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Veterinary journal (London, England : 1997)2020; 267; 105583; doi: 10.1016/j.tvjl.2020.105583

Prevalence of cardiac arrhythmias and R-R interval variation in healthy Thoroughbred horses during official Chuckwagon races and recovery.

Abstract: The prevalence and severity of cardiac arrhythmias in healthy racehorses undergoing competition is not well defined. The aim was to characterize arrhythmias in Thoroughbreds participating in official Chuckwagon races and to determine normal beat-to-beat (R-R) variability during supramaximal exercise. Electrocardiograph (ECG) recordings were obtained during pre-race, race, and active-recovery from 82 clinically healthy Thoroughbreds. ECG recordings were analyzed for arrhythmias and mean percent R-R deviation. Plasma lactate and high-sensitivity troponin (hs-cTnT) were also measured. Fifty-two ECGs were included in the analysis. Arrhythmias were seen in 48/52 horses (92%) and were predominantly isolated events. No complex rhythms were observed. During the race, 92% of horses had arrhythmias (81% supraventricular premature complex [SVPC]; 33% ventricular premature complex [VPC]). Eleven percent of racing arrhythmias were VPCs (all singlets except for two couplets). During active-recovery, 58% of horses had arrhythmias (56% SVPC; 15% VPCs): Three horses had VPC couplets and one horse had a VPC triplet. All plasma hs-cTnT were within normal limits. The measured lactate was 28.5 ± 4.5 mmol/L, confirming supramaximal exercise. R-R variation ranged between -9.5 to +18.8% during pre-race (mean heart rate [HR], 155 ± 22 beats per min [bpm]), -27.8 to +45.3% during racing (mean HR, 200 ± 9 bpm) and -16.4 to +40.1% during active-recovery (mean HR, 165 ± 14 bpm). Maximal and 1st percentile R-R shortening and lengthening were significantly greater at race than pre-race and active-recovery (P < 0.0001). Racing and active-recovery maximal R-R lengthening were significantly greater than pre-race (P = 0.0003). Supraventricular premature complexes and VPCs are prevalent in healthy horses undergoing Chuckwagon racing. R-R variation is greater during racing than has previously been described.
Publication Date: 2020-11-28 PubMed ID: 33375959DOI: 10.1016/j.tvjl.2020.105583Google Scholar: Lookup
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  • Journal Article

Summary

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The research article examines the prevalence of heart arrhythmias and their severity in healthy racing Thoroughbred horses. These arrhythmias were tracked during Chuckwagon races and were used to understand the normal heart beat-to-beat variability during extreme exercise conditions.

Objective and Methodology

  • The study aimed to better understand heart arrhythmias in healthy Thoroughbred horses during Chuckwagon races. Additionally, it sought to establish the normal beat-to-beat (R-R) variability during supramaximal exercise, which is exercise that is more intense than the body’s capacity to provide oxygen to the muscles.
  • The researchers used an Electrocardiograph (ECG) to record the heart activity of 82 Thoroughbred horses during pre-race, race, and active recovery periods.
  • These ECG recordings were then analyzed for heart abnormalities and the mean percent R-R deviation. Additionally, blood samples were taken from the horses to measure the plasma lactate and high-sensitivity troponin (hs-cTnT), markers typically used to assess overexertion and heart muscle damage, respectively.

Findings

  • Of the 52 ECGs that were included in the analysis, arrhythmias were observed in 48 horses (that’s 92% of the racehorses).
  • During the race, 92% of the horses had arrhythmias, with 81% being supraventricular premature complexes (SVPCs – abnormal heartbeats originating from the upper part of the heart) and 33% being ventricular premature complexes (VPCs – abnormal heartbeats originating from the lower part of the heart).
  • In the active recovery phase, 58% of the horses still exhibited arrhythmias. SVPCs and VPCs accounted for 56% and 15% of these cases respectively.
  • None of the horses showed abnormal levels of hs-cTnT, suggesting that there wasn’t significant heart muscle damage during the race.
  • The high lactate measurements indicate that the horses were indeed exercising beyond their maximal aerobic capacity, confirming the supramaximal nature of the exercise.
  • The variation in the R-R interval, which represents the time between consecutive heartbeats, was also found to be greater during the race compared to pre-race and recovery periods. This suggests that the horses’ heart rates became more irregular during the race, likely due to the high-intensity exercise.

Conclusions

  • The prevalence of SVPCs and VPCs suggests that they are common in healthy Thoroughbred horses during high-intensity activities such as Chuckwagon racing.
  • The significant R-R interval variability observed in the study indicates that the horses experienced more heart rate irregularities during the race than previously thought.

Cite This Article

APA
Massie SL, Bezugley RJ, McDonald KJ, Leguillette R. (2020). Prevalence of cardiac arrhythmias and R-R interval variation in healthy Thoroughbred horses during official Chuckwagon races and recovery. Vet J, 267, 105583. https://doi.org/10.1016/j.tvjl.2020.105583

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 267
Pages: 105583
PII: S1090-0233(20)30160-X

Researcher Affiliations

Massie, S L
  • Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada.
Bezugley, R J
  • Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada.
McDonald, K J
  • Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada.
Leguillette, R
  • Faculty of Veterinary Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4Z6, Canada. Electronic address: rleguill@ucalgary.ca.

MeSH Terms

  • Animals
  • Arrhythmias, Cardiac / epidemiology
  • Arrhythmias, Cardiac / physiopathology
  • Arrhythmias, Cardiac / veterinary
  • Atrial Premature Complexes / epidemiology
  • Atrial Premature Complexes / veterinary
  • Electrocardiography / methods
  • Electrocardiography / veterinary
  • Heart Rate / physiology
  • Horse Diseases / epidemiology
  • Horse Diseases / physiopathology
  • Horses
  • Lactic Acid / blood
  • Male
  • Physical Exertion / physiology
  • Running / physiology
  • Troponin T / blood
  • Ventricular Premature Complexes / epidemiology
  • Ventricular Premature Complexes / veterinary

Citations

This article has been cited 1 times.
  1. Ter Woort F, Dubois G, Tansley G, Didier M, Verdegaal L, Franklin S, Van Erck-Westergren E. Validation of an equine fitness tracker: ECG quality and arrhythmia detection.. Equine Vet J 2022 Feb 9;55(2):336-43.
    doi: 10.1111/evj.13565pubmed: 35138653google scholar: lookup