Analyze Diet
Journal of veterinary internal medicine2021; 35(5); 2500-2510; doi: 10.1111/jvim.16260

Exercise-induced airflow changes in horses with asthma measured by electrical impedance tomography.

Abstract: Equine asthma (EA) causes airflow impairment, which increases in severity with exercise. Electrical impedance tomography (EIT) is an imaging technique that can detect airflow changes in standing healthy horses during a histamine provocation test. Objective: To explore EIT-calculated flow variables before and after exercise in healthy horses and horses with mild-to-moderate (MEA) and severe equine asthma (SEA). Methods: Nine healthy horses 9 horses diagnosed with MEA and 5 with SEA were prospectively included. Methods: Recordings were performed before and after 15 minutes of lunging. Absolute values from global and regional peak inspiratory (PIF, positive value) and expiratory (PEF, negative value) flows were calculated. Data were analyzed using a mixed model analysis followed by Bonferroni's multiple comparisons test to evaluate the impact of exercise and diagnosis on flow indices. Results: Control horses after exercise had significantly lower global PEF and PIF compared to horses with SEA (mean difference [95% confidence interval, CI]: 0.0859 arbitrary units [AU; 0.0339-0.1379], P < .001 and 0.0726 AU [0.0264-0.1188], P = .001, respectively) and horses with MEA (0.0561 AU [0.0129-0.0994], P = .007 and 0.0587 AU [0.0202-0.0973], P = .002, respectively). No other significant differences were detected. Conclusions: Electrical impedance tomography derived PIF and PEF differed significantly between healthy horses and horses with SEA or MEA after exercise, but not before exercise. Differences between MEA and SEA were not observed, but the study population was small.
Publication Date: 2021-09-10 PubMed ID: 34505734PubMed Central: PMC8478024DOI: 10.1111/jvim.16260Google 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

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.

The research paper investigates how exercising affects the airflow in horses with different degrees of Equine Asthma (EA), using electrical impedance tomography (EIT). The findings reveal different patterns in peak inspiratory and expiratory flows after exercising in healthy horses and horses with EA.

Research Objectives and Methods

  • The primary goal of the study was to use Electrical Impedance Tomography (EIT) to calculate flow variables in horses before and after exercise, specifically targeting healthy horses and those with mild-to-moderate equine asthma (MEA) and severe equine asthma (SEA).
  • Equine asthma (EA) is a condition known to impair airflow in horses, with severity increasing upon exertion. EIT allows detection of these changes in airflow.
  • The study included 9 healthy horses, 9 with MEA and 5 with SEA, and took recordings before and after 15 minutes of lunging.
  • By calculating absolute values from global and regional peak inspiratory (positive value – PIF) and expiratory (negative value – PEF) flows, they could analyze the data using a mixed model analysis and Bonferroni’s multiple comparison test to evaluate how exercise and diagnosis impacted these flow indices.

Findings

  • The results showed that global PEF and PIF were significantly lower in healthy horses after exercise compared to those with SEA or MEA.
  • There were no other significant differences detected between the various categories of horses. Before exercise, there were no notable differences in PIF and PEF when comparing healthy horses with those suffering from SEA or MEA.
  • Variables between horses suffering from MEA and SEA did not register significant differences, though the sample size was small and therefore caution is advised in the extrapolation of these results.

Conclusion

  • The research successfully demonstrates the application of electrical impedance tomography to discern the measurable differences in inspiratory (PIF) and expiratory (PEF) flows amongst healthy horses and horses diagnosed with asthma, specifically in an exercised state.
  • This provides potential for further study in utilizing this imaging technique to understand and manage respiratory issues in equines.

Cite This Article

APA
Herteman N, Mosing M, Waldmann AD, Gerber V, Schoster A. (2021). Exercise-induced airflow changes in horses with asthma measured by electrical impedance tomography. J Vet Intern Med, 35(5), 2500-2510. https://doi.org/10.1111/jvim.16260

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 35
Issue: 5
Pages: 2500-2510

Researcher Affiliations

Herteman, Nicolas
  • Clinic for Equine Internal Medicine, Equine Hospital, Vetsuisse Faculty, University of Zurich, Switzerland.
Mosing, Martina
  • School of Veterinary Medicine, College of Science, Health, Engineering and Education, Murdoch University, Perth, Australia.
Waldmann, Andreas D
  • Department of Anesthesiology and Intensive Care Medicine, Rostock University Medical Center, Rostock, Germany.
Gerber, Vinzenz
  • Equine Clinic, Swiss Institute of Equine Medicine, University of Bern and Agroscope, Berne, Switzerland.
Schoster, Angelika
  • Clinic for Equine Internal Medicine, Equine Hospital, Vetsuisse Faculty, University of Zurich, Switzerland.

MeSH Terms

  • Animals
  • Asthma / veterinary
  • Electric Impedance
  • Horse Diseases / diagnostic imaging
  • Horses
  • Lung
  • Respiration
  • Tomography, X-Ray Computed

Grant Funding

  • Stiftung Symphasis
  • Fond Karin Grote

Conflict of Interest Statement

Authors declare no conflict of interest.

References

This article includes 41 references
  1. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement.. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
    pmc: PMC4913592pubmed: 26806374doi: 10.1111/jvim.13824google scholar: lookup
  2. Bond S, Léguillette R, Richard EA, Couetil L, Lavoie JP, Martin JG, Pirie RS. Equine asthma: Integrative biologic relevance of a recently proposed nomenclature.. J Vet Intern Med 2018 Nov;32(6):2088-2098.
    pmc: PMC6271326pubmed: 30294851doi: 10.1111/jvim.15302google scholar: lookup
  3. Lavoie J‐P. Is the time primed for equine asthma?. Equine Vet Educ 2015;27:225‐226.
  4. Wilsher S, Allen WR, Wood JL. Factors associated with failure of thoroughbred horses to train and race.. Equine Vet J 2006 Mar;38(2):113-8.
    pubmed: 16536379doi: 10.2746/042516406776563305google scholar: lookup
  5. Rettmer H, Hoffman AM, Lanz S, Oertly M, Gerber V. Owner-reported coughing and nasal discharge are associated with clinical findings, arterial oxygen tension, mucus score and bronchoprovocation in horses with recurrent airway obstruction in a field setting.. Equine Vet J 2015 May;47(3):291-5.
    pubmed: 24761754doi: 10.1111/evj.12286google scholar: lookup
  6. Koblinger K, Nicol J, McDonald K, Wasko A, Logie N, Weiss M, Léguillette R. Endoscopic assessment of airway inflammation in horses.. J Vet Intern Med 2011 Sep-Oct;25(5):1118-26.
  7. Cardwell JM, Wood JL, Smith KC, Newton JR. Descriptive results from a longitudinal study of airway inflammation in British National Hunt racehorses.. Equine Vet J 2011 Nov;43(6):750-5.
  8. Richard EA, Fortier GD, Pitel PH, Dupuis MC, Valette JP, Art T, Denoix JM, Lekeux PM, Erck EV. Sub-clinical diseases affecting performance in Standardbred trotters: diagnostic methods and predictive parameters.. Vet J 2010 Jun;184(3):282-9.
    pubmed: 19477143doi: 10.1016/j.tvjl.2009.04.016google scholar: lookup
  9. Bedenice D, Mazan MR, Hoffman AM. Association between cough and cytology of bronchoalveolar lavage fluid and pulmonary function in horses diagnosed with inflammatory airway disease.. J Vet Intern Med 2008 Jul-Aug;22(4):1022-8.
  10. Sánchez A, Couëtil LL, Ward MP, Clark SP. Effect of airway disease on blood gas exchange in racehorses.. J Vet Intern Med 2005 Jan-Feb;19(1):87-92.
  11. Couëtil LL, Denicola DB. Blood gas, plasma lactate and bronchoalveolar lavage cytology analyses in racehorses with respiratory disease.. Equine Vet J Suppl 1999 Jul;(30):77-82.
  12. Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP, Martin J, Moran G, Niedźwiedź A, Pusterla N, Swiderski C. Equine Asthma: Current Understanding and Future Directions.. Front Vet Sci 2020;7:450.
    pmc: PMC7438831pubmed: 32903600doi: 10.3389/fvets.2020.00450google scholar: lookup
  13. Frerichs I, Amato MB, van Kaam AH, Tingay DG, Zhao Z, Grychtol B, Bodenstein M, Gagnon H, Böhm SH, Teschner E, Stenqvist O, Mauri T, Torsani V, Camporota L, Schibler A, Wolf GK, Gommers D, Leonhardt S, Adler A. Chest electrical impedance tomography examination, data analysis, terminology, clinical use and recommendations: consensus statement of the TRanslational EIT developmeNt stuDy group.. Thorax 2017 Jan;72(1):83-93.
  14. Lobo B, Hermosa C, Abella A, Gordo F. Electrical impedance tomography.. Ann Transl Med 2018 Jan;6(2):26.
    pmc: PMC5799136pubmed: 29430443doi: 10.21037/atm.2017.12.06google scholar: lookup
  15. Secombe C, Waldmann AD, Hosgood G, Mosing M. Evaluation of histamine-provoked changes in airflow using electrical impedance tomography in horses.. Equine Vet J 2020 Jul;52(4):556-563.
    pubmed: 31793056doi: 10.1111/evj.13216google scholar: lookup
  16. Mosing M, Waldmann AD, MacFarlane P, Iff S, Auer U, Bohm SH, Bettschart-Wolfensberger R, Bardell D. Horses Auto-Recruit Their Lungs by Inspiratory Breath Holding Following Recovery from General Anaesthesia.. PLoS One 2016;11(6):e0158080.
  17. Mosing M, Marly-Voquer C, MacFarlane P, Bardell D, Böhm SH, Bettschart-Wolfensberger R, Waldmann AD. Regional distribution of ventilation in horses in dorsal recumbency during spontaneous and mechanical ventilation assessed by electrical impedance tomography: a case series.. Vet Anaesth Analg 2017 Jan;44(1):127-132.
    pubmed: 27483208doi: 10.1111/vaa.12405google scholar: lookup
  18. Mosing M, Waldmann AD, Raisis A, Böhm SH, Drynan E, Wilson K. Monitoring of tidal ventilation by electrical impedance tomography in anaesthetised horses.. Equine Vet J 2019 Mar;51(2):222-226.
    pubmed: 30035329doi: 10.1111/evj.12998google scholar: lookup
  19. Ambrisko TD, Schramel JP, Adler A, Kutasi O, Makra Z, Moens YP. Assessment of distribution of ventilation by electrical impedance tomography in standing horses.. Physiol Meas 2016 Feb;37(2):175-86.
    pubmed: 26711858doi: 10.1088/0967-3334/37/2/175google scholar: lookup
  20. Ramseyer A, Gaillard C, Burger D, Straub R, Jost U, Boog C, Marti E, Gerber V. Effects of genetic and environmental factors on chronic lower airway disease in horses.. J Vet Intern Med 2007 Jan-Feb;21(1):149-56.
  21. Laumen E, Doherr MG, Gerber V. Relationship of horse owner assessed respiratory signs index to characteristics of recurrent airway obstruction in two Warmblood families.. Equine Vet J 2010 Mar;42(2):142-8.
    pubmed: 20156250doi: 10.2746/042516409x479586google scholar: lookup
  22. Gerber V, Straub R, Marti E, Hauptman J, Herholz C, King M, Imhof A, Tahon L, Robinson NE. Endoscopic scoring of mucus quantity and quality: observer and horse variance and relationship to inflammation, mucus viscoelasticity and volume.. Equine Vet J 2004 Nov;36(7):576-82.
    pubmed: 15581321doi: 10.2746/0425164044864525google scholar: lookup
  23. Adler A, Arnold JH, Bayford R, Borsic A, Brown B, Dixon P, Faes TJ, Frerichs I, Gagnon H, Gärber Y, Grychtol B, Hahn G, Lionheart WR, Malik A, Patterson RP, Stocks J, Tizzard A, Weiler N, Wolf GK. GREIT: a unified approach to 2D linear EIT reconstruction of lung images.. Physiol Meas 2009 Jun;30(6):S35-55.
    pubmed: 19491438doi: 10.1088/0967-3334/30/6/s03google scholar: lookup
  24. Sood A. Performing a lung disability evaluation: how, when, and why?. J Occup Environ Med 2014 Oct;56 Suppl 10(0 10):S23-9.
  25. Burnheim K, Hughes KJ, Evans DL, Raidal SL. Reliability of breath by breath spirometry and relative flow-time indices for pulmonary function testing in horses.. BMC Vet Res 2016 Nov 28;12(1):268.
    pmc: PMC5126818pubmed: 27894292doi: 10.1186/s12917-016-0893-3google scholar: lookup
  26. Hoffman A. Clinical application of pulmonary function testing in horses. In: Lekeux P, ed. Equine Respiratory Diseases. Ithaca, NY: International Veterinary Information Service; 2002:1‐29.
  27. Vandenput S, Votion D, Duvivier DH, Van Erck E, Anciaux N, Art T, Lekeux P. Effect of a set stabled environmental control on pulmonary function and airway reactivity of COPD affected horses.. Vet J 1998 Mar;155(2):189-95.
    pubmed: 9564273doi: 10.1016/s1090-0233(98)80018-xgoogle scholar: lookup
  28. Secombe C, Adler A, Hosgood G, Raisis A, Mosing M. Can bronchoconstriction and bronchodilatation in horses be detected using electrical impedance tomography?. J Vet Intern Med 2021 Jul;35(4):2035-2044.
    pmc: PMC8295671pubmed: 33977584doi: 10.1111/jvim.16152google scholar: lookup
  29. King GG, Farrow CE, Chapman DG. Dismantling the pathophysiology of asthma using imaging.. Eur Respir Rev 2019 Jun 30;28(152).
    doi: 10.1183/16000617.0111-2018pubmed: 30996039google scholar: lookup
  30. Choi S, Hoffman EA, Wenzel SE, Castro M, Lin CL. Improved CT-based estimate of pulmonary gas trapping accounting for scanner and lung-volume variations in a multicenter asthmatic study.. J Appl Physiol (1985) 2014 Sep 15;117(6):593-603.
  31. Robinson N, Furlow PW. Anatomy of the respiratory system. In: Mc Gorum B, ed. Equine Respiratory Medicine and Surgery. Edinburgh; Toronto: Saunders Elsevier; 2007:3‐17.
  32. Gy C, Leclere M, Vargas A, Grimes C, Lavoie JP. Investigation of blood biomarkers for the diagnosis of mild to moderate asthma in horses.. J Vet Intern Med 2019 Jul;33(4):1789-1795.
    pmc: PMC6639487pubmed: 31099114doi: 10.1111/jvim.15505google scholar: lookup
  33. Bullone M, de Lagarde M, Vargas A, Lavoie JP. Serum Surfactant Protein D and Haptoglobin as Potential Biomarkers for Inflammatory Airway Disease in Horses.. J Vet Intern Med 2015 Nov-Dec;29(6):1707-11.
    pmc: PMC4895656pubmed: 26289543doi: 10.1111/jvim.13602google scholar: lookup
  34. Richard EA, Pitel PH, Christmann U, Lekeux P, Fortier G, Pronost S. Serum concentration of surfactant protein D in horses with lower airway inflammation.. Equine Vet J 2012 May;44(3):277-81.
  35. Ivester K, Moore G. Role of particulate exposure and airway inflammation in racing performance. In: World Equine Airway Symposium, Copenhagen, Denmark; 2017.
  36. Tepper RS, Wise RS, Covar R, Irvin CG, Kercsmar CM, Kraft M, Liu MC, O'Connor GT, Peters SP, Sorkness R, Togias A. Asthma outcomes: pulmonary physiology.. J Allergy Clin Immunol 2012 Mar;129(3 Suppl):S65-87.
    pmc: PMC4263032pubmed: 22386510doi: 10.1016/j.jaci.2011.12.986google scholar: lookup
  37. Richard EA, Fortier GD, Denoix JM, Art T, Lekeux PM, Van Erck E. Influence of subclinical inflammatory airway disease on equine respiratory function evaluated by impulse oscillometry.. Equine Vet J 2009 Apr;41(4):384-9.
    pubmed: 19562901doi: 10.2746/042516409x366121google scholar: lookup
  38. Mazan MR, Hoffman AM. Clinical techniques for diagnosis of inflammatory airway disease in the horse. Clin Tech Equine Pract 2003;2:238‐257.
  39. Nolen-Walston RD, Kuehn H, Boston RC, Mazan MR, Wilkins PA, Bruns S, Hoffman AM. Reproducibility of airway responsiveness in horses using flowmetric plethysmography and histamine bronchoprovocation.. J Vet Intern Med 2009 May-Jun;23(3):631-5.
  40. Couëtil LL, Rosenthal FS, DeNicola DB, Chilcoat CD. Clinical signs, evaluation of bronchoalveolar lavage fluid, and assessment of pulmonary function in horses with inflammatory respiratory disease.. Am J Vet Res 2001 Apr;62(4):538-46.
    pubmed: 11327461doi: 10.2460/ajvr.2001.62.538google scholar: lookup
  41. Grychtol B, Schramel JP, Braun F, Riedel T, Auer U, Mosing M, Braun C, Waldmann AD, Böhm SH, Adler A. Thoracic EIT in 3D: experiences and recommendations.. Physiol Meas 2019 Aug 2;40(7):074006.
    pubmed: 31189141doi: 10.1088/1361-6579/ab291dgoogle scholar: lookup

Citations

This article has been cited 2 times.
  1. Brabant OA, Byrne DP, Sacks M, Moreno Martinez F, Raisis AL, Araos JB, Waldmann AD, Schramel JP, Ambrosio A, Hosgood G, Braun C, Auer U, Bleul U, Herteman N, Secombe CJ, Schoster A, Soares J, Beazley S, Meira C, Adler A, Mosing M. Thoracic Electrical Impedance Tomography-The 2022 Veterinary Consensus Statement.. Front Vet Sci 2022;9:946911.
    doi: 10.3389/fvets.2022.946911pubmed: 35937293google scholar: lookup
  2. Kozłowska N, Wierzbicka M, Jasiński T, Domino M. Advances in the Diagnosis of Equine Respiratory Diseases: A Review of Novel Imaging and Functional Techniques.. Animals (Basel) 2022 Feb 4;12(3).
    doi: 10.3390/ani12030381pubmed: 35158704google scholar: lookup