Techniques for evaluation of right ventricular relaxation rate in horses and effects of inhalant anesthetics with and without intravenous administration of calcium gluconate.
Abstract: To determine the most repeatable method for evaluating right ventricular relaxation rate in horses and to determine and compare effects of isoflurane or halothane with and without the added influence of intravenously administered calcium gluconate on right ventricular relaxation rates in horses. Methods: 6 Thoroughbred horses from 2 to 4 years old. Methods: 6 models (2 for monoexponential decay with zero asymptote, 3 for monoexponential decay with variable asymptote, and 1 for biexponential decay) for determining right ventricular relaxation rate were assessed in conscious and anesthetized horses. The 2 methods yielding the most repeatable results then were used to determine right ventricular relaxation rates in horses anesthetized with isoflurane or halothane before, during, and after i.v. administration of calcium gluconate. Right ventricular pressure was measured, using a catheter-tip high-fidelity pressure transducer, and results were digitized at 500 Hz from minimum rate of change in ventricular pressure. Results: 2 models that used monoexponential decay with zero asymptote repeatedly produced an estimate for relaxation rate and were used to analyze effects of anesthesia and calcium gluconate administration on relaxation rate. Isoflurane and halothane each prolonged right ventricular relaxation rate, with greater prolongation evident in halothane-anesthetized horses. Calcium gluconate attenuated the anesthesia-induced prolongation in right ventricular relaxation rate, with greater response obtained in isoflurane-anesthetized horses. Conclusions: Right ventricular relaxation rate in horses is assessed best by use of a monoexponential decay model with zero asymptote and nonlinear regression. Intravenous administration of calcium gluconate to isoflurane-anesthetized horses best preserves myocardial relaxant function.
Publication Date: 1999-07-17 PubMed ID: 10407482
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- Comparative Study
- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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The study aims to identify the best approach to measure right ventricular relaxation rate in horses and assesses the impact of anesthesia and calcium gluconate administration on the rate.
Study Design and Methods
- The study involved the participation of six Thoroughbred horses aged between two and four years.
- Researchers tested six models which use monoexponential decay to calculate the right ventricular relaxation rate- two with zero asymptote, three with variable asymptote, and one with biexponential decay under both conscious and anesthetized conditions.
- The two most reliable methods were then used in a study to analyze ventricular relaxation rates in horses that were anesthetized either with isoflurane or halothane, and the observational periods included the phases before, during, and after the intravenous administration of calcium gluconate.
- Ventricular pressure was monitored using a high-fidelity pressure transducer catheter tip, digitizing the results at 500 Hz from the minimum rate of the ventricular pressure change.
Findings of the Study
- Of all assessed models, the ones that used monoexponential decay with zero asymptote consistently provided an estimate for the relaxation rate.
- Both types of anesthesia— isoflurane and halothane — prolonged the right ventricular relaxation rate, with halothane exhibiting a more prominent effect.
- When calcium gluconate was administered intravenously, it reduced the prolongation of right ventricular relaxation rate caused by anesthesia.
- The recovery was greater in horses anesthetized with isoflurane as compared to those under halothane.
Study Conclusions
- The research concluded that the reliable and effective strategy to assess right ventricular relaxation rate in horses involves application of a monoexponential decay model with zero asymptote and non-linear regression.
- Administering calcium gluconate via an intravenous route can mitigate the anesthesia-induced-lengthening of the right ventricular relaxation rate more effectively in horses anesthetized with isoflurane.
Cite This Article
APA
Grubb TL, Constable PD, Benson GJ, Foreman JH, Olson WO, Thurmon JC, Tranquilli WJ, Davis LE.
(1999).
Techniques for evaluation of right ventricular relaxation rate in horses and effects of inhalant anesthetics with and without intravenous administration of calcium gluconate.
Am J Vet Res, 60(7), 872-879.
Publication
Researcher Affiliations
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana 61801, USA.
MeSH Terms
- Anesthetics, Inhalation / therapeutic use
- Animals
- Calcium Gluconate / therapeutic use
- Female
- Halothane / therapeutic use
- Heart Function Tests / veterinary
- Heart Ventricles / physiopathology
- Horse Diseases / diagnosis
- Horse Diseases / physiopathology
- Horses
- Injections, Intravenous / veterinary
- Isoflurane / therapeutic use
- Male
- Models, Biological
- Regression Analysis
- Reproducibility of Results
- Xylazine / therapeutic use
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