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.
Carlson GP, O'Brien MA.Anaerobic bacterial pneumonia with septicemia was diagnosed in 2 Thoroughbred racehorses referred with respiratory tract disease that had failed to respond to initial treatment with various antibiotics including penicillin and trimethoprim-sulfamethoxazole. Multiple anaerobic organisms, including Bacteroides spp and Fusobacterium spp, were isolated from blood and transtracheal aspirates obtained from both horses and from aspirates of cutaneous nodules obtained from 1 horse. The latter horse responded to metronidazole treatment followed by procaine penicillin G administration and regained its h...
Snow DH.The haematological, biochemical and physiological changes associated with the cross-country stage of driving trials were studied in horses and ponies competing in singles, pairs, tandems and teams at five, five-section and two, three-section events. Heart rates were monitored continuously and sometimes exceeded 200 beats/minute. The highest maximum, mean and recovery heart rates were found after the most severe competitions. Rectal temperatures were also highest after the most severe events and in some animals exceeded 41 degrees C. Respiratory rates were very variable. Blood taken five minute...
Williams JW, Meagher DM, Pascoe JR, Hornof WJ.Upper airway pressure was measured during maximal exercise in 10 Thoroughbred racehorses with naturally occurring upper airway obstruction. Left laryngeal hemiplegia and arytenoid chondropathy resulted in substantial increases (30-40 cm H2O) in inspiratory upper airway pressure (Pl), whereas complicated aryepiglottic entrapment and subepiglottic cysts produced only modest increases (15 cm H2O) in Pl. Uncomplicated aryepiglottic entrapment and grade IV pharyngeal lymphoid hyperplasia produced only slight increases (3-5 cm H2O). In general, surgical procedures restored airway pressures to within...
Attenburrow DP, Flack FC, Portergill MJ.The technique of impedance plethysmography is described and its application to observation of lung volume changes in the horse at exercise is discussed. The results from horse at rest show that there is a close relationship between rate of lung volume change (flow rate) and the associated impedance changes during both inspiration and expiration. Impedance changes during exercise were related to inspiration and expiration by observation of associated respiratory sounds. Artefacts related to technical difficulties are also indicated.
Art T, Desmecht D, Amory H, Lekeux P.The aim of the present experiment was to investigate the hypothesis that there is a respiration-locomotion coupling in trotting equines. Therefore the respiratory airflow (V), the gastric pressure (Pga) and pleural pressure (Ppl) changes and the step frequency (SF) were simultaneously recorded in 5 trotting ponies (body weight: 255 +/- 15 kg; age: 3.5 +/- 0.4 years). Airflow was measured using a Fleisch pneumotachograph fixed on a face mask. Esophageal and gastric balloon catheters coupled to pressure transducers allowed the recording of Ppl and Pga. The exercise was performed on a treadmill a...
Williams JW, Pascoe JR, Meagher DM, Hornof WJ.Upper airway pressure was measured with a nasotracheal catheter system and a portable pressure transducer in 10 normal horses during maximal exercise before and after left recurrent laryngeal neurectomy. Measurements were repeated 16 weeks after prosthetic laryngoplasty (5 horses) or subtotal arytenoidectomy (5 horses). During maximal exertion, prosthetic laryngoplasty was more effective than subtotal arytenoidectomy in reversing the increases in upper airway pressure that followed left recurrent laryngeal neurectomy.
Brice AG, Forster HV, Pan LG, Lowry TF, Murphy CL.We determined the effect of acute hypoxia on the ventilatory (VE) and electromyogram (EMG) responses of inspiratory (diaphragm) and expiratory (transversus abdominis) muscles in awake spontaneously breathing ponies. Eleven carotid body-intact (CBI) and six chronic carotid body-denervated (CBD) ponies were studied during normoxia (fractional inspired O2 concn [FIO2] = 0.21) and two levels of hypoxia (FIO2 approximately 0.15 and 0.12; 6-10 min/period). Four CBI and five CBD ponies were also hilar nerve (pulmonary vagal) denervated. Mean VE responses to hypoxia were greater in CBI ponies (delta a...
Mair TS, Taylor FG, Harbour DA, Pearson GR.Combined immunodeficiency syndrome is an inherited disorder of the Arabian breed of horses. Affected foals usually die of infectious disease within the first few months of life, and the respiratory tract is the commonest site of infection. This report describes the clinical and pathological features of a case which showed signs of alimentary and respiratory infections. Intestinal infection by coronavirus (not previously recorded in cases of the syndrome) and cryptosporidia was identified. Histopathological evidence also suggested the presence of an adenovirus infection.
MacNamara B, Bauer S, Iafe J.Endoscopic examinations were performed on 965 Standardbred racehorses competing at Yonkers Raceway between June 16 and Aug 3, 1988, to demonstrate an association between exercise-induced pulmonary hemorrhage or chronic obstructive pulmonary disease and poor racing performance. Findings suggested that both exercise-induced pulmonary hemorrhage and chronic obstructive pulmonary disease adversely affect performance, whereas a combination of the 2 conditions more severely affects racing performance than do either of the conditions individually.
Francqueville M, Sabbah A.The responsibility of the artificial environment in the development of respiratory allergy in horses is well known as the most important factor for the development of asthma, chronic dry cough and pulmonary emphysema. One case of allergy to the natural environment could be observed. One allergic rhinitis with asthma could be explored. Pathology, cause, tests and specific immuno-therapy are presented.
Rose RJ, Hodgson DR, Kelso TB, McCutcheon LJ, Bayly WM, Gollnick PD.Changes in blood gases, ions, lactate, pH, hemoglobin, blood temperature, total body metabolism, and muscle metabolites were measured before and during exercise (except muscle), at fatigue, and during recovery in normal and acetazolamide-treated horses to test the hypothesis that an acetazolamide-induced acidosis would compromise the metabolism of the horse exercising at maximal O2 uptake. Acetazolamide-treated horses had a 13-mmol/l base deficit at rest, higher arterial Po2 at rest and during exercise, higher arterial and mixed venous Pco2 during exercise, and a 48-s reduction in run time. Ar...
Manohar M.The present study was carried out on seven healthy ponies to examine the extent of blood flow in various inspiratory and expiratory muscles at rest and during maximal exertion as well as to determine the proportion of cardiac output needed to perfuse respiratory muscles during these conditions. Tissue blood flow was studied with 15 micron-diameter radionuclide-labeled microspheres injected into the left ventricle during steady conditions. The inspiratory and expiratory muscles comprised 2.41 and 3.05% of body weight, respectively, and received 6.17 and 3.75% of the cardiac output at rest. With...
Cullen LK, Steffey EP, Bailey CS, Kortz G, da Silva Curiel J, Bellhorn RW, Woliner MJ, Elliott AR, Jarvis KA.The effects of different arterial carbon dioxide tensions (PaCO2) on cerebrospinal fluid pressure (CSFP) and intraocular pressure (IOP) were studied in 6 male halothane-anesthetized horses positioned in left lateral recumbency. Steady-state anesthetic conditions (1.06% end-tidal halothane concentration) commenced 60 minutes following anesthetic induction with only halothane in oxygen. During atracurium neuromuscular blockade, horses were ventilated, and respiratory rate and peak inspiratory airway pressure were maintained within narrow limits. The CSFP and IOP were measured at 3 different leve...
Morris EA, Seeherman HJ.Forty-six racehorses with a history of poor performance underwent endoscopic evaluation of laryngeal and pharyngeal function while exercising on a high-speed treadmill. This evaluation allowed the definitive diagnosis of intermittent or continual upper respiratory tract obstruction as a cause of poor performance, as well as the documentation of the dynamic functional anatomy of the obstruction. Ten of the horses (22%) were determined to have a functional abnormality of the upper respiratory tract. These abnormalities included epiglottic entrapment (1 horse), persistent dorsal displacement of t...
Watson ED.The mechanisms that permit maternal tolerance of the conceptus allograft during early pregnancy in the mare have not been investigated. Embryos and endometria were collected from mares 14 days after ovulation and cultured for 20.5 h. The effect of addition of culture supernatant on incorporation of [3H]thymidine by equine peripheral blood lymphocytes was studied. Culture supernatant from endometrium of nonpregnant mares did not affect lymphocyte blastogenesis, but supernatant from both embryos and endometrium of pregnant mares reduced concanavalin A (Con A)- and phytohemagglutinin-induced blas...
Forster HV, Murphy CL, Brice AG, Pan LG, Lowry TF.The major objective of this study was to test the hypothesis that in ponies the change in plasma [H+] resulting from a change in PCO2 (delta H+/delta PCO2) is less under acute in vivo conditions than under in vitro conditions. Elevation of inspired CO2 and lowering of inspired O2 (causing hyperventilation) were used to respectively increase and decrease arterial PCO2 (Paco2) by 5-8 Torr from normal. Arterial and mixed venous blood were simultaneously sampled in 12 ponies during eucapnia and 5-60 min after Paco2 had changed. In vitro data were obtained by equilibrating blood in a tonometer at f...
Wong CW, Thompson HL, Thong YH, Thornton JR.Bronchoalveolar lavage samples were collected using a fibreoptic endoscope from horses at specified times before and after single bouts of exercise. Lucigenin-dependent phagocytic chemiluminescence was used to assess the effect of exercise on the alveolar macrophage metabolic activity in response to stimulation by opsonised zymosan. A profound suppressive effect on the chemiluminescence production was present throughout the first three days after exercise. However, the cellular composition of lavage fluids was not altered by the exercise. It is suggested that strenuous exercise may jeopardize ...
Kramme PM, Ziemer EL.Coccidioidal osteomyelitis was diagnosed in a horse after a 6-month period of coughing, weight loss, and lameness. The horse was euthanatized and the diagnosis was confirmed by gross and microscopic findings.
Forster HV, Murphy CL, Brice AG, Pan LG, Lowry TF.The major objective was to determine in ponies whether factors in addition to changes in blood PCO2 contribute to changes in plasma [H+] during submaximal exercise. Measurements were made to establish in vivo plasma [H+] at rest and during submaximal exercise, and CO2 titration of blood was completed for both in vitro and acute in vivo conditions. In 19 ponies arterial plasma [H+] was decreased from rest 4.5 neq/l (P less than 0.05) during the 7th min of treadmill running at 6 mph, 5% grade (P less than 0.5). A 5.6-Torr exercise hypocapnia accounted for approximately 2.9 neq/l of this reduced ...
Gleed RD, Dobson A, Hackett RP.In the quietly standing horse the bronchial arterial blood flow is low, 0.1-0.2% of the pulmonary arterial flow. In horses anaesthetized with halothane, the bronchial arterial flow is reduced by a greater fraction than that in the pulmonary artery. Thus the shunting through the bronchial circulation is decreased about 3-fold by anaesthesia, and cannot, therefore, contribute significantly to the increased alveolar-arterial gradient seen in dorsal recumbency. The results indicate bronchial vasoconstriction under anaesthesia.
Gill KK, Kroeger EA.Equine airway smooth muscle is innervated by vagal efferents and, in addition, displays spontaneous mechanical activity. The preparation thus appears to contain at least two discrete excitable components, the cholinergic neural elements and the smooth muscle membrane. Indomethacin (INDO), a cyclooxygenase (CO) inhibitor, exerts a considerable potentiation of function in this preparation. The latter may be effected indirectly, through loss of the inhibitory effect of endogenous prostaglandin E2 (PGE2) on neural acetylcholine release and through direct effects on smooth muscle of the generally a...
Steffey EP, Kelly AB, Hodgson DS, Grandy JL, Woliner MJ, Willits N.Cardiovascular and respiratory functions were serially characterized in 7 healthy, spontaneously breathing, adult horses (from which food had been withheld) during 5 hours of constant 1.06% alveolar halothane (end-expired halothane concentration of 1.06%; equivalent to 1.2 times the minimal alveolar anesthetic concentration for horses). To enable comparison of temporal results in relation to 2 body postures, horses were studied in lateral recumbency (LR) and dorsal recumbency (DR) on separate occasions. Temporal changes in results of measures of circulation previously reported from this labora...
Gallivan GJ, Viel L, McDonell WN.Multiple-breath nitrogen washouts (MBNW) were performed with 29 light horses. Seven normal horses were used to examine the reproducibility, and 22, ranging from normal to severely diseased, were used to examine the changes in chronic obstructive pulmonary disease (COPD) and the effect of a bronchodilator, salbutamol, on the distribution of ventilation. The MBNW were analyzed using the functional residual capacity (FRC), end-tidal N2 concentration of the final breath of the MBNW (FETN2,fb), end-tidal N2 concentration when the cumulative expired volume was equal to body weight (FETN2,bw), lung c...
Gollnick PD, Bertocci LA, Kelso TB, Witt EH, Hodgson DR.The effect of high-intensity exercise on the respiratory capacity of skeletal muscle was studied in horses which ran five 600-m bouts on a track with 2 min of rest between exercise bouts, or once to fatigue on a treadmill at an intensity that elicited the maximal oxygen uptake. Venous blood and biopsy samples of the middle gluteal muscle were collected at rest, after each exercise bout, and 30 and 60 min post-exercise. Blood samples were analyzed for lactate concentration and pH and muscle samples for metabolites, pH, and respiratory capacity. Venous blood and muscle pH declined to 6.91 +/- 0....
Bertone AL.Wound healing can be divided into immediate (zero to 1 hour), early (1 to 24 hours), intermediate (1 to 7 days), and late (greater than 7 days) stages. Many physical and physiologic events occur simultaneously and sequentially during these stages to produce the final wound scar. The processes of skin retraction, scab formation, would debridement, wound contraction, epithelial migration and proliferation, fibroplasia, and collagen maturation all must occur for healing to be successful. Many factors affect the size and shape of the resulting scar, including anatomic location and skin tension for...
Sweeney CR.Tracheal mucus transport rates were measured over a 10-minute period in 20 healthy horses twice in 24 hours. The mean rate was 1.93 +/- 0.55 cm/min on day 1 and 1.99 +/- 0.49 cm/min 24 hours later. The mean difference between day 1 and day 2 (0.06 +/- 0.42 cm/min) was not significant (P = 0.55). The range on day 1 was 1.12 to 2.9 cm/min and 1.11 to 2.89 cm/min on day 2.
Freeman DE.Wounds of the esophagus and trachea are uncommon, but closed wounds can be difficult to diagnose and treat. Esophageal wounds are the more serious and can be life-threatening; however, appropriate surgical and medical treatment applied without delay can be successful in some cases, especially in full-thickness longitudinal wounds. Tracheal wounds are usually less severe, but the high risk of iatrogenic injuries to the trachea should be recognized. Also, tracheal injuries can limit the athletic potential of a horse.
Crane SA, Ziemer EL, Sweeney CR.Thirty-eight tracheobronchial aspirates (TBA) were collected from twenty 1 to 6-month-old foals, which were free of clinical signs of respiratory tract or other infectious disease. We collected TBA from 9 of the foals 3 times when they were approximately 8, 16, and 24 weeks old. Aspirates were examined cytologically after staining with modified Wright-Giemsa, Gram, toluidine blue, and prussian blue stains. Aerobic bacterial culturing was performed on all aspirates. Of the 20 initial TBA, 4 (20%) were normal cytologically on the basis of previously defined criteria for TBA from clinically norma...
Grandy JL, Hodgson DS, Dunlop CI, Chapman PL, Heath RB.The cardiopulmonary effects of intravenous (i.v.) administration of the sympathomimetic drug ephedrine during two different levels of halothane anesthesia [end-tidal concentration of 1.37% (light anesthesia) and 2.1% (deep anesthesia)] were studied in eight horses. Anesthesia was induced and maintained using only halothane in O2. Ventilation was controlled to maintain a Paco2 of 38-42 mmHg. Following instrumentation and stabilization of the horse at the halothane concentration being studied, baseline measurements of cardiac output (Q), arterial blood pressure (AP), pulmonary artery pressure, h...
Hickman E, Carberry V, Carberry C, Cooper B, Mordant AL, Mills A, Sokolsky M, Herring LE, Alexis NE, Rebuli ME, Jaspers I, Sheats K, Rager JE.Growing evidence supports the importance of extracellular vesicle (EV) as mediators of communication in pathological processes, including those underlying respiratory disease. However, establishing methods for isolating and characterizing EVs remains challenging, particularly for respiratory samples. This study set out to address this challenge by comparing different EV isolation methods and evaluating their impacts on EV yield, markers of purity, and proteomic signatures, utilizing equine/horse bronchoalveolar lavage samples. Horses can serve as effective translational animal models for respi...
Heinrich B.This research article corrects a common misconception about the energy metabolism in horses during short sprinting and long-distance running events, emphasizing that short sprints are primarily powered by anaerobic activity, […]
Krzywanek H, Milne DW, Gabel AA, Smith LG.Blood gases, lactic acid concentrations, and pH were measured in arterial and mixed venous blood in moderately conditioned Standardbred horses after a standardized exercise load of 1.6 km in 2 minutes, 40 seconds. Samples were obtained at rest, immediately after exercise, and at 3, 6, 15, 30, and 60 minutes after exercise. Arterial oxygen tension and mixed venous oxygen tension increased after exercise, reaching peak values at 6 minutes. Arterial oxygen tension returned to the resting (preexercise) value by 15 minutes, and mixed venous oxygen tension by 30 minutes. Arterial carbon dioxide tens...
Tallon RE, Gough RL, McGovern KF.To describe the use of an equine compression suit to manage a deep axillary wound in a Thoroughbred filly with bilateral pneumothorax. Methods: A 2-year-old Thoroughbred filly was referred for management of a deep wound to the left axilla. Packing and bandaging of the area were initially attempted, but this became repeatedly dislodged, and bandaging was discontinued. The filly subsequently developed widespread subcutaneous emphysema, and the wound was slow to granulate. Acute onset respiratory distress occurred 11 days after admission, secondary to bilateral worsening pneumothorax, and requir...
Forster HV, Bisgard GE, Dempsey JA, Orr JA.Numerous studies have demonstrated the existence of an intracranial [H+] chemoreceptor mechanism capable of stimulating ventilation. 1 Supposedly, this chemoreceptor is located 0.2 mm below the surface of the ventrolateral side of the medulla and is responsive to [H+] in the surrounding cerebral extracellular fluid (ECF). During chronic conditions, ECF [H+] is supposedly in equilibrium with CSF [H+]; hence, stimulus level can be established through sampling and analysis of CSF. In this presentation, we summarize data from studies on spontaneously breathing, unanesthetized ponies which suggests...
Lewis IM, McLan JG.The levels of 2,3-diphosphoglycerate (2,3-DPG), which affects the transport of oxygen by haemoglobin, were examined in horse blood. Resting levels of erythrocyte 2,3-DPG were established in thoroughbred horses, and levels of 2,3-DPG together with haemoglobin levels, were examined in a variety of conditions. A negative correlation was observed between erythrocyte 2,3-DPG and haemoglobin levels. Mares had higher erythrocyte 2,3-DPG levels was observed during training, and this variation may have a significant effect on haemoglobin oxygen transport. Erythrocyte 2,3-DPG levels were not affected by...
Mayr A, Müller A, Ring C.Approximately 40% of all horses in the Federal Republic of Germany had infectious respiratory disease in 1982. Although an expert vaccine prophylaxis confers a reliable protection, conventional therapy is preferred over vaccination because of the cost. The cost/effect analysis carried out in this investigation demonstrates that vaccination should be favoured also for economic reasons. Based on the individual animal immune prophylaxis saves the horse owner at least 415 DM per year. This analysis did not take into account the danger of a transmission to man and related infection chains of viruse...