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The Veterinary clinics of North America. Equine practice2019; 35(1); 205-215; doi: 10.1016/j.cveq.2018.12.003

Cardiac Monitoring in Horses.

Abstract: Monitoring variables of cardiac performance in horses is challenging owing to patient size, temperament, and anatomic peculiarities. Blood pressure is a major determinant of afterload, but it is not a reliable surrogate of cardiac performance and tissue perfusion. Cardiac output, together with arterial and venous oxygen content, provides insight as to the adequacy of delivery of blood and oxygen to the body as a whole and can be used to gauge the fluid responsiveness and cardiovascular status of the patient. Measurement of intracardiac pressures serves to assess cardiac filling pressures, myocardial performance, and vascular resistance.
Publication Date: 2019-03-11 PubMed ID: 30871833DOI: 10.1016/j.cveq.2018.12.003Google Scholar: Lookup
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Summary

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This research focuses on the complexities involved in monitoring cardiac performance in horses, emphasizing the variances in blood pressure, cardiac output, arterial and venous oxygen content, and intracardiac pressures.

Challenges in Horse Cardiac Monitoring

  • The researchers underline the difficulties of this process, stemming from numerous factors including horse size, behavior, and anatomical differences. This suggests that common medical practices and equipment might not be applicable or efficient in equine cardiac monitoring, necessitating unique solutions.

Blood Pressure and Cardiac Performance

  • This study underscores that blood pressure, often used as a primary determinant for afterload (the pressure the heart must work against to eject blood), may not be a dependable representation of cardiac performance and tissue perfusion in horses.
  • It implies that blood pressure alone cannot provide a full understanding of the cardiovascular health and function of a horse.

Cardiac Output and Oxygen Content

  • The research emphasizes that examining cardiac output, in conjunction with arterial and venous oxygen content, can provide a more comprehensive insight into the horse’s circulatory system.
  • These measurements can depict the degree to which blood and oxygen are delivered throughout the horse’s body, and can be used to assess fluid responsiveness and overall cardiovascular status.

Measurement of Intracardiac Pressures

  • The research also discusses the significance of measuring intracardiac pressures. This process assesses cardiac filling pressures (the pressure in the heart when it is filled with blood), myocardial performance (the performance of the heart muscle), and vascular resistance (the resistance to blood flow in the blood vessels).
  • These measurements further contribute to a thorough evaluation of a horse’s cardiac health and function.

Cite This Article

APA
Shih AC. (2019). Cardiac Monitoring in Horses. Vet Clin North Am Equine Pract, 35(1), 205-215. https://doi.org/10.1016/j.cveq.2018.12.003

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 35
Issue: 1
Pages: 205-215
PII: S0749-0739(18)30075-0

Researcher Affiliations

Shih, Andre C
  • Capital Veterinary Specialist, 3001 Hartley Road, Jacksonville, FL, USA. Electronic address: Shih60@gmail.com.

MeSH Terms

  • Animals
  • Blood Gas Analysis
  • Blood Pressure
  • Cardiac Output
  • Heart / physiology
  • Horse Diseases
  • Horses / blood
  • Horses / physiology
  • Monitoring, Physiologic / methods
  • Monitoring, Physiologic / veterinary

Citations

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