesthesia compared with the breathing of ambient air. Methods: Prospective clinical study. Methods: Fifteen yearling (250 - 400 kg) horses during field castration. Methods: Horses were maintained in dorsal recumbency during anesthesia with an intravenous infusion of 2000 mg ketamine and 500 mg xylazine in 1 L of 5% guaifenesin. Arterial samples for blood gas analysis were collected immediately post-induction (PI), and at 15 and 30...
Racing performance following prosthetic laryngoplasty using a polyurethane prosthesis combined with a laser-assisted ventriculocordectomy for treatment of recurrent laryngeal neuropathy in 78 Thoroughbred racehorses.
Equine veterinary journal    February 14, 2015   Volume 47, Issue 1 60-64 doi: 10.1111/evj.12237
Raffetto JA, Wearn JG, Fischer AT.Recurrent laryngeal neuropathy (RLN) causes airway obstruction and adversely affects racing performance in Thoroughbred racehorses. Prosthetic laryngoplasty (PL) is the preferred treatment of RLN as it returns variables of airway mechanics to baseline. A number of materials have been evaluated as prostheses; however, the application of Lycra has not been rigorously investigated. Objective: To evaluate the efficacy of PL using a Lycra prosthesis, in combination with transendoscopic, laser-assisted ventriculocordectomy, to restore racing performance in Thoroughbred racehorses with RLN. Methods: ...
Circulating immune complexes and markers of systemic inflammation in RAO-affected horses.
Polish journal of veterinary sciences    February 3, 2015   Volume 17, Issue 4 697-702 doi: 10.2478/pjvs-2014-0101
Niedźwiedź A, Jaworski Z, Kubiak K.The aim of this study was to investigate the levels of circulating immune complexes (CICs) and concentration of haptoglobin, fibrinogen and C-reactive protein in the serum of horses with recurrent airway obstruction and healthy controls. The study was conducted on a group of 14 adult Polish Konik horses, kept in uniform environmental and living conditions. Horses were divided into two groups: 7 horses were not affected by any respiratory problem (control group) and 7 horses had a history of recurrent airway obstruction (RAO) (study group). A clinical and laboratory evaluation, endoscopic exami...
A systematic review and meta-analysis of the efficacy of furosemide for exercise-induced pulmonary haemorrhage in Thoroughbred and Standardbred racehorses.
Equine veterinary journal    February 2, 2015   Volume 47, Issue 3 341-349 doi: 10.1111/evj.12373
Sullivan SL, Whittem T, Morley PS, Hinchcliff KW.Furosemide is the most commonly used medication for exercise-induced pulmonary haemorrhage (EIPH); however, critical evaluation of the strength of evidence for efficacy of furosemide is lacking and is warranted so that evidence-based treatment decisions can be made. Objective: To evaluate the efficacy of furosemide to reduce the severity or frequency of detection of EIPH in Thoroughbred and Standardbred racehorses. Methods: Systematic review with meta-analyses. Methods: Primary studies were identified via searches of electronic databases, relevant texts and reference lists of published article...
HEpD: a database describing epigenetic differences between Thoroughbred and Jeju horses.
Gene    January 28, 2015   Volume 560, Issue 1 83-88 doi: 10.1016/j.gene.2015.01.047
Gim JA, Lee S, Kim DS, Jeong KS, Hong CP, Bae JH, Moon JW, Choi YS, Cho BW, Cho HG, Bhak J, Kim HS.With the advent of next-generation sequencing technology, genome-wide maps of DNA methylation are now available. The Thoroughbred horse is bred for racing, while the Jeju horse is a traditional Korean horse bred for racing or food. The methylation profiles of equine organs may provide genomic clues underlying their athletic traits. We have developed a database to elucidate genome-wide DNA methylation patterns of the cerebrum, lung, heart, and skeletal muscle from Thoroughbred and Jeju horses. Using MeDIP-Seq, our database provides information regarding significantly enriched methylated regions...
Nanoparticulate CpG immunotherapy in RAO-affected horses: phase I and IIa study.
Journal of veterinary internal medicine    January 27, 2015   Volume 29, Issue 1 286-293 doi: 10.1111/jvim.12524
Klier J, Lehmann B, Fuchs S, Reese S, Hirschmann A, Coester C, Winter G, Gehlen H.Recurrent airway obstruction (RAO), an asthma-like disease, is 1 of the most common allergic diseases in horses in the northern hemisphere. Hypersensitivity reactions to environmental antigens cause an allergic inflammatory response in the equine airways. Cytosine-phosphate-guanosine-oligodeoxynucleotides (CpG-ODN) are known to direct the immune system toward a Th1-pathway, and away from the pro-allergic Th2-line (Th2/Th1-shift). Gelatin nanoparticles (GNPs) are biocompatible and biodegradable immunological inert drug delivery systems that protect CpG-ODN against nuclease degeneration. Prelimi...
Letter to the Editor regarding article on exercise-induced pulmonary haemorrhage at the Hong Kong Jockey Club.
Equine veterinary journal    January 19, 2015   Volume 47, Issue 3 372-373 doi: 10.1111/evj.12379
Morley PS, Hinchcliff KW.No abstract available
Descriptive analysis of longitudinal endoscopy for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses training and racing at the Hong Kong Jockey Club – letter.
Equine veterinary journal    January 19, 2015   Volume 47, Issue 3 374-375 doi: 10.1111/evj.12388
Preston S, Riggs CM.No abstract available
The innate immune response of equine bronchial epithelial cells is altered by training.
Veterinary research    January 17, 2015   Volume 46, Issue 1 3 doi: 10.1186/s13567-014-0126-3
Frellstedt L, Gosset P, Kervoaze G, Hans A, Desmet C, Pirottin D, Bureau F, Lekeux P, Art T.Respiratory diseases, including inflammatory airway disease (IAD), viral and bacterial infections, are common problems in exercising horses. The airway epithelium constitutes a major physical barrier against airborne infections and plays an essential role in the lung innate immune response mainly through toll-like receptor (TLR) activation. The aim of this study was to develop a model for the culture of equine bronchial epithelial cells (EBEC) in vitro and to explore EBEC innate immune responses in trained horses. Bronchial epithelial biopsies were taken from 6 adult horses during lower airway...
Update on bacterial pneumonia and pleuropneumonia in the adult horse.
The Veterinary clinics of North America. Equine practice    January 16, 2015   Volume 31, Issue 1 105-120 doi: 10.1016/j.cveq.2014.11.002
Reuss SM, Giguère S.Bacterial infections of the lower respiratory tract in adult horses occur when bacteria from the nasopharynx reach the lower airways and overwhelm normal defense mechanisms. Although Streptococcus equi subsp zooepidemicus is the most commonly isolated bacterial species, mixed infections are possible. Tracheobronchial aspiration for microbiologic culture and sensitivity is suggested in cases presenting with severe clinical signs or not responding to treatment. Early intervention and appropriate antimicrobial selection results in a good prognosis for both survival and return to athletic function...
Update on bacterial pneumonia in the foal and weanling.
The Veterinary clinics of North America. Equine practice    January 16, 2015   Volume 31, Issue 1 121-135 doi: 10.1016/j.cveq.2014.11.004
Reuss SM, Cohen ND.Bacterial pneumonia is a common cause of disease in both neonatal and weanling foals. The causal organism or organisms differ with the age of the foal, should be identified via microbiologic culture, and will ultimately dictate appropriate treatment. Initial treatment in neonates should be broad spectrum and bactericidal, whereas weanling age foals may receive more targeted treatment. The combination of a macrolide antibiotic and rifampin remains the gold standard for treatment of Rhodococcus equi pneumonia; however, resistance to these antimicrobials is a concern.
Perianesthetic development of diaphragmatic hernia in a horse with equine pituitary pars intermedia dysfunction (PPID).
The Canadian veterinary journal = La revue veterinaire canadienne    January 8, 2015   Volume 56, Issue 1 48-52 
Shepard MK, Lee WL, Eggleston RB.A 21-year-old Thoroughbred gelding with a history of equine pituitary pars intermedia dysfunction (PPID) presented with priapism of 2 days' duration. The horse received a caudal morphine epidural and then underwent corpus cavernosum lavage and phallectomy under general anesthesia. The patient's recovery featured multiple unsuccessful attempts to stand and his respiratory distress persisted for several hours until he acutely developed severe colic and was euthanized. Necropsy findings revealed a pituitary adenoma of the pars intermedia, bilateral adrenal cortical hyperplasia, and diaphragmatic ...
Comparison of radiographic and computed tomographic images of the lungs in healthy neonatal foals.
American journal of veterinary research    December 24, 2014   Volume 76, Issue 1 42-52 doi: 10.2460/ajvr.76.1.42
Schliewert EC, Lascola KM, O'Brien RT, Clark-Price SC, Wilkins PA, Foreman JH, Mitchell MA, Hartman SK, Kline KH.To compare CT and radiographic images of the lungs in sedated healthy foals positioned in sternal recumbency and to investigate whether a relationship exists between CT-derived measurements of lung attenuation and Paco2 and Pao2. Methods: 6 healthy Standardbred foals < 14 days of age. Methods: Thoracic CT images were acquired followed by radiographic views with each foal sedated and positioned in sternal recumbency. For each foal, both CT and radiographic images were evaluated for severity and extent of changes by lung regions on the basis of a subjective scoring system by 3 investigators. ...
Evaluation of working conditions of workers engaged in tending horses.
Annals of agricultural and environmental medicine : AAEM    December 23, 2014   Volume 21, Issue 4 718-722 doi: 10.5604/12321966.1129921
Nowakowicz-Dębek B, Pawlak H, Wlazło Ł, Kuna-Broniowska I, Bis-Wencel H, Buczaj A, Maksym P.A growing interest in the horse business has resulted in the increased engagement of many people in this area, and the health problems occurring among workers create the need to search for prophylactic measures. Objective: The objective of the study was evaluation of the level of exposure to air pollution in a stable, and estimation of the degree of work load among workers engaged in tending horses. Methods: The study was conducted twice, during the winter season, in a stable maintaining race horses, and in a social room. In order to evaluate workers' exposure, air samples were collected by th...
Physiological and analgesic effects of continuous-rate infusion of morphine, butorphanol, tramadol or methadone in horses with lipopolysaccharide (LPS)-induced carpal synovitis.
BMC veterinary research    December 21, 2014   Volume 10 966 doi: 10.1186/s12917-014-0299-z
Carregaro AB, Freitas GC, Ribeiro MH, Xavier NV, Dória RG.Continuous-rate infusion (CRI) of drugs results in more stable plasma drug concentrations than administration of intermittent boluses, thus providing greater stability of physiological parameters. The aim of this study was to evaluate the physiologic and analgesic effects of the administration of morphine, butorphanol, tramadol or methadone by CRI in horses with induced synovitis of the radiocarpal joint. Results: Increased values of cardiorespiratory parameters and body temperature were observed in all groups after initiation of opioid administration, and these increases were sustained throug...
Effects of a continuous rate infusion of butorphanol in isoflurane-anesthetized horses on cardiorespiratory parameters, recovery quality, gastrointestinal motility and serum cortisol concentrations.
Acta cirurgica brasileira    December 18, 2014   Volume 29, Issue 12 801-806 doi: 10.1590/S0102-86502014001900006
Dias BP, Araújo MA, Deschk M, Trein TA, Pinheiro NC, Perri SH, Rodrigues CA, Santos PS.To assess the cardiorespiratory parametes, recovery, gastrointestinal motility and serum cortisol concentrations in horses anesthetized with isoflurane with or without a continuous rate infusion (CRI) of butorphanol for orchiectomy. Methods: Twelve adult, intact, male horses weighing 332 ± 55 kg were included in the study. Xilazine was administered as premedication. Anesthesia was induced with ketamine and midazolam and maintained with isoflurane. Butorphanol (0.025 mg kg-1 bolus) or an equivalent volume of saline (0.9%) was given intravenously followed by a CRI of butorphanol (BG) (13 µg kg...
Implementation of field cardio-respiratory measurements to assess energy expenditure in Arabian endurance horses.
Animal : an international journal of animal bioscience    December 15, 2014   Volume 9, Issue 5 787-792 doi: 10.1017/S1751731114003061
Goachet AG, Julliand V.Measurements of respiratory exchanges in genuine exercise conditions are undoubtedly of interest to further define the energy needs of endurance horses. However, the equine K4b2, the gas exchanges portable device validated for equines, has not been used in Arabian endurance horses yet. Therefore, the objective of this study was to implement field cardio-respiratory measurements in such horses using the equine K4b2 in order to assess energy expenditure (EE). Measurements of heart rate (HR), oxygen uptake (VO2), carbon dioxide production (VCO2), respiratory frequency (RF), tidal volume (VT) and ...
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