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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Incisional complications following ventral median coeliotomy in horses. Does suturing of the peritoneum reduce the risk?
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    November 10, 2016   Volume 45, Issue 1 24-32 doi: 10.15653/TPG-160536
Scharner D, Winter K, Brehm W, Kämpfert M, Gittel C.Despite advances in surgical technique in abdominal surgery, incisional complications are frequently reported following ventral midline laparotomy in horses. The aim of this study was to determine the incidence of incisional complications at our clinic and to identify possible risk factors. Furthermore, we investigated whether suturing the peritoneum leads to a reduction of incisional complications. Methods: In this retrospective study, records of patients of the Large Animal Clinic for Surgery of the University of Leipzig from January 2010 to December 2015 were analysed. Horses with ventral m...
Subclinical ultrasonographic abnormalities of the suspensory ligament branches in National Hunt racehorses.
Equine veterinary journal    November 9, 2016   Volume 49, Issue 4 475-479 doi: 10.1111/evj.12639
Fairburn AJ, Busschers E, Barr ARS.Suspensory ligament branch (SLB) desmopathy is a common cause of lameness and an important cause of lost training in the Thoroughbred racing industry. Studies have assessed the impact of insertional injuries of the SLB on the careers of flat racehorses and established the prevalence of subclinical ultrasonographic SLB abnormalities in this population, but little work has investigated SLB injury in National Hunt (NH) racehorses. Objective: To investigate the prevalence of subclinical ultrasonographic SLB abnormalities in NH racehorses with no clinical signs or history of SLB injury and to estab...
Complete Genome Sequencing and Phylogenetic Analysis of a Getah Virus Strain (Genus Alphavirus, Family Togaviridae) Isolated from Culex tritaeniorhynchus Mosquitoes in Nagasaki, Japan in 2012.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    November 9, 2016   Volume 16, Issue 12 769-776 doi: 10.1089/vbz.2016.2017
Kobayashi D, Isawa H, Ejiri H, Sasaki T, Sunahara T, Futami K, Tsuda Y, Katayama Y, Mizutani T, Minakawa N, Ohta N, Sawabe K.Getah virus (GETV; genus Alphavirus, family Togaviridae) is a mosquito-borne virus known to cause disease in horses and pigs. In 2014, for the first time in ∼30 years, a sudden GETV outbreak occurred among racehorses in Ibaraki, Japan. Two years before this outbreak, we obtained multiple GETV isolates from Culex tritaeniorhynchus mosquitoes collected in Nagasaki, Japan and determined the whole genome sequence of GETV isolate 12IH26. Our phylogenetic analysis of GETV strains revealed that the isolate 12IH26 forms a robust clade with the epidemic strains 14-I-605-C1 and 14-I-605-C2 isolated fr...
Livestock-Associated Methicillin Resistant Staphylococcus aureus (LA-MRSA) Clonal Complex (CC) 398 Isolated from UK Animals belong to European Lineages.
Frontiers in microbiology    November 9, 2016   Volume 7 1741 doi: 10.3389/fmicb.2016.01741
Sharma M, Nunez-Garcia J, Kearns AM, Doumith M, Butaye PR, Argudín MA, Lahuerta-Marin A, Pichon B, AbuOun M, Rogers J, Ellis RJ, Teale C, Anjum MF.In recent years, there has been an increase in the number of livestock-associated methicillin resistant Staphylococcus aureus (LA-MRSA) clonal complex (CC) 398 recovered from S. aureus isolated animals in the UK. To determine possible origins of 12 LA-MRSA CC398 isolates collected after screening more than a thousand S. aureus animal isolates from the UK between 2013 and 2015, whole genome sequences (WGS) of CC398 European, including UK, and non-European isolates from diverse animal hosts were compared. Phylogenetic reconstruction applied to WGS data to assess genetic relatedness of all 89 iso...
Complications associated with intrauterine glass marbles in five mares.
Journal of the American Veterinary Medical Association    November 9, 2016   Volume 249, Issue 10 1196-1201 doi: 10.2460/javma.249.10.1196
de Amorim MD, Chenier T, Nairn D, Green J, Manning S, Card C.CASE DESCRIPTION 5 mares were evaluated because of reproductive complications following long-term (> 1 year) use of intrauterine glass marbles for estrus suppression. CLINICAL FINDINGS 3 mares had 1 intrauterine glass marble, and 2 mares had 2 intrauterine glass marbles. On examination, 2 mares had signs of chronic endometritis, and 3 had signs of pyometra. Marbles or glass shards adhered to the endometrium were identified by means of hysteroscopy in 3 of 5 mares. Five of 7 marbles had surface imperfections or were broken. TREATMENT AND OUTCOME All patients were treated with uterine lavage and...
Plasma insulin concentration increases linearly with body condition in Icelandic horses.
Acta veterinaria Scandinavica    November 9, 2016   Volume 58, Issue 1 76 doi: 10.1186/s13028-016-0258-8
Jansson A, Stéfansdóttir GJ, Ragnarsson S.This study investigated the variation in plasma insulin concentration (PIC) in a group of Icelandic horses in training, considered to be healthy and examined possible relationships between PIC and gender, age, body size, body condition score and management factors such as feed allowance and subjective level of fitness. Results: Plasma insulin concentration ranged from 0.2 to 13.9 mU/l, body condition score from 2.3 to 4.0 and concentrate allowance from 0 to 4 kg. There was a significant effect of concentrate allowance (P = 0.0007) and body condition score (P = 0.004) on PIC. For every 1Â...
[Vigilance for veterinary medicinal products: Reports of adverse reactions in the year 2015].
Schweizer Archiv fur Tierheilkunde    November 9, 2016   Volume 158, Issue 11 743-747 doi: 10.17236/sat00090
Müntener C, Kupper J, Naegeli H, Gassner B.A total of 292 adverse reactions to veterinary medicinal products were reported during the year 2015. This represents an increase of 9% compared to the previous year (268 reports). Similar to previous years, most of the reactions reported were linked to the use of antiparasitics (55.1%), non-steroidal anti-inflammatory products (8.9%) or antiinfectives (9.3%). The affected animal species were primarily dogs (198 reports) and cats (42 reports), followed by cattle (31 reports) and horses (8 reports). Additional 42 reports were provided within the frame of consultations with Tox Info Suisse in ZÃ...
Oestrous cycle-dependent equine uterine immune response to induced infectious endometritis.
Veterinary research    November 8, 2016   Volume 47, Issue 1 110 doi: 10.1186/s13567-016-0398-x
Marth CD, Firestone SM, Glenton LY, Browning GF, Young ND, Krekeler N.Infectious endometritis is a major cause of reduced pregnancy rates in horses. The objectives of this study were to establish a timeline of the innate immune response in the uterus of healthy horses and to investigate the oestrous cycle effect on this. Endometrial biopsies were collected from five horses before and at 3, 12, 24, 48 and 72 h after inoculation of Escherichia coli, once in oestrus and once in dioestrus. They were analysed by quantitative real-time PCR, microbiology and histology. Neutrophil numbers increased from very low levels in the absence of inflammation to severe neutrophi...
Catecholamine Metabolism in a Shetland Pony with Suspected Pheochromocytoma and Pituitary Pars Intermedia Dysfunction.
Journal of veterinary internal medicine    November 7, 2016   Volume 30, Issue 6 1872-1878 doi: 10.1111/jvim.14606
Fouché N, Gerber V, Gorgas D, Marolf V, Grouzmann E, van der Kolk JH, Navas de Solis C.No abstract available
Dynamics of Parascaris and Strongylus spp. parasites in untreated juvenile horses.
Veterinary parasitology    November 7, 2016   Volume 230 62-66 doi: 10.1016/j.vetpar.2016.11.002
Fabiani JV, Lyons ET, Nielsen MK.Parasite control in foals is of utmost importance due to the high susceptibility to parasitic infection and disease in this age group. Foals are commonly co-infected with strongyle and ascarid parasites, which complicate parasite control strategies. The present study retrospectively investigated necropsy records of foals born into a university herd kept without anthelmintic treatment since 1979. The aims were to statistically analyze the relationship between fecal egg counts, worm burdens, foal age, sex, and season with specific focus on Parascaris and Strongylus spp. A total of 83 foals born ...
A survey of the antimicrobial susceptibility of Escherichia coli isolated from Sable Island horses.
Canadian journal of microbiology    November 7, 2016   Volume 63, Issue 3 246-251 doi: 10.1139/cjm-2016-0504
Timonin ME, Poissant J, McLoughlin PD, Hedlin CE, Rubin JE.The feral horses of Sable Island are a geographically isolated population located ∼160 km off the east coast of Nova Scotia, Canada. Because these horses have no contact with domestic animals, have minimal contact with people, and have never received antimicrobials, they offer a unique opportunity to study the dissemination of antimicrobial resistance in unmanaged populations. As part of an ongoing multidisciplinary and individual-based monitoring program, we collected feces from 508 geolocalized horses (92% of the total population) between July and September 2014. We selectively cultured Es...
Pathological changes seen in horses in New Zealand grazing Mediterranean tall fescue (Lolium arundinaceum) infected with selected endophytes (Epichloë coenophiala) causing equine fescue oedema.
New Zealand veterinary journal    November 6, 2016   Volume 65, Issue 3 147-151 doi: 10.1080/00480169.2016.1248516
Munday JS, Finch SC, Vlaming JB, Sutherland BL, Fletcher LR.To investigate whether Mediterranean tall fescue (Lolium arundinaceum (Schreb.) Darbysh. (syn Festuca arundinacea)) infected with selected fungal endophytes (Epichloë coenophiala (formerly Neotyphodium coenophialum)) caused equine fescue oedema when grown in New Zealand, and to examine the pathological changes associated with this intoxication. Methods: Horses were grazed on Mediterranean tall fescue that was infected with the endophytes AR542 (n=2), or AR584 (n=3), or Mediterranean tall fescue that was endophyte-free (n=2). Blood samples were taken up to 7 days after the start of feeding to ...
In Vitro effects of tamoxifen on equine neutrophils.
Research in veterinary science    November 6, 2016   Volume 110 60-64 doi: 10.1016/j.rvsc.2016.11.003
Borlone C, Morales N, Henriquez C, Folch H, Olave C, Sarmiento J, Uberti B, Moran G.Neutrophils participate in innate immunity as the first line of host defense against microorganisms. However, exacerbated neutrophil activity can be harmful to surrounding tissues; this is important in a range of diseases, including allergic asthma and chronic obstructive pulmonary disease in humans, and equine asthma (also known as recurrent airway obstruction (RAO). Tamoxifen (TX) is a non-steroidal estrogen receptor modulator with effects on cell growth and survival. Previous preliminary studies showed that TX treatment in horses with induced acute pulmonary inflammation promoted early apop...
Hormone Therapy in Clinical Equine Practice.
The Veterinary clinics of North America. Equine practice    November 5, 2016   Volume 32, Issue 3 425-434 doi: 10.1016/j.cveq.2016.07.001
McCue PM.A wide variety of hormone therapies are used in clinical practice in the reproductive management of horses. The goal of this article is to review therapeutic options for a variety of clinical indications.
Endometritis: Diagnostic Tools for Infectious Endometritis.
The Veterinary clinics of North America. Equine practice    November 5, 2016   Volume 32, Issue 3 481-498 doi: 10.1016/j.cveq.2016.08.001
Ferris RA.Infectious endometritis is among the leading causes of subfertility in the mare. However, the best way to reliably diagnose these cases of infectious endometritis can be confusing to the veterinary practitioner. The goal of this article is to describe how to perform various sample collection techniques, what analyses can be performed on these samples, and how to interpret the results of these analysis. Additionally, future technologies will be presented that are not currently used in equine reproduction practice.
The larval development of Habronema muscae (Nematoda: Habronematidae) affects its intermediate host, Musca domestica (Diptera: Muscidae).
Parasitology research    November 5, 2016   Volume 116, Issue 2 503-509 doi: 10.1007/s00436-016-5312-y
Schuster RK, Sivakumar S.Although the life cycle of the equid stomach parasite Habronema muscae was disclosed more than 100 years ago, little is known about the effect of the developing nematode larvae in its intermediate host, Musca domestica. In a series of experiments, freshly hatched M. domestica larvae were exposed to H. muscae eggs contained in a faecal sample of a naturally infected horse. In daily intervals, 50 fly larvae were removed and transferred on a parasite-free larval rearing medium where they completed their development. Hatched flies were examined for the presence of Habronema third-stage larvae. In...
Modern Techniques for Semen Evaluation.
The Veterinary clinics of North America. Equine practice    November 5, 2016   Volume 32, Issue 3 531-546 doi: 10.1016/j.cveq.2016.07.006
Love CC.Stallion semen evaluation is an important part of the breeding soundness evaluation. The results of the semen evaluation cannot be interpreted without a thorough knowledge of the mare and management effects that may have played a role or may affect the potential fertility of the stallion evaluated. There are considerations and limitations that the clinician should understand about each test. Any sperm quality test must be interpreted with a clear understanding of how it relates to fertility.
Isolation and characterization of equine dental pulp stem cells derived from Thoroughbred wolf teeth.
The Journal of veterinary medical science    November 5, 2016   Volume 79, Issue 1 47-51 doi: 10.1292/jvms.16-0131
Ishikawa S, Horinouchi C, Murata D, Matsuzaki S, Misumi K, Iwamoto Y, Korosue K, Hobo S.Mesenchymal stem cells (MSCs) are adult multipotent stem cells that are capable of self-renewal and differentiation into multiple cell lineages. Methods for cell therapy using MSCs have been developed in equine medicine. Recently, human dental pulp stem cells (DPSCs) have drawn much attention owing to their trophic factor producing ability and minimally invasive collection methods. However, there have been no reports on equine dental pulp-derived cells (eDPCs). Therefore, the aim of this study was to isolate and characterize the eDPCs from discarded wolf teeth. Plastic-adherent spindle-shaped ...
Endometritis: Managing Persistent Post-Breeding Endometritis.
The Veterinary clinics of North America. Equine practice    November 5, 2016   Volume 32, Issue 3 465-480 doi: 10.1016/j.cveq.2016.08.004
Canisso IF, Stewart J, Coutinho da Silva MA.Endometritis was rated as the third most common medical problem encountered in adult horses in North America. It is the leading cause of subfertility in broodmares and is a major contributor to economic loss in the horse breeding industry, with pregnancy rates reported to be as low as 21% in mares with severe endometritis. Endometritis may be categorized as: endometrosis (chronic degenerative endometritis), acute, chronic, active, dormant, subclinical, clinical, and persistent post-breeding. These classifications are not mutually exclusive, and mares may change categories within breeding seaso...
Equine Airway Mast Cells are Sensitive to Cell Death Induced by Lysosomotropic Agents.
Scandinavian journal of immunology    November 4, 2016   Volume 85, Issue 1 30-34 doi: 10.1111/sji.12502
Wernersson S, Riihimäki M, Pejler G, Waern I.Mast cells are known for their detrimental effects in various inflammatory conditions. Regimens that induce selective mast cell apoptosis may therefore be of therapeutic significance. Earlier studies have demonstrated that murine- and human-cultured mast cells are highly sensitive to apoptosis induced by the lysosomotropic agent LeuLeuOMe (LLME). However, the efficacy of lysosomotropic agents for inducing apoptosis of in vivo-derived airway mast cells and the impact on mast cells in other species have not been assessed. Here we addressed whether lysosomotropic agents can induce cell death of ...
Two-Year Evaluation of Osteochondral Repair with a Novel Biphasic Graft Saturated in Bone Marrow in an Equine Model.
Cartilage    November 4, 2016   Volume 8, Issue 4 406-416 doi: 10.1177/1947603516675913
McCarrel TM, Pownder SL, Gilbert S, Koff MF, Castiglione E, Saska RA, Bradica G, Fortier LA.Objective To evaluate a biphasic cartilage repair device (CRD) for feasibility of arthroscopic implantation, safety, biocompatibility, and efficacy for long-term repair of large osteochondral defects. Methods The CRD was press-fit into defects (10 mm diameter, 10 mm deep) created in the femoral trochlea of 12 horses. In the contralateral limb, 10 mm diameter full-thickness chondral defects were treated with microfracture (MFX). Radiographs were obtained pre- and postoperatively, and at 4, 12, and 24 months. Repeat arthroscopy was performed at 4 and 12 months. Gross assessment, histology, mecha...
Quantification of dimethylsulfoxide (DMSO) in equine plasma and urine using HILIC-MS/MS.
Drug testing and analysis    November 4, 2016   Volume 9, Issue 6 935-941 doi: 10.1002/dta.2098
Salomonsson ML, Bondesson U, Hedeland M.This paper describes quantitative methods for the determination of dimethylsulfoxide (DMSO) in equine plasma and urine based on simple precipitation and dilution followed by hydrophilic interaction liquid chromatography coupled to tandem mass spectrometry (HILIC-MS/MS). DMSO is a polar solvent with analgesic and anti-inflammatory properties. Its pharmacological features make it prohibited in horse racing. However, since DMSO is naturally present in the horses' environment, international threshold values have been implemented for plasma and urine (1 and 15 µg/mL, respectively). Previously pr...
Feasibility, repeatability, and safety of ultrasound-guided stimulation of the first cervical nerve at the alar foramen in horses.
American journal of veterinary research    November 3, 2016   Volume 77, Issue 11 1245-1251 doi: 10.2460/ajvr.77.11.1245
Mespoulhès-Rivière C, Brandenberger O, Rossignol F, Robert C, Perkins JD, Marie JP, Ducharme N.OBJECTIVE To develop and assess the feasibility, repeatability, and safety of an ultrasound-guided technique to stimulate the first cervical nerve (FCN) at the level of the alar foramen of the atlas of horses. ANIMALS 4 equine cadavers and 6 clinically normal Standardbreds. PROCEDURES In each cadaver, the FCN pathway was determined by dissection, and any anastomosis between the first and second cervical nerves was identified. Subsequently, each of 6 live horses underwent a bilateral ultrasound-guided stimulation of the FCN at the alar foramen 3 times at 3-week intervals. After each procedure, ...
Comparison of assays for the detection of West Nile virus antibodies in equine serum after natural infection or vaccination.
Veterinary immunology and immunopathology    November 3, 2016   Volume 183 1-6 doi: 10.1016/j.vetimm.2016.10.015
Joó K, Bakonyi T, Szenci O, Sárdi S, Ferenczi E, Barna M, Malik P, Hubalek Z, Fehér O, Kutasi O.West Nile virus (WNV) mainly infects birds, horses and humans. Outcomes of the infection range from mild uncharacteristic signs to fatal neurologic disease. The main objectives of the present study were to measure serum IgG and IgM antibodies in naturally exposed and vaccinated horses and to compare results of haemagglutination inhibition test (HIT), enzyme-linked immunosorbent assay (ELISA) and plaque reduction neutralisation test (PRNT). Altogether 224 animals were tested by HIT for WNV antibodies and 41 horses were simultaneously examined by ELISA and PRNT. After primary screening for WNV a...
Use of manual alveolar recruitment maneuvers to eliminate atelectasis artifacts identified during thoracic computed tomography of healthy neonatal foals.
American journal of veterinary research    November 3, 2016   Volume 77, Issue 11 1276-1287 doi: 10.2460/ajvr.77.11.1276
Lascola KM, Clark-Price SC, Joslyn SK, Mitchell MA, O'Brien RT, Hartman SK, Kline KH.OBJECTIVE To evaluate use of single manual alveolar recruitment maneuvers (ARMs) to eliminate atelectasis during CT of anesthetized foals. ANIMALS 6 neonatal Standardbred foals. PROCEDURES Thoracic CT was performed on spontaneously breathing anesthetized foals positioned in sternal (n = 3) or dorsal (3) recumbency when foals were 24 to 36 hours old (time 1), 4 days old (time 2), 7 days old (time 3), and 10 days old (time 4). The CT images were collected without ARMs (all times) and during ARMs with an internal airway pressure of 10, 20, and 30 cm HO (times 2 and 3). Quantitative analysis of CT...
Measurement of cortisol concentration in the tears of horses and ponies with pituitary pars intermedia dysfunction.
American journal of veterinary research    November 3, 2016   Volume 77, Issue 11 1236-1244 doi: 10.2460/ajvr.77.11.1236
Hart KA, Kitchings KM, Kimura S, Norton NA, Myrna KE.OBJECTIVE To compare tear cortisol concentrations between horses and ponies with pituitary pars intermedia dysfunction (PPID) and healthy nonaged (≤ 15 years old) and aged (≥ 20 years old) horses and to determine whether serum and tear cortisol concentrations were correlated. ANIMALS 11 horses and ponies with PPID and 20 healthy control horses and ponies (11 nonaged and 9 aged). PROCEDURES Paired tear and serum samples were obtained from PPID and control animals. All animals were free of active ocular disease. Tear and serum cortisol concentrations were measured with an ELISA and chemilumi...
A pilot study on interaction between donkey tetherin and EIAV stains with different virulent and replication characteristics.
Microbial pathogenesis    November 2, 2016   Volume 106 65-68 doi: 10.1016/j.micpath.2016.10.019
Yao Q, Ma J, Wang X, Guo M, Li Y, Wang X.Tetherin (BST-2) is an important host restriction factor that can inhibit the release of a diverse array of enveloped viruses from infected cells. Conversely, to facilitate their release and spread, many viruses have evolved various strategies to overcome the antiviral effect of tetherin in a species-specific manner. During the development of an attenuated equine infectious anemia virus (EIAV) vaccine in our laboratory, we found that serial passage of a field-isolated virulent EIAV strains in horse and donkey as well as the cultivated donkey cells, produces several typical EIAV strains, includ...
Degradation, intra-articular retention and biocompatibility of monospheres composed of [PDLLA-PEG-PDLLA]-b-PLLA multi-block copolymers.
Acta biomaterialia    November 2, 2016   Volume 48 401-414 doi: 10.1016/j.actbio.2016.11.003
Sandker MJ, Duque LF, Redout EM, Chan A, Que I, Löwik CWGM, Klijnstra EC, Kops N, Steendam R, van Weeren R, Hennink WE, Weinans H.In this study, we investigated the use of microspheres with a narrow particle size distribution ('monospheres') composed of biodegradable poly(DL-lactide)-PEG-poly(DL-lactide)-b-poly(L-lactide) multiblock copolymers that are potentially suitable for local sustained drug release in articular joints. Monospheres with sizes of 5, 15 and 30μm and a narrow particle size distribution were prepared by a micro-sieve membrane emulsification process. During in vitro degradation, less crystallinity, higher swelling and accelerated mass loss during was observed with increasing the PEG content of the poly...
Socket Preservation using Enzyme-treated Equine Bone Granules and an Equine Collagen Matrix: A Case Report with Histological and Histomorphometrical Assessment.
The journal of contemporary dental practice    November 1, 2016   Volume 17, Issue 11 890-896 doi: 10.5005/jp-journals-10024-1949
Leonida A, Todeschini G, Lomartire G, Cinci L, Pieri L.To histologically assess the effectiveness of a socket-preservation technique using enzyme-treated equine bone granules as a bone-graft material in combination with an equine collagen matrix as a scaffold for soft-tissue regeneration. Background: Enzyme-treated equine bone granules and equine collagen matrix recently have been developed to help overcome alveolar bone deficiencies that develop in the wake of edentulism. Methods: The patient had one mandibular molar extracted and the socket grafted with equine bone granules. The graft was covered with the equine collagen matrix, placed in a doub...
Transcutaneous direct current cardioversion in a foal with lone atrial fibrillation.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    November 1, 2016   Volume 19, Issue 1 99-105 doi: 10.1016/j.jvc.2016.09.002
Potter BM, Scansen BA, Dunbar LK, Reed SM, Toribio RE.There are rare published reports of atrial fibrillation (AF) in foals, all of which are associated with structural heart disease or within the adaptive period of newborns. This report describes a 3-month-old Thoroughbred filly with AF and a structurally normal heart on echocardiography. Medical cardioversion of the foal's AF was attempted with three 20mg/kg doses of quinidine sulfate therapy without success. Timed, transcutaneous, direct current cardioversion was successfully performed using adhesive patches on the midthorax in conjunction with intravenous procainamide at a total dose of 20mg/...