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The Veterinary clinics of North America. Equine practice2019; 35(1); 119-137; doi: 10.1016/j.cveq.2018.12.001

Equine Acquired Valvular Disease.

Abstract: Degenerative myxomatous disease is common and is associated with aging. Poor prognostic indicators for equine aortic regurgitation specifically include ventricular ectopy, increased pulse pressure, and hyperkinetic pulses. Valvular prolapse is a functional abnormality diagnosed echocardiographically, about which knowledge is limited. A better understanding of its role in valvular regurgitation is needed. Infective endocarditis presents with fever and other systemic signs accompanying valvular regurgitation. The prognosis is poor, warranting aggressive therapy. Other forms of valvular disease occur rarely, but often presenting with severe regurgitation. Management of horses with valvular disease is focused on assessment of severity and regular clinical, echocardiographic, and electrocardiographic monitoring.
Publication Date: 2019-03-11 PubMed ID: 30871831DOI: 10.1016/j.cveq.2018.12.001Google Scholar: Lookup
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Summary

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This research article reviews the prognosis, diagnosis, and management of equine acquired valvular disease, highlighting the importance of understanding the condition and implementing regular monitoring measures.

Understanding Equine Acquired Valvular Disease

  • Equine Acquired Valvular Disease refers to heart valve issues in horses, developed over time due to different underlying conditions. Among these diseases, degenerative myxomatous disease, a condition causing enlargement and weakness of the heart valves, is common and often associated with aging.
  • The paper mentions that factors predicting poor prognosis for equine aortic regurgitation, a condition in which the heart’s aortic valve doesn’t close tightly causing blood to leak into the heart, include ventricular ectopy (abnormal heart rhythm), increased pulse pressure, and hyperkinetic pulses.

Identification and Diagnosis of Valvular Disease

  • Valvular prolapse, a condition where one or more of the heart’s valves don’t close adequately, causing blood to flow backward, is identified as a functional abnormality diagnosed using echocardiography, a diagnostic test that uses ultrasound waves to create images of the heart.
  • Despite its identification, the understanding of valvular prolapse is perceived as limited in the research, and they stress the need for further exploration of its role in valve regurgitation.
  • In terms of infective endocarditis, a condition that presents with fever and other systemic signs accompanying valvular regurgitation, the prognosis is considered poor. This condition represents an infection in the inner lining of the heart valves or chambers and requires intense treatment.

Management and Prognosis of Equine Acquired Valvular Disease

  • The article then discusses other rare forms of valvular disease that usually present with severe regurgitation, indicating a poor prognosis, as they often lead to serious health concerns in horses.
  • On the management front, the focus is placed on the severity assessment of the condition and encompasses regular clinical, echocardiographic, and electrocardiographic monitoring. This approach allows for a timely intervention and better management of the disease progression.

Cite This Article

APA
Marr CM. (2019). Equine Acquired Valvular Disease. Vet Clin North Am Equine Pract, 35(1), 119-137. https://doi.org/10.1016/j.cveq.2018.12.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 35
Issue: 1
Pages: 119-137
PII: S0749-0739(18)30073-7

Researcher Affiliations

Marr, Celia M
  • Internal Medicine, Rossdales Equine Hospital and Diagnostic Centre, Cotton End Road, Exning, Newmarket, Suffolk CB8 7NN, UK. Electronic address: celia.marr@rossdales.com.

MeSH Terms

  • Animals
  • Echocardiography / veterinary
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / veterinary
  • Horse Diseases / diagnosis
  • Horse Diseases / diagnostic imaging
  • Horses
  • Prognosis

Citations

This article has been cited 4 times.
  1. Bevevino KE, Cohen ND, Gordon SG, Navas de Solis C. Feasibility of a point-of-care ultrasound protocol for cardiorespiratory evaluation of horses in different clinical settings.. J Vet Intern Med 2023 May-Jun;37(3):1223-1232.
    doi: 10.1111/jvim.16674pubmed: 36975771google scholar: lookup
  2. Cruz-Aleixo AS, de Oliveira KC, de Oliveira Ferreira LV, Cedeo Quevedo DA, Cruz RKS, Tsunemi MH, Chiacchio SB, Lourenço MLG. Electrocardiographic and Echocardiographic Parameters in Pega Breed Donkeys: A Descriptive Study.. Animals (Basel) 2023 Feb 27;13(5).
    doi: 10.3390/ani13050861pubmed: 36899718google scholar: lookup
  3. Khalesi H, Sakha M, Veshkini A, Rezakhani A. Assessing the cardiac valves conditions in athletic horses with poor performance.. Vet Res Forum 2022 Sep;13(3):423-429.
    doi: 10.30466/vrf.2021.130366.2997pubmed: 36320295google scholar: lookup
  4. Berthoud D, Schwarzwald CC. Echocardiographic assessment of left ventricular size and systolic function in Warmblood horses using linear measurements, area-based indices, and volume estimates: A retrospective database analysis.. J Vet Intern Med 2021 Jan;35(1):504-520.
    doi: 10.1111/jvim.15968pubmed: 33247461google scholar: lookup