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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.
Neutrophilic airway inflammation in horses with heaves is characterized by a Th2-type cytokine profile.
American journal of respiratory and critical care medicine    November 13, 2001   Volume 164, Issue 8 Pt 1 1410-1413 doi: 10.1164/ajrccm.164.8.2012091
Lavoie JP, Maghni K, Desnoyers M, Taha R, Martin JG, Hamid QA.Heaves in horses shares many similarities with human asthma, including lower airway inflammation, reversible airway obstruction, and bronchial hyperresponsiveness. Extrinsic asthma is an allergic response to environmental allergens and a similar immunologic mechanism may be implicated in heaves. It is now recognized that a Th2 subset of CD4+ lymphocytes is associated with allergic diseases such as atopic asthma. The purpose of this study was to determine whether airway inflammation in heaves is associated with a pattern of expression of cytokine suggestive of a Th2 type response. The expressio...
Effect of topical anesthesia of the laryngeal mucosa on upper airway mechanics in exercising horses.
American journal of veterinary research    November 13, 2001   Volume 62, Issue 11 1706-1710 doi: 10.2460/ajvr.2001.62.1706
Holcombe SJ, Derksen FJ, Berney C, Becker AC, Horner NT.To determine the effect of desensitization of the laryngeal mucosal mechanoreceptors on upper airway mechanics in exercising horses. Methods: 6 Standardbreds. Methods: In study 1, videoendoscopic examinations were performed while horses ran on a treadmill with and without topical anesthesia of the laryngeal mucosa. In study 2, peak tracheal and nasopharyngeal pressures and airflows were obtained from horses during incremental treadmill exercise tests, with and without topical anesthesia of the laryngeal mucosa. A nasal occlusion test was performed on each horse while standing during an endosco...
[Horse-related occupational injuries 1992-1999].
Ugeskrift for laeger    November 9, 2001   Volume 163, Issue 43 5982-5985 
Gimsing S.Occupational injuries are notifiable in Denmark. Hitherto, occupational injuries caused by riding and horse handling have not been reported. Methods: This retrospective study comprises all cases reported to the National Working Environment Authority during the period 1992-1999. Results: There were 634 occupational accidents, and 43% of the victims were below the age of 25 years with a four-in-one female preponderance. In contrast, there were only three cases of occupational disease. Conclusions: Occupational diseases ought to be much more common than suggested by these few reported cases. Resp...
Endoscopic assessment of airway function as a predictor of racing performance in Thoroughbred yearlings: 427 cases (1997-2000).
Journal of the American Veterinary Medical Association    October 17, 2001   Volume 219, Issue 7 962-967 doi: 10.2460/javma.2001.219.962
Stick JA, Peloso JG, Morehead JP, Lloyd J, Eberhart S, Padungtod P, Derksen FJ.To compare endoscopic findings of the upper portion of the respiratory tract in Thoroughbred yearlings with their subsequent race records to determine whether subjective assessment of airway function may be used as a predictor of future racing performance. Methods: Retrospective study. Methods: 427 Thoroughbred yearlings. Methods: Endoscopic examination findings were obtained from the medical records and the videoendoscopic repository of the Keeneland 1996 September yearling sales. Racing records were requested for the yearlings through the end of their 4-year-old racing season (1997-2000). Tw...
Bronchoconstrictive properties of inhaled 8-epi-PGF2alpha in healthy and heaves-susceptible horses.
Veterinary research    October 11, 2001   Volume 32, Issue 5 397-407 doi: 10.1051/vetres:2001132
Kirschvink N, Bureau F, Art T, Lekeux P.The 8-epi-PGF2alpha is a marker of oxidative stress which is increased in lungs of asthmatic humans and heaves-susceptible horses. 8-Epi-PGF2alpha has also been demonstrated to be an in vitro and in vivo bronchoconstrictor in humans and rodents. We hypothesised that inhaled 8-epi-PGF2alpha was a bronchoconstrictor in healthy and heaves-susceptible horses in clinical remission. The effect on ventilatory mechanics of nebulised 8-epi-PGF2alpha was compared to that of PGF2alpha and U46619, a thromboxane A2 agonist. Pulmonary resistance (R(L)) and dynamic compliance (Cdyn) were assessed in six heal...
Nasal strips and EIPH in the exercising Thoroughbred racehorse.
Journal of applied physiology (Bethesda, Md. : 1985)    October 5, 2001   Volume 91, Issue 4 1908-1910 doi: 10.1152/jappl.2001.91.4.1908
Kindig CA, Poole DC, McDonough P, Erickson HH.No abstract available
Evaluation of the effects of omeprazole on physiological indices of performance of horses during incremental treadmill exercise.
Veterinary therapeutics : research in applied veterinary medicine    October 1, 2001   Volume 2, Issue 4 361-369 
Kollias-Baker C, Cox K, Jones J.Omeprazole is a proton-pump inhibitor recently approved in the United States for the treatment of gastric ulcer disease in horses. A study was designed to determine the effects of omeprazole treatment on the physiological indices of performance of horses during incremental treadmill exercise. In a crossover-design study carried out over 2 weeks, five horses completed standardized incremental exercise tests on a high-speed treadmill either with no treatment or treatment with omeprazole. No statistically significant effects of omeprazole were found on the mean maximum responses for specific oxyg...
Effect of two anaesthetic regimens on airway nitric oxide production in horses.
British journal of anaesthesia    September 29, 2001   Volume 86, Issue 1 127-130 doi: 10.1093/bja/86.1.127
Marlin DJ, Young LE, McMurphy R, Walsh K, Dixon P.There is evidence that halothane inhibits nitric oxide synthase in vitro, but the effect of intravenous anaesthetic agents is less clear. This study was undertaken to compare the rate of exhaled nitric oxide production (VNO) in spontaneously breathing horses anaesthetized with halothane or an intravenous regimen. Seven adult horses were studied twice in random order. After premedication with romifidine 100 microg kg(-1), anaesthesia was induced with ketamine 2.2 mg kg(-1) and maintained with halothane in oxygen (HA) or by an intravenous infusion of ketamine, guaiphenesin and romifidine (IV). I...
Use of computerised tomography to diagnose a Rhodococcus equi mediastinal abscess causing severe respiratory distress in a foal.
Equine veterinary journal    September 18, 2001   Volume 33, Issue 5 523-526 doi: 10.2746/042516401776254736
Wion L, Perkins G, Ainsworth DM, Dykes NL, Divers TJ.No abstract available
The effect of recurrent laryngeal neurectomy in conjunction with laryngoplasty and unilateral ventriculocordectomy in thoroughbred racehorses.
Veterinary surgery : VS    September 14, 2001   Volume 30, Issue 5 417-421 doi: 10.1053/jvet.2001.25865
Davenport CL, Tulleners EP, Parente EJ.To investigate the effects of recurrent laryngeal neurectomy (RLN) in combination with laryngoplasty and ventriculocordectomy on the postoperative performance of Thoroughbred racehorses treated for grade III left laryngeal hemiparesis (LLH). Methods: Retrospective study. Methods: Fifty-five Thoroughbred racehorses. Methods: Medical records for Thoroughbred racehorses treated surgically by laryngoplasty and laser ventriculocordectomy with or without RLN between June 1993 and December 1996 were reviewed. Outcome was evaluated subjectively by assessment of performance obtained from telephone inte...
Differential inhibition of equine neutrophil function by phosphodiesterase inhibitors.
Journal of veterinary pharmacology and therapeutics    September 14, 2001   Volume 24, Issue 4 275-281 doi: 10.1046/j.1365-2885.2001.00344.x
Rickards KJ, Page CP, Lees P, Cunningham FM.Neutrophils are recruited to the lungs of horses with chronic obstructive pulmonary disease (COPD) and exhibit increased activity after antigen challenge, which may contribute to inflammation and lung damage. Inhibition of phosphodiesterase isoenzymes (PDEs) has been shown to attenuate human neutrophil functions including superoxide production, leukotriene (LT)B4 biosynthesis, enzyme and chemokine release. As equine neutrophils contain predominantly the isoenzyme, PDE4, the present study was undertaken to investigate the effects of rolipram, a PDE4 inhibitor, on equine neutrophil function. For...
[Comparison of direct smear observations and bacteriologic culture results carried out on equine tracheal secretions].
The Canadian veterinary journal = La revue veterinaire canadienne    August 25, 2001   Volume 42, Issue 8 623-626 
Labonville M, Higgins R, Lavoie JP.The aim of the study was to assess the relation between the direct smear observations and bacteriological results carried out on equine tracheal secretions. A total of 304 cases comprising both the direct smear (Gram stain) and the bacteriological culture, over a period of 8 years, were submitted to this retrospective study. Most of the specimens (78%) were obtained using tracheal washings while the rest (22%) originated from tracheal brushings. A total of 96 specimens (32%) were negative for both direct smear and culture. The positive predictive value of direct smears appeared high (81-96%) w...
Systemic relaxin in pregnant pony mares grazed on endophyte-infected fescue: effects of fluphenazine treatment.
Theriogenology    August 23, 2001   Volume 56, Issue 3 471-483 doi: 10.1016/s0093-691x(01)00578-7
Ryan PL, Bennett-Wimbush K, Vaala WE, Bagnell CA.Tall fescue is one of the most widely grown forage grasses for horses in the United States. However, it is frequently infected with the endophyte Neotyphodium coenophialum which produces ergot alkaloids that cause severe adverse effects in the pregnant mare. The objectives of this study were to determine the effects of fescue toxicosis and fluphenazine on circulating relaxin in pregnant pony mares and evaluate the usefulness of relaxin as a monitor of treatment efficacy. Twelve mares were maintained on endophyte-infected tall fescue pasture. Group TRT (n = 6), received 25 mg of fluphenazine de...
Efficacy of nasal strip and furosemide in mitigating EIPH in Thoroughbred horses.
Journal of applied physiology (Bethesda, Md. : 1985)    August 18, 2001   Volume 91, Issue 3 1396-1400 doi: 10.1152/jappl.2001.91.3.1396
Kindig CA, McDonough P, Fenton G, Poole DC, Erickson HH.The purpose of this investigation was to study the effects of an equine nasal strip (NS), furosemide (Fur), and a combination of both (NS + Fur) on exercise-induced pulmonary hemorrhage (EIPH) at speeds corresponding to near-maximal effort. Five Thoroughbreds (526 +/- 25 kg) were run on a flat treadmill from 7 to 14 m/s in 1 m x s(-1) x min(-)1 increments every 2 wk (treatment order randomized) under control (Con), Fur (1 mg/kg iv 4 h prior), NS, or NS + Fur conditions. During each run, pulmonary arterial (Ppa) and esophageal (Pes) pressures were measured. Severity of EIPH was quantified via b...
The variability and repeatability of indices derived from the single-breath diagram for CO2 in horses with chronic obstructive pulmonary disease and the effect of lobelin hydrochloride on these indices.
Veterinary research communications    July 27, 2001   Volume 25, Issue 5 401-412 doi: 10.1023/a:1010698811033
Herholz C, Straub R, Busato A.Several indices of ventilatory heterogeneity can be identified from the volumetric capnogram and its graphic presentation, the single-breath diagram for CO2 (SBD-CO2). Physiologically based indices of pulmonary function (VTE, VCO2, FACO2, VDBohr% VDBohr%, VD/VTE, A1/A2) were calculated for healthy horses (group I, n = 5) and for horses with subclinical (group II, n = 7) or clinically manifest chronic obstructive pulmonary disease (COPD) (group III, n = 8) during tidal breathing and after medication with lobelin hydrochloride (Lobelin). We investigated the variability and repeatability of the l...
Effects of phlebotomy on haemodynamic characteristics during exercise in standardbred trotters with red cell hypervolaemia.
Equine veterinary journal    July 27, 2001   Volume 33, Issue 4 417-424 doi: 10.2746/042516401776249471
Funkquist P, Sandhagen B, Persson SG, Hedenstierna G, Essén-Gustavsson B, Nyman G.Five Standardbred trotters with red cell hypervolaemia (RCHV) were compared before and after removal of approximately 22% (36 ml/kg bwt) of the total blood volume in order to evaluate the haemodynamic responses, haemorheological alterations and oxygen transport during exercise to fatigue. Data were recorded during submaximal exercise at 4 different speeds on a treadmill and then during continued running at the highest speed step until fatigue. Oxygen uptake (VO2), pulmonary artery pressure (PAP), systemic artery pressure (SAP), heart rate (HR), haematocrit and haemoglobin concentrations (Hb) w...
p65 Homodimer activity in distal airway cells determines lung dysfunction in equine heaves.
Veterinary immunology and immunopathology    July 18, 2001   Volume 80, Issue 3-4 315-326 doi: 10.1016/s0165-2427(01)00329-4
Sandersen C, Bureau F, Turlej R, Fiévez L, Dogné S, Kirschvink N, Lekeux P.Nuclear factor-kappaB (NF-kappaB) activity, which is a key regulator of inflammatory gene expression, is increased in bronchial epithelial cells from horses suffering from heaves (a hypersensitivity-associated inflammatory condition of the lung). To determine whether this increased activity extends to distal airways and to other pulmonary cells, cells recovered by broncho-alveolar lavage (BAL) in healthy and heaves-affected horses were assessed for NF-kappaB activity. NF-kappaB activity was much higher in BAL cells from heaves-affected horses, especially during crisis (disease exacerbation), t...
Analgesic, hemodynamic, and respiratory effects induced by caudal epidural administration of meperidine hydrochloride in mares.
American journal of veterinary research    July 17, 2001   Volume 62, Issue 7 1001-1007 doi: 10.2460/ajvr.2001.62.1001
Skarda RT, Muir WW.To determine the analgesic, hemodynamic, and respiratory effects induced by caudal epidural administration of meperidine hydrochloride in mares. Methods: 7 healthy mares. Methods: Each mare received meperidine (5%; 0.8 mg/kg of body weight) or saline (0.9% NaCl) solution via caudal epidural injection on 2 occasions. At least 2 weeks elapsed between treatments. Degree of analgesia in response to noxious electrical, thermal, and skin and muscle prick stimuli was determined before and for 5 hours after treatment. In addition, cardiovascular and respiratory variables were measured and degree of se...
Effects of enalaprilat on cardiorespiratory, hemodynamic, and hematologic variables in exercising horses.
American journal of veterinary research    July 17, 2001   Volume 62, Issue 7 1008-1013 doi: 10.2460/ajvr.2001.62.1008
Muir WW, Sams RA, Hubbell JA, Hinchcliff KW, Gadawski J.To determine the effects of IV administration of enalaprilat on cardiorespiratory and hematologic variables as well as inhibition of angiotensin converting enzyme (ACE) activity in exercising horses. Methods: 6 adult horses. Methods: Horses were trained by running on a treadmill for 5 weeks. Training was continued throughout the study period, and each horse also ran 2 simulated races at 120% of maximum oxygen consumption. Three horses were randomly selected to receive treatment 1 (saline [0.9% NaCl] solution), and the remaining 3 horses received treatment 2 (enalaprilat; 0.5 mg/kg of body weig...
Effects of 8-epi-PGF2alpha on isolated bronchial smooth muscle of healthy and heaves-affected horses.
Journal of veterinary pharmacology and therapeutics    July 10, 2001   Volume 24, Issue 3 215-221 doi: 10.1046/j.1365-2885.2001.00330.x
Kirschvink N, Art T, Lekeux P, Roberts C, Gustin P.8-Epi-PGF2alpha, a prostaglandin-like compound generated by oxidative stress, has been shown to be an in vitro bronchoconstrictor in airways from healthy laboratory animals and healthy humans, but it has never been studied in diseased airways. Here, the bronchoconstrictive capacity of 8-epi-PGF2alpha on isolated bronchial rings (BR) of healthy and heaves-affected horses was evaluated by comparing the maximal effect and the potency of 8-epi-PGF2alpha to those of (1) acetylcholine (ACh), (2) its stereoisomer PGF2alpha and (3) its synthetic receptor agonist, U46619. Furthermore, the potential cap...
Efficacy of salmeterol xinafoate in horses with recurrent airway obstruction.
Journal of the American Veterinary Medical Association    June 22, 2001   Volume 218, Issue 12 1961-1965 doi: 10.2460/javma.2001.218.1961
Henrikson SL, Rush BR.To determine the onset, magnitude, and duration of bronchodilation after administration of aerosolized salmeterol xinafoate in horses with recurrent airway obstruction. Methods: Randomized controlled study Methods: 6 horses with recurrent airway obstruction. Procedure Horses received aerosolized salmeterol (210 microg) or no treatment, using a crossover design. Salmeterol was administered, using a mask designed for aerosol delivery in horses. Subjective rating of airway obstruction (RAO), maximal change in pleural pressure (deltaPplmax), and pulmonary resistance (RL) were determined at baselin...
COPD study.
The Veterinary record    June 2, 2001   Volume 148, Issue 19 608 
Rickards K, Cunningham F.No abstract available
Comparison of inulin with urea as dilutional markers of bronchoalveolar lavage in healthy and heaves-affected horses.
Veterinary research    May 22, 2001   Volume 32, Issue 2 145-154 doi: 10.1051/vetres:2001117
Kirschvink N, Fiévez L, Dogné S, Bureau F, Art T, Lekeux P.Solute analysis in bronchoalveolar lavage fluid involves the use of dilutional markers to correct for variable recovery of pulmonary epithelial lining fluid (PELF). Urea is the best characterised endogenous marker, whereas inulin appears to meet the requirements of an exogenous marker. In horses, the use of inulin has never been investigated and the impact of lower airway diseases such as heaves, on PELF recovery is unknown. In this study, five healthy and five heaves-affected horses underwent airway endoscopy and bronchoalveolar lavage. PELF recovery from bronchoalveolar lavage was calculated...
Nasal strips do not affect pulmonary gas exchange, anaerobic metabolism, or EIPH in exercising Thoroughbreds.
Journal of applied physiology (Bethesda, Md. : 1985)    May 18, 2001   Volume 90, Issue 6 2378-2385 doi: 10.1152/jappl.2001.90.6.2378
Goetz TE, Manohar M, Hassan AS, Baker GJ.The present study was carried out to examine whether nasal strip application would improve the exercise-induced arterial hypoxemia and hypercapnia, diminish anaerobic metabolism, and modify the incidence of exercise-induced pulmonary hemorrhage (EIPH) in horses. Two sets of experiments, control and nasal strip experiments, were carried out on seven healthy, sound, exercise-trained Thoroughbred horses in random order, 7 days apart. Simultaneous measurements of core temperature, arterial and mixed venous blood gases/pH, and blood lactate and ammonia concentrations were made at rest, during subma...
Effect of prior high-intensity exercise on exercise-induced arterial hypoxemia in Thoroughbred horses.
Journal of applied physiology (Bethesda, Md. : 1985)    May 18, 2001   Volume 90, Issue 6 2371-2377 doi: 10.1152/jappl.2001.90.6.2371
Manohar M, Goetz TE, Hassan AS.Strenuously exercising horses exhibit arterial hypoxemia and exercise-induced pulmonary hemorrhage (EIPH), the latter resulting from stress failure of pulmonary capillaries. The present study was carried out to examine whether the structural changes in the blood-gas barrier caused by a prior bout of high-intensity short-term exercise capable of inducing EIPH would affect the arterial hypoxemia induced during a successive bout of exercise performed at the same workload. Two sets of experiments, double- and single-exercise-bout experiments, were carried out on seven healthy, sound Thoroughbred h...
Cardiorespiratory and endocrine effects of endogenous opioid antagonism by naloxone in ponies anaesthetised with halothane.
Research in veterinary science    May 18, 2001   Volume 70, Issue 2 95-100 doi: 10.1053/rvsc.2000.0444
Luna SP, Taylor PM.Halothane depresses cardiorespiratory function and activates the pituitary-adrenal axis, increasing beta endorphin. In horses, beta endorphin may enhance the anaesthetic-associated cardiorespiratory depression and mortality risk. The authors studied endogenous opioid effects on cardiorespiratory function and pituitary-adrenal activity in halothane-anaesthetised ponies by investigating opioid antagonism by naloxone. Six ponies were anaesthetised three times (crossover design). Anaesthesia was induced with thiopentone and maintained with 1.2 per cent halothane for 2 hours. Immediately after indu...
Coughing: a source of irritation?
Equine veterinary journal    May 16, 2001   Volume 33, Issue 3 221-223 doi: 10.2746/042516401776249723
Head MJ, Wood JL.No abstract available
M cells and associated lymphoid tissue of the equine nasopharyngeal tonsil.
Equine veterinary journal    May 16, 2001   Volume 33, Issue 3 224-230 doi: 10.2746/042516401776249697
Kumar P, Timoney JF, Sheoran AS.The aim of this study was to characterise the morphological and histochemical features of equine nasopharyngeal tonsillar tissue. Nasal and oropharyngeal tonsillar tissue has been described as the gatekeeper to mucosal immunity because of its strategic location at the entrance to the respiratory and alimentary tracts. A combination of light, scanning and transmission electron microscopy has revealed the presence of follicle-associated epithelium (FAE) overlying lymphoid tissue of the equine nasopharyngeal tonsil caudal to the pharyngeal opening of the guttural pouch. Membranous microvillus (M)...
A long-term study of 277 cases of equine sinonasal disease. Part 2: treatments and results of treatments.
Equine veterinary journal    May 16, 2001   Volume 33, Issue 3 283-289 doi: 10.2746/042516401776249787
Tremaine WH, Dixon PM.The treatments of 277 horses with equine sinonasal disease (1984-1996), described by Tremaine and Dixon (2001), are reported here. Long-term (median duration 24 months) outcomes of treatment of the more common disorders were good, with 92% of horses with sinonasal mycosis, 84% with primary sinusitis, 82% with sinus cysts, 78% with dental sinusitis and 75% with sinonasal trauma reported to have complete remission of clinical signs. However, only 33% of horses with progressive ethmoidal haematoma (PEH) and 12% with sinonasal neoplasia reported long term remission of clinical signs.
A case-control study of respiratory disease in Thoroughbred racehorses in Sydney, Australia.
Equine veterinary journal    May 16, 2001   Volume 33, Issue 3 256-264 doi: 10.2746/042516401776249796
Christley RM, Hodgson DR, Rose RJ, Wood JL, Reids SW, Whitear KG, Hodgson JL.In order to investigate the role of infectious agents in the aetiology of lower respiratory tract disease in Thoroughbred racehorses, a matched case-control study was conducted. Cases were identified by the presence of coughing, and were compared to a control population matched on time of sample collection and location within the same training establishment. Tracheal wash samples were collected from 100 cases and 148 controls. Case horses were more likely than controls to have endoscopic and cytological evidence of airway inflammation. There was no significant association between serological e...
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