Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Abstract: Atrial fibrillation is a common equine arrhythmia. Quinidine alone, or with digoxin are common treatments. Studies on outcome in Warmblood populations in which duration of the AF is often unknown are limited. Objective: To identify the factors that are associated with the success of full treatment cardioversion with oral medication, and establish whether there are differences in these factors between institutions. Methods: Retrospective case series using patient records of Equine University Clinic of Utrecht University and Rossdales Equine Hospital, Newmarket. Methods: Forty-nine horses treated with quinidine were identified (29 Warmbloods, 20 Thorougbreds, 1 Anglo-Arabian). Details of signalment, history, duration physical examination and echocardiography including left atrial size and presence of mitral regurgitation were retrieved. Clinical details including mean weight, age and left atrial size were compared between clinics using independent samples t test. Association between variables and cardioconversion were evaluated in a backwards logistic regression using Akaike's information criterium (AIC) and odds ratios were calculated. Factors were sex, clinic, breed, mitral regurgitation, duration and poor performance. Covariates were age, weight and the size of the left atrium. Significance was set at 0.05. Results: Fifty-one horses (mean age 8.8 s.d. 4.5 years) were treated with quinidine sulfate, 18 also received digoxin. Eighty per cent converted to sinus rhythm. In 8 horses the known duration was less than 3 months. The only factor associated with successful treatment was the use of digoxin in combination with quinidine sulfate (odds ratio 12.4; 95% CI 2.61 and 91.85 according to AIC analysis). Conclusions: In this retrospective case series, there is much potential for bias in the data; however, the use of digoxin in addition to quinidine was associated with improved conversion rates regardless of breed even though AF duration was unknown in most horses. Ethical animal research: Research ethics committee oversight not currently required by this conference: retrospective study of clinical records. Explicit owner informed consent for inclusion of animals in this study was not stated. Background: None. Competing interests: None declared.
© 2015 The Author(s). Equine Veterinary Journal © 2015 EVJ Ltd.
Publication Date: 2015-09-17 PubMed ID: 26376318DOI: 10.1111/evj.12486_63Google Scholar: Lookup
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Summary
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This research aimed to determine the link between Thoroughbred broodmare’s weight and endocrine function, and the birthweight of their foals. It was found that obese mares gave birth to heavier foals, although the study did not identify significant fasting hyperinsulinaemia in this mare population. A key finding is that higher leptin concentrations during early and late pregnancy correlated with lower foal birthweights.
Study Overview
- This research was a prospective cohort study involving 57 pregnant Thoroughbred mares.
- The primary objective of the study was to investigate the association between mare obesity or endocrine dysfunction and foal birthweight.
- To achieve this objective, the body condition scores (BCS), weight, and venous blood samples of the mares were recorded every 60 days throughout the duration of the gestation period.
- Serum and plasma insulin, leptin and triglyceride concentrations were measured using standard methods and correlated with the BCS and birthweight of the foals.
- A linear mixed effects model was used for the association analysis.
Key Results
- There was a significant fluctuation in the serum insulin concentrations at different gestation periods, although there was no clear association of fasting insulin concentration with mare’s BCS.
- 55% of the mares in the study had a BCS of 7 or more, which in horse body condition scores equates to being overweight.
- Leptin concentration was significantly higher at 180-239 days gestation when compared to all other time points and was positively correlated with mare’s BCS.
- There were significant higher triglyceride concentrations at 240-299 days gestation when compared to earlier time points, but this did not associate with mare’s BCS.
- Foal birthweight was found to be positively correlated with mare’s BCS, indicating that heavier mares had heavier foals.
- Interestingly, leptin concentrations during early and late gestation showed an inverse relationship with foal birthweight, suggesting that increased leptin could predict decreased foal birthweight.
Conclusions
- The study concludes that there is a correlation between mare’s BCS (specifically obesity) and foal birthweight with heavier mares producing heavier foals.
- Contrary to expectations, the presence of fasting hyperinsulinaemia was not identified in the studied population.
- The research points towards the potential of using leptin concentration in mares, specifically in the early and late stages of gestation, as a predictor for foal birthweight.
- Further research is required to confirm these findings and their applications in the equine breeding industry.
Cite This Article
APA
Lotstra RJ, van den Broek J, Power T, Marr CM, Wijnberg ID.
(2015).
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015.
Equine Vet J, 47 Suppl 48, 28.
https://doi.org/10.1111/evj.12486_63 Publication
Researcher Affiliations
- Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, the Netherlands.
- Department of Farm Animal Health, Dept. Epidemiology, Faculty of Veterinary Medicine, Utrecht University, the Netherlands.
- Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire, AL7 9TA, UK.
- Rossdales Equine Hospital and Diagnostic Centre, Cotton End Road, Exning, Newmarket, CB8 7NN, UK.
- Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, the Netherlands.
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