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Equine veterinary journal. Supplement2007; (36); 163-170; doi: 10.1111/j.2042-3306.2006.tb05534.x

Cardiac arrhythmias during and after treadmill exercise in poorly performing thoroughbred racehorses.

Abstract: The prevalence and severity of cardiac arrhythmias during exercise in athletic horses presented for poor performance is not well described. Objective: To describe prevalence and severity of ventricular and supraventricular arrhythmias immediately before, during and immediately after standardised incremental treadmill exercise tests (IET) to fatigue in Thoroughbred horses during investigation of poor performance. Methods: The electrocardiograms (ECG) of 88 Thoroughbred racehorses, judged to be free of significant heart disease or arrhythmia at rest, were used. A modified base-apex ECG was recorded throughout an IET to fatigue. Recordings were analysed independently by 2 observers. Twenty-eight horses were diagnosed with dorsal displacement of the soft palate, 25 had varying degrees of soft palate instability and aryepiglottic fold collapse, 8 had other respiratory problems and, in 27 cases, no definitive diagnosis was reached. Results: Fifty-five horses had at least one ventricular (VPD) or supraventricular (SVPD) depolarisation, 23 had only VPDs, 17 had only SVPDs and 15 had both in at least one exercise period. Premature depolarisations were seen predominantly during the first min of recovery from IET. The range of premature beats after exercise was 1-30 VPDs, and 1-9 SVPDs. No significant associations were observed between age, sex, race type, diagnosis, peak heart rate or run time to fatigue during IET and occurrence of either > or =1 premature beat or of more severe arrhythmias (multiple singles [>5] or pairs or paroxysms of premature depolarisations during peak exercise or immediately after exercise). However, a larger sample size would be required to have greater confidence in these associations. Conclusions: Isolated VPDs and SVPDs are frequently detected in poor performing racehorses during IET but their clinical relevance remains to be determined. Conclusions: The guidelines for interpretation and clinical relevance of premature depolarisations observed during and immediately after treadmill exercise tests in poor performing Thoroughbred racehorses deserves further evaluation.
Publication Date: 2007-04-04 PubMed ID: 17402413DOI: 10.1111/j.2042-3306.2006.tb05534.xGoogle Scholar: Lookup
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  • Journal Article

Summary

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The research study explores the prevalence and severity of heart arrhythmias in Thoroughbred racehorses that underperform, specifically during and after rigorous treadmill exercises. It studies cardiac activity patterns during these periods to better understand the potential relationship between poor performance and heart irregularities.

Research Methods

  • The research involved 88 Thoroughbred racehorses that didn’t exhibit any significant symptoms of heart disease or arrhythmias at rest.
  • EKGs (Electrocardiograms) were recorded from these horses throughout an incremental exercise test (IET) to fatigue on a treadmill, using a modified version of base-apex EKG recording.
  • The recorded data was independently analysed by two observers to prevent any skewed findings due to bias.
  • Out of 88, various prevalent conditions were diagnosed in horses including dorsal displacement of the soft palate, soft palate instability, aryepiglottic fold collapse and other respiratory issues. In 27 cases, no definitive diagnosis was provided.

Research Findings

  • Results showed that 55 horses had at least one either type of depolarisation – Ventricular (VPD) or Supraventricular (SVPD). Out of these, 23 horses had VPDs, 17 had SVPDs, and 15 had both at least once during the exercise.
  • These premature depolarisations were majorly observed during the first minute of recovery post the intense treadmill exercise.
  • The recorded ranges of these premature beats post-exercise were 1-30 VPDs and 1-9 SVPDs.
  • The research did not find any significant associations between age, sex, race type, any specific diagnosis, peak heart rate or run time to fatigue during the exercise test, and the occurrence of either ≥1 premature beat or more severe forms of arrhythmias.
  • However, the study does mention that a larger sample size may be required to determine these associations with greater confidence.

Conclusions

  • The study finds that isolated VPDs and SVPDs are frequently found in underperforming racehorses during high intensity treadmill exercises. The clinical significance of these observations, however, is yet to be established.
  • The conclusions propose further evaluation and detailed interpretation of premature depolarisations found during and immediately after treadmill tests in Thoroughbred racehorses showing underperformance, for better understanding of their effects and relevance.

Cite This Article

APA
Jose-Cunilleras E, Young LE, Newton JR, Marlin DJ. (2007). Cardiac arrhythmias during and after treadmill exercise in poorly performing thoroughbred racehorses. Equine Vet J Suppl(36), 163-170. https://doi.org/10.1111/j.2042-3306.2006.tb05534.x

Publication

NlmUniqueID: 9614088
Country: United States
Language: English
Issue: 36
Pages: 163-170

Researcher Affiliations

Jose-Cunilleras, E
  • Centre for Equine Studies and Centre for Preventive Medicine, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.
Young, L E
    Newton, J R
      Marlin, D J

        MeSH Terms

        • Animals
        • Arrhythmias, Cardiac / diagnosis
        • Arrhythmias, Cardiac / physiopathology
        • Arrhythmias, Cardiac / veterinary
        • Arytenoid Cartilage / physiopathology
        • Exercise Test / veterinary
        • Female
        • Heart Auscultation / veterinary
        • Horse Diseases / diagnosis
        • Horse Diseases / physiopathology
        • Horses
        • Male
        • Palate, Soft / physiopathology
        • Physical Conditioning, Animal / physiology
        • Prevalence
        • Respiratory System Abnormalities / physiopathology
        • Respiratory System Abnormalities / veterinary
        • Severity of Illness Index
        • Thoracoscopy / veterinary
        • Video Recording

        Citations

        This article has been cited 7 times.
        1. Darbandi H, Munsters C, Parmentier J, Havinga P. Detecting fatigue of sport horses with biomechanical gait features using inertial sensors. PLoS One 2023;18(4):e0284554.
          doi: 10.1371/journal.pone.0284554pubmed: 37058516google scholar: lookup
        2. Ter Woort F, Dubois G, Tansley G, Didier M, Verdegaal L, Franklin S, Van Erck-Westergren E. Validation of an equine fitness tracker: ECG quality and arrhythmia detection. Equine Vet J 2022 Feb 9;55(2):336-43.
          doi: 10.1111/evj.13565pubmed: 35138653google scholar: lookup
        3. Alberti E, Stucchi L, Lo Feudo CM, Stancari G, Conturba B, Ferrucci F, Zucca E. Evaluation of Cardiac Arrhythmias before, during, and after Treadmill Exercise Testing in Poorly Performing Standardbred Racehorses. Animals (Basel) 2021 Aug 16;11(8).
          doi: 10.3390/ani11082413pubmed: 34438870google scholar: lookup
        4. Nath LC, Elliott AD, Weir J, Curl P, Rosanowski SM, Franklin S. Incidence, recurrence, and outcome of postrace atrial fibrillation in Thoroughbred horses. J Vet Intern Med 2021 Mar;35(2):1111-1120.
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        5. Fretheim-Kelly ZL, Halvorsen T, Clemm H, Roksund O, Heimdal JH, Vollsæter M, Fintl C, Strand E. Exercise Induced Laryngeal Obstruction in Humans and Equines. A Comparative Review. Front Physiol 2019;10:1333.
          doi: 10.3389/fphys.2019.01333pubmed: 31736771google scholar: lookup
        6. Frick L, Schwarzwald CC, Mitchell KJ. The use of heart rate variability analysis to detect arrhythmias in horses undergoing a standard treadmill exercise test. J Vet Intern Med 2019 Jan;33(1):212-224.
          doi: 10.1111/jvim.15358pubmed: 30520119google scholar: lookup
        7. Flethøj M, Kanters JK, Pedersen PJ, Haugaard MM, Carstensen H, Olsen LH, Buhl R. Appropriate threshold levels of cardiac beat-to-beat variation in semi-automatic analysis of equine ECG recordings. BMC Vet Res 2016 Nov 28;12(1):266.
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