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Topic:Stroke Volume

Stroke volume in horses refers to the amount of blood ejected by the left ventricle of the heart during each contraction. It is a key component of cardiac output, which is the total volume of blood pumped by the heart per minute. Stroke volume can be influenced by factors such as heart size, contractility, and venous return. In equine physiology, understanding stroke volume is important for assessing cardiovascular health and performance, particularly in athletic horses. This page collects peer-reviewed studies and scholarly articles that explore the determinants, measurement techniques, and implications of stroke volume in horses, providing insights into its role in equine cardiovascular function and exercise physiology.
Hemodynamic Response to Lipopolysaccharide Infusion and Effect of Meloxicam Administration on Cardiac Function in Donkeys.
Animals : an open access journal from MDPI    December 18, 2024   Volume 14, Issue 24 doi: 10.3390/ani14243660
Mendoza FJ, Buzon-Cuevas A, Aguilera-Aguilera R, Gonzalez-De Cara CA, De Las Heras A, Perez-Ecija A.Systemic inflammatory response syndrome (SIRS) in donkeys is observed to be secondary to colic, diarrhea or pleuropneumonia, among other disorders. Horses with SIRS develop secondary disturbances such as hyperlipemia, laminitis, disseminated intravascular coagulopathy, and hemodynamic and cardiac derangements, which impair their prognosis and increase the mortality rate. In donkeys, no information is available on the effect of experimentally induced endotoxemia in the cardiovascular system. Acute experimental endotoxemia was induced by lipopolysaccharide (LPS) infusion in six healthy adult non...
Effects of conditioning on the left ventricular function of young purebred Arabian horses.
PloS one    June 3, 2024   Volume 19, Issue 6 e0304724 doi: 10.1371/journal.pone.0304724
Ramos GV, Santos MM, Gava FN, de Lacerda-Neto JC.The effects of conditioning on cardiac function in young horses is still unknown. For this reason, this study evaluated the left ventricular (LV) function of young horses by echocardiography after six weeks of conditioning. Fourteen untrained young purebred Arabian horses were evaluated at rest and after a stress test (ST) before and after a six-week conditioning program. There was an increase in V4 (p < 0.001) after conditioning, as well as a reduction in both heart rate (HR) at rest and peak HR during the ST (p < 0.001). There was also a reduction in internal diameter, along with an in...
Cardiac Changes after Lactate-Guided Conditioning in Young Purebred Arabian Horses.
Animals : an open access journal from MDPI    May 29, 2023   Volume 13, Issue 11 1800 doi: 10.3390/ani13111800
Santos MM, Ramos GV, de Figueiredo IM, Silva TCBV, Lacerda-Neto JC.Cardiac adaptation to conditioning in horses was evaluated after empirical training based on trainers' experience. Twelve purebred Arabian horses, aged (mean ± SD) 28.42 ± 3.75 months, which did not perform any type of exercise prior to the research, were submitted to treadmill conditioning for six weeks. The conditioning program was based on the velocity run by the horse at which the blood lactate concentration, determined in an incremental exercise test (IET), reached 2 mmol/L (V). The velocity at which the blood lactate concentration reached 4 mmol/L (V) was also determined. The echocardi...
Effects of dobutamine on cardiovascular function and oxygen delivery in standing horses.
Journal of veterinary pharmacology and therapeutics    April 25, 2020   Volume 43, Issue 5 470-476 doi: 10.1111/jvp.12869
Meier M, Bettschart-Wolfensberger R, Schwarzwald CC, Portier K, Gysler A, Ringer SK.Dobutamine is routinely used to improve cardiovascular function in anaesthetized horses. However, dobutamine in conscious horses is insufficiently investigated. Ten research horses that were already instrumented for a preceding trial were included into the study. Cardiovascular variables were recorded and blood samples taken after instrumentation (Baseline), before starting dobutamine and after 10 min of dobutamine infusion (2 µg kg  min ). A significant increase in systemic blood pressure, mean pulmonary artery pressure and right atrial pressure, and a decrease in heart rate were observe...
Cardiovascular effects of dobutamine and phenylephrine infusion in sevoflurane-anesthetized Thoroughbred horses.
The Journal of veterinary medical science    July 5, 2013   Volume 75, Issue 11 1443-1448 doi: 10.1292/jvms.13-0104
Ohta M, Kurimoto S, Ishikawa Y, Tokushige H, Mae N, Nagata S, Mamada M.To determine dose-dependent cardiovascular effects of dobutamine and phenylephrine during anesthesia in horses, increasing doses of dobutamine and phenylephrine were infused to 6 healthy Thoroughbred horses. Anesthesia was induced with xylazine, guaifenesin and thiopental and maintained with sevoflurane at 2.8% of end-tidal concentration in all horses. The horses were positioned in right lateral recumbency and infused 3 increasing doses of dobutamine (0.5, 1.0 and 2.0 µg/kg/min) for 15 min each dose. Following to 30 min of reversal period, 3 increasing doses of phenylephrine (0.25, 0.5 and 1....
Hemodynamic effects of 6% hydroxyethyl starch infusion in sevoflurane-anesthetized thoroughbred horses.
The Journal of veterinary medical science    February 15, 2013   Volume 75, Issue 7 841-845 doi: 10.1292/jvms.12-0426
Ohta M, Kurimoto S, Tokushige H, Kuroda T, Ishikawa Y.To determine hemodynamic effects of hydroxyethyl starch (HES) infusion during anesthesia in horses, incremental doses of 6% HES were administered to 6 healthy Thoroughbred horses. Anesthesia was induced with xylazine, guaifenesin and thiopental and maintained with sevoflurane at 2.8% of end-tidal concentration in all horses. The horses were positioned in right lateral recumbency and administered 3 intravenous dose of 6% HES (5 ml/kg) over 15 min with 15-min intervals in addition to constant infusion of lactated Ringer's solution at 10 ml/kg/hr. Hemodynamic parameters were measured before and e...
Effects of dobutamine on cardiovascular function and respiratory gas exchange after enoximone in isoflurane-anaesthetized ponies.
Veterinary anaesthesia and analgesia    June 16, 2009   Volume 35, Issue 4 306-318 doi: 10.1111/j.1467-2995.2007.00392.x
Schauvliege S, Van den Eede A, Duchateau L, Gasthuys F.To evaluate the combined effects of enoximone and dobutamine on the cardiovascular system and respiratory gas exchange in isoflurane-anaesthetized ponies. Methods: Prospective, randomized, experimental study. Methods: Six ponies (286 +/- 52 kg), aged 5.0 +/- 1.6 years. Methods: After sedation (romifidine 80 microg kg(-1)), anaesthesia was induced with midazolam (0.06 mg kg(-1)) and ketamine (2.2 mg kg(-1)) and maintained with isoflurane in oxygen. The ponies were ventilated to maintain eucapnia. After 90 minutes (=T0), enoximone alone (0.5 mg kg(-1)) (E) or enoximone, followed by a constant ra...
Effects of norepinephrine and combined norepinephrine and fenoldopam infusion on systemic hemodynamics and indices of renal function in normotensive neonatal foals.
Journal of veterinary internal medicine    July 11, 2008   Volume 22, Issue 5 1210-1215 doi: 10.1111/j.1939-1676.2008.0146.x
Hollis AR, Ousey JC, Palmer L, Stephen JO, Stoneham SJ, Boston RC, Corley KT.Norepinephrine increases arterial blood pressure but may have adverse effects on renal blood flow. Fenoldopam, a dopamine-1 receptor agonist, increases urine output in normotensive foals. The combination of norepinephrine and fenoldopam may lead to improved renal perfusion compared with an infusion of norepinephrine alone. The combined effects of these drugs have not been reported in the horse. Objective: Norepinephrine will alter the hemodynamic profile of foals without affecting renal function. Addition of fenoldopam will change the renal profile during the infusions without changing the hem...
Cardiovascular effects of acute pulmonary obstruction in horses with recurrent airway obstruction.
Journal of veterinary internal medicine    April 13, 2007   Volume 21, Issue 2 302-307 doi: 10.1892/0891-6640(2007)21[302:ceoapo]2.0.co;2
Johansson AM, Gardner SY, Atkins CE, LaFevers DH, Breuhaus BA.Recurrent airway obstruction (RAO) is common in horses. Although pulmonary artery (PA) pressure increases during RAO, cardiac function in horses with RAO has received limited attention. Objective: The purpose of this study was to noninvasively determine the cardiovascular effects of acute pulmonary obstruction (APO) in horses with RAO and their reversibility. Methods: Five geldings with RAO, inducible by exposure to moldy hay, were studied. Methods: Pulmonary mechanics, echocardiography, serum troponin I concentrations, arterial blood gases, and hematocrit were obtained before and after 7 days...
Effects of norepinephrine and a combined norepinephrine and dobutamine infusion on systemic hemodynamics and indices of renal function in normotensive neonatal thoroughbred foals.
Journal of veterinary internal medicine    December 26, 2006   Volume 20, Issue 6 1437-1442 doi: 10.1892/0891-6640(2006)20[1437:eonaac]2.0.co;2
Hollis AR, Ousey JC, Palmer L, Stoneham SJ, Corley KT.Norepinephrine is a potent vasopressor that increases arterial blood pressure but may have adverse effects on renal blood flow. The combination of norepinephrine and dobutamine may lead to improved renal perfusion compared to an infusion of norepinephrine alone. The effects of these drugs in the normotensive neonatal foal have not been reported. Objective: Norepinephrine increases arterial blood pressure. Adding dobutamine to a norepinephrine infusion will change the renal profile during the infusions without changing the arterial blood pressure. Methods: Eight conscious Thoroughbred foals wer...
Anesthetic and cardiovascular effects of balanced anesthesia using constant rate infusion of midazolam-ketamine-medetomidine with inhalation of oxygen-sevoflurane (MKM-OS anesthesia) in horses.
The Journal of veterinary medical science    May 7, 2005   Volume 67, Issue 4 379-384 doi: 10.1292/jvms.67.379
Kushiro T, Yamashita K, Umar MA, Maehara S, Wakaiki S, Abe R, Seno T, Tsuzuki K, Izumisawa Y, Muir WW.The anesthetic sparring and cardiovascular effects produced by midazolam 0.8 mg/ml-ketamine 40 mg/ml-medetomidine 0.05 mg/ml (0.025 ml/kg/hr) drug infusion during sevoflurane in oxygen (MKM-OS) anesthesia was determined in healthy horses. The anesthetic sparring effects of MKM-OS were assessed in 6 healthy thoroughbred horses in which the right carotid artery was surgically relocated to a subcutaneous position. All horses were intubated and ventilated with oxygen using intermittent positive pressure ventilation (IPPV). The end-tidal concentration of sevoflurane (ET(SEV)) required to maintain s...
Effects of the ACE inhibitor quinapril on echocardiographic variables in horses with mitral valve insufficiency.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    April 28, 2004   Volume 50, Issue 9 460-465 doi: 10.1046/j.1439-0442.2003.00580.x
Gehlen H, Vieht JC, Stadler P.Twenty horses with mitral valve insufficiency, but without signs of congestive heart failure, and five horses without signs of heart disease were examined before and after medication with an angiotensin-converting enzyme (ACE) inhibitor. The examination included echocardiography assessment as well as heart catheterization. The echocardiographic examination included B-mode, M-mode, conventional and colour Doppler techniques. For 8 weeks, all horses were treated with Accupro 20 (active substance: Quinapril) at an oral dose rate of 120 mg/horse/day. A follow-up of the horses with mitral valve ins...
Cardiovascular effects of medetomidine, detomidine and xylazine in horses.
The Journal of veterinary medical science    November 10, 2000   Volume 62, Issue 10 1025-1032 doi: 10.1292/jvms.62.1025
Yamashita K, Tsubakishita S, Futaok S, Ueda I, Hamaguchi H, Seno T, Katoh S, Izumisawa Y, Kotani T, Muir WW.The cardiovascular effects of medetomidine, detomidine, and xylazine in horses were studied. Fifteen horses, whose right carotid arteries had previously been surgically raised to a subcutaneous position during general anesthesia were used. Five horses each were given the following 8 treatments: an intravenous injection of 4 doses of medetomidine (3, 5, 7.5, and 10 microg/kg), 3 doses of detomidine (10, 20, and 40 microg/kg), and one dose of xylazine (1 mg/kg). Heart rate decreased, but not statistically significant. Atrio-ventricular block was observed following all treatments and prolonged wi...
Hemodynamic and metabolic alterations associated with intravenous infusion of a combination of adenosine triphosphate and magnesium chloride in conscious horses.
American journal of veterinary research    September 18, 1999   Volume 60, Issue 9 1140-1147 
Tetens J, Bueno AC, Cornick-Seahorn JL, Hosgood G, Eades SC, Moore RM.To determine hemodynamic and metabolic effects of IV infusion of ATP-MgCl2 combination and maximal safe IV infusion rate in conscious horses. Methods: 6 adult female horses. Methods: All horses received an IV infusion of ATP-MgCl2 combination, beginning at a rate of 0.05 mg of ATP/kg of body weight/min, which was increased by 0.05 mg/kg/min increments at 10-minute intervals until a rate of 1.0 mg/kg/min was achieved. Data were collected prior to the start of the infusion, at the end of each infusion rate, and at 15-minute intervals for the next hour after discontinuation of the infusion. Measu...
Hydration effects on physiological strain of horses during exercise-heat stress.
Journal of applied physiology (Bethesda, Md. : 1985)    June 11, 1998   Volume 84, Issue 6 2042-2051 doi: 10.1152/jappl.1998.84.6.2042
Geor RJ, McCutcheon LJ.This study examined the effects of hyperhydration, exercise-induced dehydration, and oral fluid replacement on physiological strain of horses during exercise-heat stress. On three occasions, six horses completed a 90-min exercise protocol (50% maximal O2 uptake, 34.5 degrees C, 48% relative humidity) divided into two 45-min periods (exercise I and exercise II) with a 15-min recovery between exercise bouts. In random order, horses received no fluid (NF), 10 liters of water (W), or a carbohydrate-electrolyte solution (CE) 2 h before exercise and between exercise bouts. Compared with NF, preexerc...
Pharmacologic interaction of furosemide and phenylbutazone in horses.
American journal of veterinary research    September 1, 1995   Volume 56, Issue 9 1206-1212 
Hinchcliff KW, McKeever KH, Muir WW, Sams RA.The effect of premedication with phenylbutazone on systemic hemodynamic and diuretic effects of furosemide was examined in 6 healthy, conscious, mares. Mares were instrumented for measurement of systemic hemodynamics, including cardiac output and pulmonary arterial, systemic arterial, and intracardiac pressures, and urine flow. Each of 3 treatments was administered in a randomized, blinded study; furosemide (1 mg/kg of body weight, IV) only, phenylbutazone (8.8 mg/kg, PO, at 24 hours and 4.4 mg/kg, IV, 30 minutes before furosemide) and furosemide, or 0.9% NaCl. Phenylbutazone administration si...
Haemodynamic effects of hyoscine-N-butylbromide in ponies.
Journal of veterinary pharmacology and therapeutics    February 1, 1995   Volume 18, Issue 1 13-16 doi: 10.1111/j.1365-2885.1995.tb00544.x
Geimer TR, Ekström PM, Ludders JW, Erichsen DF, Gleed RD.The haemodynamic effects of hyoscine-N-butylbromide (0.30 mg/kg, intravenously) were studied in eight adult ponies in a blinded two-period crossover experiment with repeated measures. Values for heart rate were 63%, 48% and 13% greater than control values at 1, 16 and 46 min, respectively, after administration of hyoscine-N-butylbromide. Cardiac output increased by 16% at 16 min after drug injection. Mean right atrial pressure was decreased by 79%, 63%, 45% and 52% at 1, 16, 46 and 61 min, respectively, after drug administration. Stroke volume was decreased by 32% at 1 min and pulmonary arteri...
[A comparison of cardiac stroke volume determination using the thermodilution method and PW-Doppler echocardiography for the evaluation of systolic heart function in the horse].
DTW. Deutsche tierarztliche Wochenschrift    August 1, 1994   Volume 101, Issue 8 312-315 
Stadler P, Kinkel N, Deegen E.In 14 horses without heart disease stroke volume determination were established by pulsed wave doppler echocardiography. Thermodilution and doppler echocardiography were used simultaneously. The doppler echocardiographic volume determinations were carried out in left and right outflow tracts. Echocardiographically Velocity Time Integral, Maximum Flow Velocity, Mean Flow Velocity and Acceleration Time were ascertained. To be able to compare heart volumes of horses with different body weight stroke volume was applied to 1 kg of body weight (= heart index). Heart Index determined with thermodilut...
Circulatory and respiratory responses of spontaneously breathing, laterally recumbent horses to 12 hours of halothane anesthesia.
American journal of veterinary research    June 1, 1993   Volume 54, Issue 6 929-936 
Steffey EP, Dunlop CI, Cullen LK, Hodgson DS, Giri SN, Willits N, Woliner MJ, Jarvis KA, Smith CM, Elliott AR.Cardiovascular and respiratory changes that accompany markedly long periods (12 hours) of halothane anesthesia were characterized. Eight spontaneously breathing horses were studied while they were positioned in left lateral recumbency and anesthetized only with halothane in oxygen maintained at a constant end-tidal concentration of 1.06% (equivalent to 1.2 times the minimal alveolar concentration for horses). Results of circulatory and respiratory measurements during the first 5 hours of constant conditions were similar to those previously reported from this laboratory (ie, a time-related sign...
Cardiovascular effects of low dose calcium chloride infusions during halothane anaesthesia in dorsally recumbent ventilated ponies.
Zentralblatt fur Veterinarmedizin. Reihe A    December 1, 1991   Volume 38, Issue 10 728-736 doi: 10.1111/j.1439-0442.1991.tb01072.x
Gasthuys F, De Moor A, Parmentier D.The effects of calcium chloride administered at low infusion rates on the cardiovascular depression and the blood calcium balance were studied during a constant halothane anaesthesia in dorsally recumbent ventilated ponies. A pronounced cardiopulmonary depression characterized by decreases of all cardiac parameters and lowering of the mean arterial blood pressure was observed after the initial anaesthetic stabilization period of 30 minutes in the ponies. A significant decrease in the total calcium plasma concentration together with a constant ionized and complexed calcium fraction was present ...
Hemodynamic effects of atropine, dobutamine, nitroprusside, phenylephrine, and propranolol in conscious horses.
Journal of veterinary internal medicine    March 1, 1991   Volume 5, Issue 2 80-86 doi: 10.1111/j.1939-1676.1991.tb00936.x
Hinchcliff KW, McKeever KH, Muir WW.The authors investigated the cardiovascular effects of low doses of nitroprusside, dobutamine, and phenylephrine and a beta-adrenergic blocking dose of propranolol in conscious, healthy horses with and without prior atropine administration. A parasympathetic blocking dose of atropine produced significant increases in heart rate and arterial pressures, and decreased stroke volume, ejection fraction, pulse pressure, and right-ventricular end-diastolic pressure and volume. Cardiac output was not changed by atropine administration. Nitroprusside reduced arterial pressures to a greater extent in at...
Hemodynamic effects of carbon dioxide during intermittent positive-pressure ventilation in horses.
American journal of veterinary research    December 1, 1990   Volume 51, Issue 12 1922-1929 
Wagner AE, Bednarski RM, Muir WW.The hemodynamic effects of high arterial carbon dioxide pressure (PaCO2) during anesthesia in horses were studied. Eight horses were anesthetized with xylazine, guaifenesin, and thiamylal, and were maintained with halothane in oxygen (end-tidal halothane concentration = 1.15%). Baseline data were collected while the horses were breathing spontaneously; then the horses were subjected to intermittent positive-pressure ventilation, and data were collected during normocapnia (PaCO2, 35 to 45 mm of Hg), moderate hypercapnia (PaCO2, 60 to 70 mm of Hg), and severe hypercapnia (PaCO2, 75 to 85 mm of H...
Effect of body posture on cardiopulmonary function in horses during five hours of constant-dose halothane anesthesia.
American journal of veterinary research    January 1, 1990   Volume 51, Issue 1 11-16 
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...
Cardiopulmonary effects of ephedrine in halothane-anesthetized horses.
Journal of veterinary pharmacology and therapeutics    December 1, 1989   Volume 12, Issue 4 389-396 doi: 10.1111/j.1365-2885.1989.tb00689.x
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...
Temporal effects of halothane and isoflurane in laterally recumbent ventilated male horses.
American journal of veterinary research    August 1, 1987   Volume 48, Issue 8 1250-1255 
Dunlop CI, Steffey EP, Miller MF, Woliner MJ.Cardiopulmonary function was monitored in 6 non-medicated, healthy male horses, anesthetized with halothane or isoflurane in O2 at a constant dose (1.2 times the minimum alveolar concentration). Horses were exposed once to each anesthetic agent, and a minimum of 2 weeks separated anesthetic exposures. All horses were studied in left lateral recumbency, and ventilation was mechanically controlled to induce a PaCO2 of 35 to 45 mm of Hg and an inspiratory peak airway pressure of 18 to 22 cm of H2O. After 1 hour of horse preparation, constant conditions were begun. With duration of anesthesia, car...
Cardiovascular and respiratory measurements in awake and isoflurane-anesthetized horses.
American journal of veterinary research    January 1, 1987   Volume 48, Issue 1 7-12 
Steffey EP, Dunlop CI, Farver TB, Woliner MJ, Schultz LJ.Circulatory and respiratory function was monitored in nonmedicated, spontaneously breathing horses (n = 7) immediately before, during, and 1 hour after 85 +/- 4.1 (X +/- SEM) minutes of constant 1.57% isoflurane in O2 anesthesia. Comparison of values during anesthesia with those obtained while horses were awake revealed a significant (P less than 0.05) decrease in arterial blood pressure that was related to a slight, but insignificant, decrease in cardiac output and peripheral vascular resistance. Although isoflurane anesthesia and recumbency resulted in a significant (P less than 0.05) decrea...
Cardiovascular and pharmacokinetic effects of isoxsuprine in the horse.
American journal of veterinary research    October 1, 1986   Volume 47, Issue 10 2130-2133 
Matthews NS, Gleed RD, Short CE, Burrows K.Isoxsuprine (0.6 mg/kg) administered IV to 6 standing horses produced substantial, transient decreases in systemic blood pressure, systemic vascular resistance, and stroke volume. It also produced substantial, transient increases in heart rate, cardiac output, and purposeful movement. Plasma concentrations of isoxsuprine peaked soon after the drug was administered IV and then decreased over a 12-hour period in a biexponential manner, with distribution and elimination half-lives of 14 minutes and 2.67 hours, respectively. Total body clearance and steady-state volume of distribution were calcula...
Comparison of circulatory and respiratory effects of isoflurane and halothane anesthesia in horses.
American journal of veterinary research    May 1, 1980   Volume 41, Issue 5 821-825 
Steffey EP, Howland D.Circulatory and respiratory effects of alveolar concentrations of 1.31, 1.97, and 2.62 vol% of isoflurane in oxygen were studied in eight young, healthy horses during spontaneous and controlled ventilation. These isoflurane concentrations were equivalent, respectively, to 1.0, 1.5, and 2.0 times the minimal alveolar concentration of isoflurane, which prevents movement in horses in response to a standard pain stimulus. Results of the isoflurane studies were compared with similarly derived findings in these same horses during equipotent halothane in oxygen anesthesia. Isoflurane, similar to halo...
Acute hemodynamic effects of furosemide administered intravenously in the horse.
American journal of veterinary research    October 1, 1976   Volume 37, Issue 10 1177-1180 
Muir WW, Milne DW, Skarda RT.Intravenous administration of furosemide in the horse resulted in an immediate and significant decrease in right atrial pressure, pulmonary arterial pressure, pulmonary arterial wedge pressure, cardiac output, and stroke volume (P less than 0.05). There was a significant increase in total systemic vascular resistance and heart rate (P less than 0.05). There were no significant alterations in mean arterial pressure. Coincidental with these hemodynamic changes were increased urine production and associated increase in packed cell volume and total serum protein. All variables except cardiac outpu...