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Growth properties of recombinant equine influenza viruses with different backbones generated by reverse genetics in embryonated chicken eggs.
Archives of virology    July 12, 2025   Volume 170, Issue 8 181 doi: 10.1007/s00705-025-06368-5
Nemoto M, Kawanishi N, Kambayashi Y, Bannai H, Yamanaka T, Garvey M, Cullinane A, Yamayoshi S, Kawaoka Y, Tsujimura K.Reverse genetics (RG) technology is useful for quickly updating influenza vaccine strains. A high-yield backbone (i.e., six segments other than hemagglutinin and neuraminidase) derived from A/Puerto Rico/8/1934 (PR8) has been developed to improve the growth of avian and human influenza viruses. However, for equine influenza virus (EIV), an EIV-derived backbone may have better growth properties due to more-natural segment combinations. We compared the growth properties in eggs between the PR8 backbone and an EIV backbone from A/equine/Ibaraki/1/2007, a vaccine strain in Japan. The results showe...
Reference Intervals for Biochemical Analytes in Clinically Healthy Adult Lusitano Horses.
Veterinary sciences    July 11, 2025   Volume 12, Issue 7 656 doi: 10.3390/vetsci12070656
Pires MJ, Cotovio M, Queiroga F, Pires CA, Silvestre-Ferreira AC.To date, serum biochemical analytes reference intervals (RIs) in Lusitano horses have not been studied. This study aimed to establish the RIs for biochemical analytes following the American Society of Veterinary Clinical Pathology guidelines and to compare them with the general equine population's RIs. Blood samples were collected from 76 clinically healthy adult Lusitano horses, and RIs of 22 biochemical variables were determined using Reference Value Advisor software. Lusitano horse-specific RIs are proposed for the following variables: total protein (3.9-7.0 g/dL), albumin (2.5-3.8 g/dL), g...
True Prevalence and Seroprevalence of Piroplasmosis in Horses in Southwestern Europe.
Animals : an open access journal from MDPI    July 11, 2025   Volume 15, Issue 14 2047 doi: 10.3390/ani15142047
Duaso J, Perez-Ecija A, Navarro A, Martínez E, De Las Heras A, Mendoza FJ.Equine piroplasmosis (EP) is an endemic parasitic disease in southern European countries, such as Spain. Andalusia, the most southwestern region of Europe, is the community with the highest number of registered horses and farms in Spain and one of the main international exporters of Andalusian (Spanish Purebred) horses worldwide. Considering the current expansion of this disease and the possible effect of climate change on its prevalence, studying the EP prevalence in this region is compelling. Molecular (PCR) and serological methods (cELISA and IFAT) were used to study the true and apparent p...
Owner-Observed Behavioral Characteristics in Off-the-Track Thoroughbreds (OTTTBs) in Equestrian Second Careers.
Animals : an open access journal from MDPI    July 11, 2025   Volume 15, Issue 14 2046 doi: 10.3390/ani15142046
Knox AL, Fenner K, Zsoldos RR, Wilson B, McGreevy P.The off-the-track Thoroughbred's (OTTTB's) suitability for equestrian retraining and rehoming should always be subject to behavioral considerations. Certain attributes may be advantageous to a horse's racing performance but unfavorable to their prospects off the track. It is important to gain a non-biased understanding of how Thoroughbreds (TBs) in equestrian disciplines compare with other horses behaviorally, to minimize risks of poor welfare and safety outcomes. The current study used owner-reported information ( = 1633) from the Equine Behavior Assessment and Research Questionnaire (E-BARQ)...
The Level of Thiol-Oxidised Plasma Albumin Is Elevated Following a Race in Australian Thoroughbred Horses.
Veterinary medicine and science    July 11, 2025   Volume 11, Issue 4 e70487 doi: 10.1002/vms3.70487
James C, Lloyd EM, Arthur PG.The extent to which muscle strain or tears are affecting race performance in horses is unknown because it is difficult to objectively identify muscle damage. One approach includes the use of physiological markers in blood. Recently, we linked the level of plasma thiol-oxidised albumin, an oxidative stress biomarker, to muscle damage in humans. Objective: This aim of this work was to investigate whether the level of plasma thiol-oxidised albumin was elevated in the days following a thoroughbred horse race. Methods: 'In vivo' experiments. Methods: Blood collection was performed by each trainer a...
Crusting pastern dermatitis in a 15-year-old warmblood gelding.
Journal of the American Veterinary Medical Association    July 11, 2025   1-3 doi: 10.2460/javma.25.05.0315
McKeever JM, Linn-Peirano SC.No abstract available
Fasciolosis in Algerian livestock: Epidemiological trends and economic consequences.
Journal of helminthology    July 11, 2025   Volume 99 e77 doi: 10.1017/S0022149X25100503
Fennouh C, Mokrani D, Dahmani H, Salhi O, Ouchetati I, Nabi M, Aouina K, Chettih I, Ouchene N, Khelifi Touhami NA.Fasciolosis, a parasitic disease of ruminants, poses significant economic and animal-health challenges in Algeria. This study aimed to assess spatial, temporal, and species-specific patterns of fasciolosis prevalence across diverse agro-climatic zones and to estimate associated economic losses. Between 2013 and 2023, eight wilayas El-Tarf, Skikda, Jijel (Region I), Blida, Mila (Region II), and M'Sila, Medea, Laghouat (Region III) were surveyed. Systematic postmortem inspections of 1,569,392 animals (349,176 cattle; 982,669 sheep; 235,639 goats; 1,882 camels; 26 horses) were performed by qualif...
The first mitogenome of Petrovinema skrjabini from Equus ferus przewalskii: a phylogenetic analysis within the Strongylidae family.
Parasites & vectors    July 11, 2025   Volume 18, Issue 1 278 doi: 10.1186/s13071-025-06851-7
Jia H, Tang L, Fu Y, Xiong Y, Yan L, Shao C, Li K, Zhang D, Hu D.Petrovinema skrjabini (Nematoda: Strongylidae, Cyathostominae) is a parasitic nematode colonizing the cecum and colon of equids. Like other cyathostomins, its larvae (L3) invade the intestinal mucosa, forming encysted nodules that may remain dormant for years. Mass larval emergence triggers larval cyathostominosis-a severe syndrome characterized by hemorrhagic typhlocolitis and diarrhea, with mortality rates exceeding 50%. However, owing to the morphological indistinguishability of cyathostomin and frequent mixed infections in natural settings, species-specific contributions to pathogenesis re...
West Nile Virus Antibody Prevalence in Horses During the 2023 Outbreak in Tunisia, North Africa.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    July 11, 2025   doi: 10.1177/15303667251359822
Dachraoui K, Ben Osman R, Ben Slama S, Sayadi A, Maachach Y, Trifi M, Labidi I, Lachheb J, Badr C, Larbi I, Zhioua E.A total of 20 horses belonging to the Pasteur Institute of Tunis used for the production of therapeutic serum antiscorpion venom were tested for the presence of antibodies anti-West Nile virus (WNV) during the 2023 outbreak of West Nile disease that affected humans and horses in Tunisia. Of the 20 samples tested in November 2023 by enzyme-linked immuno-sorbent assay (ELISA), five were positive, leading to a seroprevalence of 25%. Since the number of horses is not substantial, all samples were tested also by virus microneutralization test (MNT) using the Tunisian strain of WNV lineage 1 isolate...
An epidemiological survey of equine piroplasmosis in donkeys and horses in Malawi.
Veterinary parasitology, regional studies and reports    July 11, 2025   Volume 63 101315 doi: 10.1016/j.vprsr.2025.101315
Chatanga E, Ahedor B, Atabek B, Kainga H, Kapalamula T, Razemba T, Nakao R, Nonaka N, Sivakumar T, Yokoyama N.Equine piroplasmosis (EP) is a tick-borne disease caused by Theileria equi, Theileria haneyi, and Babesia caballi in equids, such as horses, donkeys, mules, and zebras. A comprehensive understanding of the epidemiology of T. equi and B. caballi is vital for EP management. The present study surveyed T. equi and B. caballi infections in donkeys and horses in Malawi. Blood samples were collected from 185 equines, including 178 donkeys in Lilongwe (n = 136) and Dedza (n = 42) districts, and seven horses in Lilongwe district. The blood samples were used to measure hematocrit values and prepare ...
Influence of Pregnancy on Whole-Transcriptome Sequencing in the Mammary Gland of Kazakh Mares.
Animals : an open access journal from MDPI    July 11, 2025   Volume 15, Issue 14 2056 doi: 10.3390/ani15142056
Zhang Z, Lu Z, Yao X, Li L, Meng J, Wang J, Zeng Y, Ren W.Kazakh mares have drawn significant attention for their outstanding lactation traits. Lactation, a complex physiological activity, is modulated by multiple factors. This study utilized high-throughput sequencing to conduct whole-transcriptome sequencing analysis on the mammary gland tissue of eight Kazakh mares, of which four were pregnant and four were non-pregnant, to systematically reveal the molecular regulatory mechanisms. The results showed differential expression in 2136 mRNAs, 180 lncRNAs, 104 miRNAs, and 1162 circRNAs. Gene ontology functional annotation indicates that these different...
Gray-Horse Melanoma-A Wolf in Sheep’s Clothing.
International journal of molecular sciences    July 10, 2025   Volume 26, Issue 14 6620 doi: 10.3390/ijms26146620
Brodesser DM, Schlangen K, Rodríguez-Rojas A, Kuropka B, Doulidis PG, Brandt S, Pratscher B.Malignant melanoma (MM) affects not only humans but also animals, with gray horses being particularly predisposed to acquiring the disease. Multiomics have greatly advanced the understanding of human MM. In contrasty little is known regarding the pathogenesis of gray-horse melanoma and the unique phenomenon of melanoma "dormancy" in some animals. To help close this gap in knowledge, melanoma tissue and intact skin collected from gray horses were subjected to transcriptome analysis using RNAseq. In the next step, cultured primary tumor cells and normal skin fibroblasts were established from gra...
Exploring the roles of snoRNA-induced ribosome heterogeneity in equine osteoarthritis.
Frontiers in veterinary science    July 10, 2025   Volume 12 1562508 doi: 10.3389/fvets.2025.1562508
Chabronova A, Walters M, Regårdh S, Jacobsen S, Bundgaard L, Anderson JR, Peffers MJ.Osteoarthritis (OA) is a degenerative joint disease that greatly contributes to equine morbidity and poor welfare. Changes in cellular protein expression programs fuel the development and progression of OA. Small nucleolar RNAs (snoRNAs) are emerging as important regulators of OA (patho)biology. SnoRNAs are short non-coding RNAs that guide post-transcriptional modifications (PTMs) of ribosomal RNA (rRNA) nucleotides, which impact ribosome function and thus cellular protein expression programs. There is only very limited data on snoRNAs in equine OA. Unassigned: In this study, we induced OA in ...
Influence of pituitary pars intermedia dysfunction on reproductive performance in Thoroughbred mares.
Journal of equine veterinary science    July 9, 2025   Volume 152 105651 doi: 10.1016/j.jevs.2025.105651
Murase H, Wachi S, Matsuyama R, Makita K, Sato F.Pituitary pars intermedia dysfunction (PPID) is an age-related disease considered to have a negative impact on fertility. To understand the true impact of PPID on fertility, the influence of age must be considered. Objective: This study aimed to assess the impact of PPID on fertility while accounting for the effect of aging. Methods: A total of 332 Thoroughbred mares aged 10-20 years and managed across 137 private farms in Hidaka, Hokkaido, Japan were classified as PPID, equivocal, or non-PPID based on plasma adrenocorticotropic hormone concentration in 2019 and 2020. The prevalence of PPID an...
Arteritis, aneurysm and thromboembolic colic caused by migration of Strongylus vulgaris larvae in equids.
Journal of equine veterinary science    July 9, 2025   Volume 152 105650 doi: 10.1016/j.jevs.2025.105650
Souto EPF, Dantas VW, Oliveira AM, Garcia DS, Vilela VLR, Neto EGM, Mota RA, Dantas AFM.Strongylus vulgaris remains a significant cause of disease in equids, especially in regions with insufficient deworming practices. Objective: To describe the epidemiological, clinical, pathological, and parasitological findings of vascular and extravascular lesions associated with S. vulgaris in equids. Methods: A retrospective analysis was conducted on necropsy reports from equids examined at the Animal Pathology Laboratory, Federal University of Campina Grande (2000-2024), targeting cases of vascular lesions associated with S. vulgaris. Epidemiological, clinical, and pathological findings we...
Outcome of arthroscopic debridement for the treatment of incomplete third carpal bone slab fractures in racehorses.
Veterinary surgery : VS    July 9, 2025   doi: 10.1111/vsu.14313
Garcia-Collao MR, Curtiss AL, Hogan PM.To describe the outcomes of arthroscopic debridement of third carpal bone (C3) incomplete slab fractures (ISF) in racehorses. Methods: Retrospective case study. Methods: Horses undergoing arthroscopic debridement of ISF of C3. Methods: The medical records of horses surgically treated for ISF of C3 were reviewed. Age, sex, breed, limb, fracture configuration, preoperative radiographs, arthroscopic findings, postoperative intraarticular therapies, and exercise recommendations were recorded. Racing performance was obtained from online databases. Univariable analyses were used to determine associa...
Evaluating the extent to which ataxia and responsiveness to stimuli reflect the efficacy of xylazine sedation using pharmacokinetics.
Journal of equine veterinary science    July 9, 2025   Volume 152 105652 doi: 10.1016/j.jevs.2025.105652
Bacon EK, Finno CJ, Donnelly CG, Haase B, Knych HK, Velie BD.Clinical assessments of equine sedation typically rely on subjective observations, the accuracy of which is paramount to the safety of equine veterinary procedures. Methods: To assess the degree in which subjective clinical sedative evaluations reflect pharmacokinetic measurements of equine drug metabolism, xylazine hydrochloride, an alpha-2 adrenoreceptor agonist, was administered to 36 horses of varying breed and age at a dosage of 0.5 mg/kg body weight. Subjective clinical parameters were scored at 5-, 15-, 30-, 45- and 60-minutes post xylazine administration and included responsiveness to ...
Antimicrobial Resistance Patterns of Staphylococcus aureus Cultured from the Healthy Horses’ Nostrils Sampled in Distant Regions of Brazil.
Antibiotics (Basel, Switzerland)    July 9, 2025   Volume 14, Issue 7 693 doi: 10.3390/antibiotics14070693
Saraiva MMS, Rodrigues HLS, Benevides VP, de Leon CMCG, Santos SCL, Stipp DT, Givisiez PEN, Vieira RFC, Oliveira CJB. () is a major cause of opportunistic infections in humans and animals, leading to severe systemic diseases. The rise of MDR strains associated with animal carriage poses significant health challenges, underscoring the need to investigate animal-derived . Objective: This study examined the genotypic relatedness and phenotypic profiles of antimicrobial resistance in . , previously sampled from nostril swabs of healthy horses from two geographically distant Brazilian states (Northeast and South), separated by over 3700 km. The study also sought to confirm the presence of methicillin-resistant (M...
An iterative approach to identify key predictive features of fear reactivity and fearfulness in horses (Equus caballus).
Scientific reports    July 9, 2025   Volume 15, Issue 1 24590 doi: 10.1038/s41598-025-10725-4
Gobbo E, Topal O, Novalija I, Mladenić D, Zupan Šemrov M.This study extends previous findings by applying artificial intelligence (AI) methods to a larger dataset to identify key features that predict fear reactivity (i.e., immediate reaction to fear inducing stimuli) and fearfulness (i.e., a stable personality trait) in 101 Lipizzan horses. The analysis included 221 morphological, kinematic, behavioral and management measurements per horse. Previous findings were confirmed, as body and head size were identified as promising predictors of aspects of fear-related trait. Using an iterative AI approach, six key features for fear reactivity and nine for...
Mixed infection of Leishmania (Leishmania) infantum and Leishmania (Viannia) braziliensis in a mare (Equus ferus caballus) from Minas Gerais State, Southeastern Brazil.
Journal of equine veterinary science    July 9, 2025   Volume 152 105649 doi: 10.1016/j.jevs.2025.105649
Martins ALM, Estevam LGTM, Freire MA, Lima ACVMDR, de Oliveira FCB, Dutra-Rêgo F, Carvalho GML, Ribeiro VM, Paz GF.Equine leishmaniasis is a widespread disease in Brazil, mainly caused by Leishmania (Viannia) braziliensis, with occasional cases involving Leishmania (Leishmania) infantum. This study reports a mixed infection in a 6-year-old mare from rural Itabirito, Minas Gerais, Brazil. The mare exhibited nodular cutaneous lesions on all limbs but had no other health issues. Skin and bone marrow samples were collected and analyzed using parasitological and molecular methods targeting the hsp70 gene and ITS1 region. Both L. (V.) braziliensis and L. (L.) infantum were identified, confirming a mixed infectio...
Prediction of the digestibility and digestible energy content of hay for horses using an enzymatic degradability method.
Animal : an international journal of animal bioscience    July 9, 2025   Volume 19, Issue 8 101597 doi: 10.1016/j.animal.2025.101597
Andueza D, Martin-Rosset W.The nutritive value of forage for horses is closely dependent on the digestibility of organic matter (OMD), which is typically measured in vivo. Researchers have developed a variety of prediction methods to estimate the digestibility value of hay. In ruminants, pepsin-cellulase degradability, expressed as dry matter enzymatic degradability (dCS) and organic matter enzymatic degradability (dCO), is a commonly employed method for predicting OMD in forage types. The objective of this study was to evaluate the feasibility of predicting the dry matter digestibility (DMD), OMD, energy digestibility ...
Zoonotic pathogens in equids in Central Europe: a systematic review.
BMC veterinary research    July 8, 2025   Volume 21, Issue 1 451 doi: 10.1186/s12917-025-04915-5
Arshad A, Reif AH, Cavalleri JV, Desvars-Larrive A.Equids serve diverse roles in contemporary society. Their use as companion animals, in sports, transportation, and food production brings them into close contact with humans, creating potential zoonotic risks. This review had two objectives: (i) to catalogue zoonotic pathogens detected in equids across Central Europe, and (ii) to analyse research trends and collaborations in equid zoonosis studies within the region. We conducted a systematic literature search following PRISMA guidelines to identify publications on naturally occurring zoonotic pathogens in equids from nine countries: Austria, t...
Aetiological relevance of haematological, biochemical and endocrine parameters on equine odontoclastic tooth resorption and hypercementosis (EOTRH).
Equine veterinary journal    July 8, 2025   doi: 10.1111/evj.14555
Tretow M, Hain AM, Bienert-Zeit A.The dental syndrome EOTRH is a painful, progressive dental disease with an unknown aetiology. The often painful nature of EOTRH emphasises the need for a better knowledge of the underlying pathogenic mechanism and risk factors. A comparative analysis of haematological, biochemical and endocrine values in EOTRH-affected and non-affected horses has not been described. Objective: To compare haematological, biochemical, and endocrine parameters in EOTRH-affected and non-affected horses to detect risk factors for horses developing EOTRH. Methods: Cross sectional. Methods: Blood samples of 154 Icela...
Objective diagnosis of alar fold collapse in active Standardbred trotting racehorses using nasopharyngeal airway pressure measurements.
Equine veterinary journal    July 8, 2025   doi: 10.1111/evj.14556
Strand E, Vermedal H, Olsen HMB, Fjordbakk CT, Fretheim-Kelly ZL.Clinical evaluation of alar fold (AF) collapse is presently based upon subjective evaluation of improvement in breathing and respiratory noise after suturing the AFs dorsally. Objective: To evaluate use of nasopharyngeal airway pressure (NAP) as an objective method of assessing for the presence of AF collapse during exercise. NAPs should also potentially provide a precise means to grade the degree of airway obstruction present and response to surgical treatment. Methods: Prospective clinical study of actively racing Standardbred horses. Methods: Standardbreds undergoing this test were outfitte...
Epigenetic signatures in in vitro-expanded equine chondrocytes induced by a histone deacetylase inhibitor.
Research in veterinary science    July 8, 2025   Volume 193 105800 doi: 10.1016/j.rvsc.2025.105800
Ząbek T, Witarski W, Szmatoła T, Semik-Gurgul E, Sawicki S, Ropka-Molik K.We have explored the impact of DNA methylation changes on gene transcription in expanded equine chondrocytes treated with the histone deacetylase inhibitor (HDACi), Trichostatin A (TSA). The subjects were DNA and RNA samples prepared from articular cartilage cells derived from four animals in our previous study. Using Reduced Representation Bisulfite Sequencing (RRBS), we determined differentially methylated sites (DMS) and regions (DMRs) in the genomes of TSA-treated cells. We linked them to gene differential expression, as obtained from 3' mRNA sequencing data and the single-locus quantifica...
High seroprevalence of Francisella tularensis with low titers in Oklahoma equids from 2021-2023 suggests widespread exposure in the state’s equine population.
American journal of veterinary research    July 8, 2025   1-8 doi: 10.2460/ajvr.25.03.0085
Crisman EC, Furr M, Ramachandran A.To determine the seroprevalence of Francisella tularensis in horses in Oklahoma and to describe factors associated with seropositivity. Unassigned: In this observational study, 238 frozen equine serum samples were tested for F tularensis by microagglutination assay (MAT). Samples were collected from 36 of 77 Oklahoma counties from 2021 through 2023. Exclusion criteria included insufficient sample quantity, cross-reactivity to Brucella abortus, and county outside of Oklahoma. The Fisher exact test was used to compare the proportion of positive tests by year, river basin, and topographic region....
Comparison of 3.5- and 4.0-mm Cortical Bone Screws for Stabilization of an Equine Navicular Bone Fracture Model.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    July 8, 2025   doi: 10.1055/a-2640-3556
Stucki G, Valet S, Fuerst AE, Weisse B, Jackson MA.The aim of this study was to compare the strength (load at failure) and the number of cycles to failure of 3.5- and 4.0-mm cortical screw-bone constructs for repair of navicular bone fractures in horses.This was an in vitro biomechanical study that used a four-point bending apparatus to determine the load at failure of 3.5- and 4.0-mm cortical screw-bone constructs subjected to static and cyclic loading.In static testing, pairwise comparison of 4.0-mm cortical screw-bone constructs demonstrated significantly greater strength (mean increase: +16%,  = 0.0135) compared with those in the 3.5-m...
Plant trait responses to herbivore type managed as domestic or as wild.
Journal of environmental management    July 7, 2025   Volume 391 126378 doi: 10.1016/j.jenvman.2025.126378
Mutillod C, Buisson E, Tatin L, Mahy G, Dufrêne M, Morvan N, Mesléard F, Dutoit T.The urgency of restoring ecosystems over vast areas has placed rewilding using wild herbivores at the forefront. However, few scientific studies address its effects on biodiversity and ecosystem functioning compared to more traditional conservation interventions with domestic herbivores. Equus ferus przewalskii horses introduced 30 years ago in the National Park of Cévennes, France - as a step of a conservation program of the species for its reintroduction in Mongolia - now occur as a semi-wild horse population, socially natural (i.e., management is based on natural selection). This introduct...
Multi-Detector Helical Computed Tomography, Transrectal Ultrasonography, and Histology of the Sacroiliac Joint: A Comparative Study in Adult Warmblood Horse Cadavers.
Animals : an open access journal from MDPI    July 7, 2025   Volume 15, Issue 13 1995 doi: 10.3390/ani15131995
Mathys RA, Schmitz TR, Geyer H, Borel N, Hilbe M, Ohlerth S, Bischofberger AS.This study described, assessed and correlated ultrasonographic, computed tomographic, and histological findings in the sacroiliac joints of adult Warmblood horse cadavers. In total, 25 joints from 15 horses were examined post-mortem using transrectal ultrasonography and helical computed tomography. Findings on computed tomography were graded in the caudal joint third (caudally) and for the entire joint as mild, moderate, or severe. In total, 11 joints from nine horses were evaluated histologically. All joints (100%) showed abnormalities on computed tomography, and 92% (23/25) displayed abnorma...
Application of Acoustic Cardiography in Assessment of Cardiac Function in Horses with Atrial Fibrillation Before and After Cardioversion.
Animals : an open access journal from MDPI    July 7, 2025   Volume 15, Issue 13 1993 doi: 10.3390/ani15131993
Schneider MJ, Piotrowski IL, Junge HK, van Steenkiste G, Vernemmen I, van Loon G, Schwarzwald CC.Left atrial mechanical dysfunction is common in horses following the treatment of atrial fibrillation (AF). This study aimed to evaluate the use of an acoustic cardiography monitor (Audicor) in quantifying cardiac mechanical and hemodynamic function in horses with AF before and after treatment and to correlate these findings with echocardiographic measures. Twenty-eight horses with AF and successful transvenous electrical cardioversion were included. Audicor recordings with concomitant echocardiographic examinations were performed one day before, one day after, and two to seven days after card...