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Journal of equine veterinary science2022; 112; 103921; doi: 10.1016/j.jevs.2022.103921

Feasibility of Echocardiographic Estimation of Pulmonary Artery Stiffness in Horses.

Abstract: Pulmonary artery stiffness (PAS) is an index of pulmonary artery elasticity that permits to evaluate the pulmonary vascular bed in humans. It can early detect an increase in pulmonary artery stiffness as a consequence of remodeling of the vessel wall caused by chronic pulmonary and congenital heart diseases. This remodeling can occur also in horses with chronic respiratory diseases. Thus, PAS could be a useful echocardiographic parameter also in horses. However, in literature, there are no studies regarding PAS in horses. The aim of this study is to evaluate the feasibility of PAS in horses. Fifteen healthy horses were included in this prospective study. Maximal frequency shift and acceleration time were measured from the pulsed-wave Doppler trace of the pulmonary artery flow, obtained from the right parasternal short-axis view at the level of the pulmonary artery, and then PAS was calculated as the ratio of Maximal frequency shift to acceleration time. The low variability assessed for intra- and inter-observer variability, day-to-day variability and image acquisition variability suggests that PAS can be measured consistently in horses. Further studies could be useful to assess the clinical usefulness of PAS in unhealthy horses, such as those affected by chronic respiratory diseases.
Publication Date: 2022-03-08 PubMed ID: 35271941DOI: 10.1016/j.jevs.2022.103921Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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This research study focuses on the potential application of a method, previously used in humans, to evaluate the stiffness of the pulmonary artery in horses. The study then proceeds to determine the feasibility of this method by testing it on 15 healthy horses, and the results suggest the method may be consistently applicable on horses.

Background

  • The research revolves around Pulmonary Artery Stiffness (PAS), an index generally used in humans to evaluate the elasticity of the pulmonary artery which could aid in early detection of certain heart and pulmonary conditions.
  • PAS is particularly useful in tracking changes in the vessel wall caused by chronic pulmonary and congenital heart diseases, changes which also occur in horses suffering from chronic respiratory diseases.
  • Despite the apparent usefulness of PAS, there has been little research regarding the application on horses.

Objective of the Study

  • The study aims to evaluate the feasibility of using PAS as a useful echocardiographic parameter in horses, a topic not widely addressed in literature.

Methodology

  • In this prospective study, a select sample of 15 healthy horses were administered tests to calculate their PAS levels.
  • Two key components, maximal frequency shift and acceleration time, were measured from the pulmonary artery flow. This was done using a pulsed-wave Doppler trace, obtained from the right parasternal short-axis view at the level of the pulmonary artery.
  • PAS was then calculated as the ratio of maximal frequency shift to acceleration time.

Findings and Conclusion

  • The study concluded that the variability of PAS in horses, including intra- and inter-observer variability, day-to-day variability, and image acquisition variability, was relatively low.
  • This implies that PAS can be consistently measured in horses, suggesting the method investigated in the study is feasible.
  • The authors of the study suggest that further research could be useful to assess the clinical usefulness of PAS in unhealthy horses, particularly those affected by chronic respiratory diseases.

Cite This Article

APA
Alberti E, Stucchi L, Lo Feudo CM, Ferrucci F, Zucca E. (2022). Feasibility of Echocardiographic Estimation of Pulmonary Artery Stiffness in Horses. J Equine Vet Sci, 112, 103921. https://doi.org/10.1016/j.jevs.2022.103921

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 112
Pages: 103921

Researcher Affiliations

Alberti, Elena
  • Department of Veterinary Medicine and Animal Sciences, Università degli Studi di Milano, Lodi, Italy.
Stucchi, Luca
  • Veterinary Hospital, Università degli Studi di Milano, Lodi, Italy.
Lo Feudo, Chiara Maria
  • Department of Veterinary Medicine and Animal Sciences, Università degli Studi di Milano, Lodi, Italy.
Ferrucci, Francesco
  • Department of Veterinary Medicine and Animal Sciences, Università degli Studi di Milano, Lodi, Italy.
Zucca, Enrica
  • Department of Veterinary Medicine and Animal Sciences, Università degli Studi di Milano, Lodi, Italy. Electronic address: enrica.zucca@unimi.it.

MeSH Terms

  • Animals
  • Echocardiography / veterinary
  • Feasibility Studies
  • Heart Defects, Congenital / veterinary
  • Horse Diseases / diagnostic imaging
  • Horses
  • Prospective Studies
  • Pulmonary Artery / diagnostic imaging