Equine Asthma in a Comparative Perspective: Cardiovascular and Neurological Manifestations of Asthma Across Different Species.
Abstract: Asthma is a multifactorial respiratory disease that naturally occurs in horses, humans, and cats, presenting common clinical signs and species-specific mechanisms. This review addresses the impact of asthma on the cardiovascular and neurological systems, with a primary focus on horses. It highlights the need for new biomarkers beyond the respiratory system due to diagnostic difficulties in animals. A comprehensive literature search was conducted using PubMed and Google Scholar, focusing on cardiovascular and neurological manifestations of asthma in humans, horses, cats, and experimental animal models. Studies were qualitatively compared, noting species-specific differences and mechanisms. Humans with asthma show an increased risk of cardiovascular disease and elevated cardiac biomarkers during exacerbations, while horses develop pulmonary hypertension and vascular remodeling. Cats exhibit significant pulmonary vascular changes. Heart rate variability analysis reveals altered autonomic function in humans and horses. Increased peripheral airway innervation and cough reflex sensitivity are noted across species. The renin-angiotensin-aldosterone system (RAAS) plays a crucial role in asthma pathophysiology in murine models. Asthma impacts the cardiovascular and nervous systems differently across species, emphasizing the importance of comparative medicine. Future research should integrate cardiovascular, autonomic, and inflammatory pathways to develop effective therapeutic approaches in human and veterinary medicine, leveraging insights from naturally occurring asthma models.
Publication Date: 2025-08-12 PubMed ID: 40867700PubMed Central: PMC12383202DOI: 10.3390/ani15162371Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
- Review
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
Equine asthma, similar to asthma in humans and cats, affects not only the respiratory system but also has significant cardiovascular and neurological effects. This research reviews these systemic impacts across species, emphasizing the importance of comparative studies to improve diagnosis and treatment.
Overview of Asthma Across Species
- Asthma is a complex respiratory disease affecting multiple species including horses, humans, and cats.
- While common clinical signs exist, underlying mechanisms show species-specific differences.
- Focus on horses due to their naturally occurring asthma, which is a valuable model for comparative studies.
Cardiovascular Manifestations
- Humans:
- Increased risk of developing cardiovascular diseases in asthmatic patients.
- During asthma exacerbations, elevated cardiac biomarkers indicate stress on the heart.
- Horses:
- Develop pulmonary hypertension, a condition of elevated blood pressure in lung arteries.
- Structural changes in pulmonary vasculature (vascular remodeling) are evident.
- Cats:
- Exhibit significant pulmonary vascular changes similar to horses, indicating vascular involvement.
- Experimental Models (Mice):
- Renin-angiotensin-aldosterone system (RAAS) actively involved in asthma-related cardiovascular changes.
Neurological and Autonomic Nervous System Effects
- Humans and Horses:
- Heart rate variability analyses suggest altered autonomic nervous system function during asthma.
- Indicates imbalance between sympathetic and parasympathetic control affecting cardiovascular health.
- Across Species:
- Increased peripheral airway innervation noted, which may contribute to asthma pathophysiology.
- Heightened cough reflex sensitivity, a symptom reflecting neurological changes related to airway irritation.
Diagnostic Challenges and Biomarker Development
- Current diagnosis in animals primarily focuses on respiratory system assessment, which may be insufficient or difficult.
- Need for new biomarkers related to cardiovascular and neurological involvement to improve detection and monitoring.
- Comparative approach aids in identifying relevant systemic markers usable across species.
Implications for Comparative Medicine
- Understanding species-specific differences enhances the appreciation of how asthma impacts whole-body health.
- Comparative studies allow leveraging naturally occurring asthma in animals (notably horses) to glean insights relevant to human asthma.
- Integration of cardiovascular, autonomic, and inflammatory pathway knowledge is crucial for novel therapeutic strategies.
- Cross-species models facilitate translational research benefiting both veterinary and human medical fields.
Future Directions and Recommendations
- Further research needed to develop and validate non-respiratory biomarkers for asthma diagnostics.
- Studies should aim to characterize the interplay between the respiratory, cardiovascular, and nervous systems in asthma comprehensively.
- Incorporate autonomic nervous system assessments, such as heart rate variability, into routine evaluations.
- Refine animal models to simulate human asthma more effectively, supporting drug development and therapeutic innovation.
- Enhance multidisciplinary collaborations among veterinarians, physicians, and researchers to deepen understanding and improve care.
Cite This Article
APA
Dlugopolska D, Siwinska N, Noszczyk-Nowak A.
(2025).
Equine Asthma in a Comparative Perspective: Cardiovascular and Neurological Manifestations of Asthma Across Different Species.
Animals (Basel), 15(16), 2371.
https://doi.org/10.3390/ani15162371 Publication
Researcher Affiliations
- Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.
- Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.
- Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wrocław University of Environmental and Life Sciences, Grunwaldzki sq 47, 50-366 Wroclaw, Poland.
Conflict of Interest Statement
The authors declare that they have no conflicts of interest.
References
This article includes 90 references
- Woodrow JS, Sheats MK, Cooper B, Bayless R. Asthma: The Use of Animal Models and Their Translational Utility. Cells 2023;12:1091.
- Couëtil L, Cardwell J, Gerber V, Lavoie J, Léguillette R, Richard E. Inflammatory Airway Disease of Horses—Revised Consensus Statement. J. Vet. Intern. Med. 2016;30:503–515.
- Pirie RS. Mild to moderate equine asthma—An overview. Equine Health 2017;2017:34–40.
- Mims JW. Asthma: Definitions and pathophysiology. Int. Forum Allergy Rhinol. 2015;5((Suppl. S1)):S2–S6.
- Hammad H, Lambrecht BN. The basic immunology of asthma. Cell 2021;184:1469–1485.
- Iordanidou M, Loukides S, Paraskakis E. Asthma phenotypes in children and stratified pharmacological treatment regimens. Expert. Rev. Clin. Pharmacol. 2017;10:293–303.
- Sze E, Bhalla A, Nair P. Mechanisms and therapeutic strategies for non-T2 asthma. Allergy 2020;75:311–325.
- Adamama-Moraitou KK, Patsikas MN, Koutinas AF. Feline lower airway disease: A retrospective study of 22 naturally occurring cases from Greece. J. Feline Med. Surg. 2004;6:227–233.
- Reinero CR. Advances in the understanding of pathogenesis, and diagnostics and therapeutics for feline allergic asthma. Vet. J. 2011;190:28–33.
- Taylor S. Feline lower airway disease: Asthma and beyond. Vet. Nurse. 2017;8:17–23.
- Ceriotti S, Bullone M, Leclere M, Ferrucci F, Lavoie JP. Severe asthma is associated with a remodeling of the pulmonary arteries in horses. PLoS ONE 2020;15:e0239561.
- Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP. Equine Asthma: Current Understanding and Future Directions. Front. Vet. Sci. 2020;7:450.
- Pirie R. Severe equine asthma—An overview. Equine Health 2018;2018:21–28.
- Simões J, Batista M, Tilley P. The Immune Mechanisms of Severe Equine Asthma-Current Understanding and What Is Missing. Anim. Open Access J. 2022;12:744.
- Miller RL, Grayson MH, Strothman K. Advances in asthma: New understandings of asthma’s natural history, risk factors, underlying mechanisms, and clinical management. J. Allergy Clin. Immunol. 2021;148:1430–1441.
- RuDusky B.M.. Acute Myocardial Infarction and Status Asthmaticus: A Case Report.. Angiology 2006;57:655–658.
- Cloutier M.M., Baptist A.P., Blake K.V., Brooks E.G., Bryant-Stephens T., DiMango E., Dixon A.E., Elward K.S., Hartert T.. 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.. J. Allergy Clin. Immunol. 2020;146:1217–1270.
- Franco O.S., Júnior A.O.S., Signori L.U., Prietsch S.O.M., Zhang L.. Cardiac autonomic modulation assessed by heart rate variability in children with asthma.. Pediatr. Pulmonol. 2020;55:1334–1339.
- Manastyrska M., Garbiec A., Karpinski M., Bienko M., Radzki R., Kimicka A.. The feline asthma (Bronchitis allergica)—Case report and associated overview.. HVM Bioflux 2021 13:95–100.
- Halliwell R., Banovic F., Mueller R.S., Olivry T.. Immunopathogenesis of the feline atopic syndrome.. Vet. Dermatol. 2021;32:13-e4.
- Hirshman C.A., Malley A., Downes H.. Basenji-Greyhound dog model of asthma: Reactivity to Ascaris suum, citric acid, and methacholine.. J. Appl. Physiol. 1980;49:953–957.
- Bizikova P., Pucheu-Haston C.M., Eisenschenk M.N.C., Marsella R., Nuttall T., Santoro D.. Review: Role of genetics and the environment in the pathogenesis of canine atopic dermatitis.. Vet. Dermatol. 2015;26:95-e26.
- Gershwin L.J.. Comparative Immunology of Allergic Responses.. Annu. Rev. Anim. Biosci. 2015;3:327–346.
- Zur G., Ihrke P.J., White S.D., Kass P.H.. Canine atopic dermatitis: A retrospective study of 266 cases examined at the University of California, Davis, 1992–1998. Part I. Clinical features and allergy testing results.. Vet. Dermatol. 2002;13:89–102.
- Yu Q.L., Chen Z.. Establishment of different experimental asthma models in mice.. Exp. Ther. Med. 2018;15:2492–2498.
- Casaro M., Souza V.R., Oliveira F.A., Ferreira C.M.. OVA-Induced Allergic Airway Inflammation Mouse Model.. In: Guest P., editor. Pre-Clinical Models: Techniques and Protocols. Springer; New York, NY, USA: 2019. pp. 297–301.
- Kim D.I., Song M.K., Lee K.. Comparison of asthma phenotypes in OVA-induced mice challenged via inhaled and intranasal routes.. BMC Pulm. Med. 2019;19:241.
- Enilari O., Sinha S.. The Global Impact of Asthma in Adult Populations.. Ann. Glob. Health. 2019;85:2.
- . The Global Asthma Report 2014.. Global Asthma Network; Auckland, New Zealand: 2014.
- Davis K.U., Sheats M.K.. Bronchoalveolar Lavage Cytology Characteristics and Seasonal Changes in a Herd of Pastured Teaching Horses.. Front. Vet. Sci. 2019;6:74.
- Hotchkiss J.W., Reid S.W.J., Christley R.M.. A survey of horse owners in Great Britain regarding horses in their care. Part 2: Risk factors for recurrent airway obstruction.. Equine Vet. J. 2007;39:301–308.
- Gerber V., Robinson N.E., Luethi S., Marti E., Wampfler B., Straub R.. Airway inflammation and mucus in two age groups of asymptomatic well-performing sport horses.. Equine Vet. J. 2003;35:491–495.
- Trzil J.E.. Feline Asthma: Diagnostic and Treatment Update.. Vet. Clin. North. Am. Small Anim. Pract. 2020;50:375–391.
- Zhang N., Xu J., Jiang C., Lu S.. Neuro-Immune Regulation in Inflammation and Airway Remodeling of Allergic Asthma.. Front. Immunol. 2022;13:894047.
- Giguère S., Viel L., Lee E., MacKay R.J., Hernandez J., Franchini M.. Cytokine induction in pulmonary airways of horses with heaves and effect of therapy with inhaled fluticasone propionate.. Vet. Immunol. Immunopathol. 2002;85:147–158.
- Davis K.U., Sheats M.K.. The Role of Neutrophils in the Pathophysiology of Asthma in Humans and Horses.. Inflammation 2021;44:450–465.
- Pacholewska A., Jagannathan V., Drögemüller M., Klukowska-Rötzler J., Lanz S., Hamza E., Dermitzakis E.T., Marti E., Leeb T., Gerber V.. Impaired Cell Cycle Regulation in a Natural Equine Model of Asthma.. PLoS ONE 2015;10:e0136103.
- Pacholewska A., Kraft M.F., Gerber V., Jagannathan V.. Differential Expression of Serum MicroRNAs Supports CD4+ T Cell Differentiation into Th2/Th17 Cells in Severe Equine Asthma.. Genes 2017;8:383.
- Cordeau M.E., Joubert P., Dewachi O., Hamid Q., Lavoie J.P.. IL-4, IL-5 and IFN-γ mRNA expression in pulmonary lymphocytes in equine heaves.. Vet. Immunol. Immunopathol. 2004;97:87–96.
- Kleiber C., McGorum B.C., Horohov D.W., Pirie R.S., Zurbriggen A., Straub R.. Cytokine profiles of peripheral blood and airway CD4 and CD8 T lymphocytes in horses with recurrent airway obstruction.. Vet. Immunol. Immunopathol. 2005;104:91–97.
- Vientós-Plotts A.I., Ericsson A.C., McAdams Z.L., Rindt H., Reinero C.R.. Respiratory dysbiosis in cats with spontaneous allergic asthma.. Front. Vet. Sci. 2022;9:930385.
- Norris Reinero C.R., Decile K.C., Berghaus R.D., Williams K.J., Leutenegger C.M., Walby W.F., Schelegle E.S., Hyde D.M., Gershwin L.J.. An Experimental Model of Allergic Asthma in Cats Sensitized to House Dust Mite or Bermuda Grass Allergen.. Int. Arch. Allergy Immunol. 2004;135:117–131.
- Reinero C.R., DeClue A.E., Rabinowitz P.. Asthma in humans and cats: Is there a common sensitivity to aeroallegens in shared environments?. Environ. Res. 2009;109:634–640.
- Cazzola M., Page C.P., Hanania N.A., Calzetta L., Matera M.G., Rogliani P.. Asthma and Cardiovascular Diseases: Navigating Mutual Pharmacological Interferences.. Drugs 2024;84:1251–1273.
- Caplan M., Hamzaoui O.. Cardio-respiratory interactions in acute asthma.. Front Physiol. 2023;14:1232345.
- Undem B.J., Carr M.J.. The role of nerves in asthma.. Curr. Allergy Asthma Rep. 2002;2:159–165.
- Simões J., Sales Luís J., Tilley P.. Contribution of lung function tests to the staging of severe equine asthma syndrome in the field.. Res. Vet. Sci. 2019;123:112–117.
- Halliwell R., Pucheu-Haston C.M., Olivry T., Prost C., Jackson H., Banovic F., Nuttall T., Santoro D., Bizikova P., Mueller R.S.. Feline allergic diseases: Introduction and proposed nomenclature.. Vet. Dermatol. 2021;32:8-e2.
- . Bronchoscopic Findings in 48 Cats with Spontaneous Lower Respiratory Tract Disease (2002–2009). J. Vet. Intern. Med. 2011;25:236–243.
- Decloedt A., Borowicz H., Slowikowska M., Chiers K., van Loon G., Niedzwiedz A.. Right ventricular function during acute exacerbation of severe equine asthma.. Equine Vet. J. 2017;49:603–608.
- Bellocchia M., Masoero M., Ciuffreda A., Croce S., Vaudano A., Torchio R., Boita M., Bucca C.. Predictors of cardiovascular disease in asthma and chronic obstructive pulmonary disease.. Multidiscip. Respir. Med. 2013;8:58.
- Yang Z., Ge Y., Zuo R., Wang J., Wang W., Shao C., Chang C.T., Tang Y.. Type 2 Inflammation: A Potential Clinical Link Between Asthma and Cardiovascular Diseases.. Cardiovasc. Innov. Appl. 2025;10:968.
- Cross T.J., Kim C.H., Johnson B.D., Lalande S.. The interactions between respiratory and cardiovascular systems in systolic heart failure.. J. Appl. Physiol. 2020;128:214–224.
- Cepelis A., Brumpton B.M., Malmo V., Laugsand L.E., Loennechen J.P., Ellekjær H., Langhammer A., Janszky I., Strand L.B.. Associations of Asthma and Asthma Control With Atrial Fibrillation Risk: Results From the Nord-Trøndelag Health Study (HUNT). JAMA Cardiol. 2018;3:721–728.
- Kulkarni H., Akwei S., Luyt D.K., Gaillard E.A., Mulla H., Pandya H.C.. Cardiac Troponin I Levels in Children with Acute Severe Asthma Treated with IV Salbutamol.. J. Lung Dis. Treat. 2015;1:1000102.
- Jain M., Jain D., Das B.K., Prasad R., Sihag B.K.. Evaluation of cardiac biomarkers in children with acute severe bronchial Asthma-A prospective study from tertiary care center in northern India.. Indian. Heart J. 2018;70:S204–S207.
- Yalta K., Yalta T., Gurdogan M., Palabıyık O., Yetkın E.. Cardiac Biomarkers in the Setting of Asthma Exacerbations: A Review of Clinical Implications and Practical Considerations.. Curr. Allergy Asthma Rep. 2020;20:17.
- Shafuddin E., Chang C.L., Cooray M., Tuffery C.M., Hopping S.J., Sullivan G.D., Jacobson G.A., Hancox R.J.. Changes in biomarkers of cardiac dysfunction during exacerbations of chronic obstructive pulmonary disease.. Respir. Med. 2018;145:192–199.
- Voelkel N.F., Cool C.D.. Pulmonary vascular involvement in chronic obstructive pulmonary disease.. Eur. Respir. J. 2003;22((Suppl. 46)):28s–32s.
- D’Annunzio G., Gobbo F., Avallone G., Bacci B., Sabattini S., Sarli G.. Airway Remodeling in Feline Lungs.. Top. Companion Anim. Med. 2022;46:100587.
- Ishaque S., Khan N., Krishnan S.. Trends in Heart-Rate Variability Signal Analysis.. Front. Digit. Health. 2021;3:639444.
- Wehrwein E.A., Orer H.S., Barman S.M.. Overview of the Anatomy, Physiology, and Pharmacology of the Autonomic Nervous System. Comprehensive Physiology John Wiley & Sons, Ltd.; Hoboken, NJ, USA: 2016. pp. 1239–1278.
- Shaffer F., Ginsberg J.P.. An Overview of Heart Rate Variability Metrics and Norms.. Front. Public. Health. 2017;5:258.
- Shashikant R., Chetankumar P.. A Review on Impact Application of Heart Rate Variability (HRV). In: Satapathy S.C., Raju K.S., Shyamala K., Krishna D.R., Favorskaya M.N., editors. Advances in Decision Sciences, Image Processing, Security and Computer Vision. Springer International Publishing; Cham, Switzerland: 2020. pp. 1–8.
- Schiwe D., Vendrusculo F.M., Becker N.A., Donadio M.V.F.. Impact of asthma on heart rate variability in children and adolescents: Systematic review and meta-analysis.. Pediatr Pulmonol. 2023;58:1310–1321.
- Nyerges-Bohák Z, Kovács L, Povázsai Á, Hamar E, Póti P, Ladányi M. Heart rate variability in horses with and without severe equine asthma. Equine Vet. J. 2025;57:611–618.
- Ames M.K, Atkins C.E, Pitt B. The renin-angiotensin-aldosterone system and its suppression. J. Vet. Intern. Med. 2019;33:363–382.
- Gregório J.F, Rodrigues-Machado M.d.G, Santos R.A.S, Carvalho-Ribeiro I.A, Nunes O.M, Oliveira I.F.A, Nunes O.M, Oliveira I.F.A, Vasconcellos A.V.d.O, Campagnole-Santos M.J. Asthma: Role of the angiotensin-(1-7)/Mas (MAS1) pathway in pathophysiology and therapy. Br. J. Pharmacol. 2021;178:4428–4439.
- Mehta P.K, Griendling K.K. Angiotensin II cell signaling: Physiological and pathological effects in the cardiovascular system. Am. J. Physiol-Cell Physiol. 2007;292:C82–C97.
- Davis J.O, Freeman R.H. Mechanisms regulating renin release. Physiol. Rev. 1976;56:1–56.
- Dhindsa S, Garg R, Bandyopadhyay A, Dandona P. Angiotensin II and Inflammation: The Effect of ACE Inhibition and Angiotensin II Receptor Blockade. Metab. Syndr. Relat. Disord. 2003;1:255–259.
- Groeschel M, Braam B. Connecting chronic and recurrent stress to vascular dysfunction: No relaxed role for the renin-angiotensin system. Am. J. Physiol-Ren. Physiol. 2011;300:F1–F10.
- Kurtz A. Control of Renin Synthesis and Secretion. Am. J. Hypertens. 2012;25:839–847.
- Leeuw P.W.D, Bos R.D, Es P.N.V, Birkenhäger W.H. Effect of sympathetic stimulation and intrarenal alpha-blockade on the secretion of renin by the human kidney. Eur. J. Clin. Investig. 1985;15:166–170.
- El-Hashim A.Z, Renno W.M, Raghupathy R, Abduo H.T, Akhtar S, Benter I.F. Angiotensin-(1–7) inhibits allergic inflammation, via the MAS1 receptor, through suppression of ERK1/2- and NF-κB-dependent pathways. Br. J. Pharmacol. 2012;166:1964–1976.
- Magalhães G.S, Rodrigues-Machado M.G, Motta-Santos D, Silva A.R, Caliari M.V, Prata L.O, Abreu S.C, Rocco P.R.M, Barcelos L.S, Santos R.A.S. Angiotensin-(1-7) attenuates airway remodelling and hyperresponsiveness in a model of chronic allergic lung inflammation. Br. J. Pharmacol. 2015;172:2330–2342.
- Millar E.A, Angus R.M, Hulks G, Morton J.J, Connell J.M, Thomson N.C. Activity of the renin-angiotensin system in acute severe asthma and the effect of angiotensin II on lung function. Thorax 1994;49:492–495.
- D’Agostino B, Advenier C, Falciani M, Gallelli L, Marrocco G, Piegari E, Filippelli A, Rossi F. Endothelin-1 increases cholinergic nerve-mediated contraction of human bronchi via tachykinin synthesis induction. Br. J. Pharmacol. 2001;134:1447–1454.
- Li N, Cai R, Niu Y, Shen B, Xu J, Cheng Y. Inhibition of angiotensin II-induced contraction of human airway smooth muscle cells by angiotensin-(1-7) via downregulation of the RhoA/ROCK2 signaling pathway. Int. J. Mol. Med. 2012;30:811–818.
- Magalhães G.S, Rodrigues-Machado M.G, Motta-Santos D, Alenina N, Bader M, Santos R.A, Barcelos L.S, Campagnole-Santos M.J. Chronic allergic pulmonary inflammation is aggravated in angiotensin-(1-7) Mas receptor knockout mice. Am. J. Physiol. Lung Cell Mol. Physiol. 2016;311:L1141–L1148.
- Lindsay R.M, Harmar A.J. Nerve growth factor regulates expression of neuropeptide genes in adult sensory neurons. Nature 1989;337:362–364.
- Barnes P.J. Neurogenic inflammation and asthma. J. Asthma Off. J. Assoc. Care Asthma 1992;29:165–180.
- Nockher W.A, Renz H. Neurotrophins and asthma: Novel insight into neuroimmune interaction. J. Allergy Clin. Immunol. 2006;117:67–71.
- Polverino M, Polverino F, Fasolino M, Andò F, Alfieri A, De Blasio F. Anatomy and neuro-pathophysiology of the cough reflex arc. Multidiscip. Respir. Med. 2012;7:5.
- Leduc L, Leclère M, Gauthier L.G, Marcil O, Lavoie J.P. Severe asthma in horses is associated with increased airway innervation. J. Vet. Intern. Med. 2024;38:485–494.
- Matera M.G, Amorena M, Lucisano A. Innervation of Equine Airways. Pulm. Pharmacol. Ther. 2002;15:503–511.
- Mazzone S.B, Undem B.J. Vagal Afferent Innervation of the Airways in Health and Disease. Physiol. Rev. 2016;96:975–1024.
- Leclere M, Lavoie-Lamoureux A, Lavoie J.P. Heaves, an asthma-like disease of horses. Respirology 2011;16:1027–1046.
- Robinson N.E. International Workshop on Equine Chronic Airway Disease. Michigan State University 16-18 June 2000. Equine Vet. J. 2001;33:5–19.
- Barchilon M, Reinero C.R. Breathe easy: Inhalational therapy for feline inflammatory airway disease. J. Feline Med. Surg. 2023;25:1098612X231193054.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists