Within-Breath Oscillatory Mechanics in Horses Affected by Severe Equine Asthma in Exacerbation and in Remission of the Disease.
Abstract: Oscillometry is a technique that measures the resistance (R) and the reactance (X) of the respiratory system. In humans, analysis of inspiratory and expiratory R and X allows to identify the presence of tidal expiratory flow limitation (EFLt). The aim of this study was to describe inspiratory and expiratory R and X measured by impulse oscillometry system (IOS) in horses with severe asthma (SEA) when in clinical remission ( = 7) or in exacerbation ( = 7) of the condition. Seven healthy, age-matched control horses were also studied. Data at 3, 5, and 7 Hz with coherence > 0.85 at 3 Hz and >0.9 at 5 and 7 Hz were considered. The mean, inspiratory and expiratory R and X and the difference between inspiratory and expiratory X (ΔX) were calculated at each frequency. The data from the three groups were statistically compared. Results indicated that in horses during exacerbation of severe asthma, X during expiratory phase is more negative than during inspiration, such as in humans in presence of EFLt. The evaluation of X during inspiration is promising in discriminating between horses with SEA in remission and control horses.
Publication Date: 2021-12-21 PubMed ID: 35011110PubMed Central: PMC8749667DOI: 10.3390/ani12010004Google Scholar: Lookup
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- Journal Article
- Asthma
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Comparative Study
- Diagnosis
- Disease control
- Disease Diagnosis
- Disease Etiology
- Disease Management
- Disease Outbreaks
- Disease Surveillance
- Disease Treatment
- Equine Diseases
- Equine Health
- Equine Studies
- Horses
- Respiratory Disease
- Respiratory Health
- Veterinary Medicine
- Veterinary Research
Summary
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This research paper investigates how Oscillometry, a technique measuring respiratory system resistance and reactance, aids in identifying the changes in horses suffering from Severe Equine Asthma (SEA) during the stages of remission and exacerbation of the disease.
Technique used and the Purpose of the Study
- The paper focuses on the Oscillometry technique, which measures the resistance (denoted as R) and the reactance (denoted as X) of the respiratory system. In humans, inspecting the inspiratory (breathing in) and expiratory (breathing out) R and X can highlight the existence of flow limitation while exhaling (EFLt).
- The primary objective of this research was to analyze inspiratory and expiratory R and X using an impulse oscillometry system (IOS) in horses diagnosed with severe asthma (SEA), during both the periods of clinical remission and exacerbation.
Study Design and Participants
- The study incorporated a total of 21 horses. Among these, 14 horses diagnosed with SEA were further divided into two equal groups of 7 each. One group was observed during the phase of their clinical remission, and the other during the exacerbation phase of the disease.
- Seven healthy horses were also included in the examination and served as age-matched controls.
Procedure and Data Collection
- Assessment was conducted at different frequencies of 3, 5, and 7 Hz, with data considered for analysis only when the coherence was greater than 0.85 at 3 Hz and more than 0.9 at 5 and 7 Hz.
- At each frequency, they calculated the mean, along with inspiratory and expiratory R and X, and the difference between inspiratory and expiratory reactance (ΔX).
Findings of the Research
- The research found that during exacerbation of severe asthma in horses, the reactance value during the expiratory phase was more negative than during the inspiratory phase – a feature seen in humans during the presence of EFLt.
- The assessment of X during inspiration proved to be promising in distinguishing between horses with SEA in the remission phase and the healthy control horses.
- Thus, Oscillometry could potentially be used to differentiate the stages of SEA, which could be beneficial in managing the disease and assessing response to treatments.
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Cite This Article
APA
Stucchi L, Ferrucci F, Bullone M, Dellacà RL, Lavoie JP.
(2021).
Within-Breath Oscillatory Mechanics in Horses Affected by Severe Equine Asthma in Exacerbation and in Remission of the Disease.
Animals (Basel), 12(1), 4.
https://doi.org/10.3390/ani12010004 Publication
Researcher Affiliations
- Dipartimento di Medicina Veterinaria, Università degli Studi di Milano, 26900 Lodi, Italy.
- Dipartimento di Medicina Veterinaria, Università degli Studi di Milano, 26900 Lodi, Italy.
- Dipartimento di Scienze Veterinarie, Università di Torino, 10095 Grugliasco, Italy.
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, 20133 Milano, Italy.
- Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC J2S 2M2, Canada.
Grant Funding
- JPL, PJT-148807 / CIHR
Conflict of Interest Statement
The authors declare no conflict of interest.
References
This article includes 32 references
- 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.
- Lange-Consiglio A, Stucchi L, Zucca E, Lavoie JP, Cremonesi F, Ferrucci F. Insights into animal models for cell-based therapies in translational studies of lung diseases: Is the horse with naturally occurring asthma the right choice?. Cytotherapy 2019 May;21(5):525-534.
- Lo Feudo CM, Stucchi L, Alberti E, Conturba B, Zucca E, Ferrucci F. Intradermal Testing Results in Horses Affected by Mild-Moderate and Severe Equine Asthma.. Animals (Basel) 2021 Jul 13;11(7).
- 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.
- Leclere M, Lavoie-Lamoureux A, Joubert P, Relave F, Setlakwe EL, Beauchamp G, Couture C, Martin JG, Lavoie JP. Corticosteroids and antigen avoidance decrease airway smooth muscle mass in an equine asthma model.. Am J Respir Cell Mol Biol 2012 Nov;47(5):589-96.
- Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2020.
- Lavoie JP, Pascoe JR, Kurpershoek CJ. Effect of head and neck position on respiratory mechanics in horses sedated with xylazine.. Am J Vet Res 1992 Sep;53(9):1652-7.
- Robinson NE, Berney C, Eberhart S, deFeijter-Rupp HL, Jefcoat AM, Cornelisse CJ, Gerber VM, Derksen FJ. Coughing, mucus accumulation, airway obstruction, and airway inflammation in control horses and horses affected with recurrent airway obstruction.. Am J Vet Res 2003 May;64(5):550-7.
- Mazan MR, Deveney EF, DeWitt S, Bedenice D, Hoffman A. Energetic cost of breathing, body composition, and pulmonary function in horses with recurrent airway obstruction.. J Appl Physiol (1985) 2004 Jul;97(1):91-7.
- Pirrone F, Albertini M, Clement MG, Lafortuna CL. Respiratory mechanics in Standardbred horses with sub-clinical inflammatory airway disease and poor athletic performance.. Vet J 2007 Jan;173(1):144-50.
- DUBOIS AB, BRODY AW, LEWIS DH, BURGESS BF Jr. Oscillation mechanics of lungs and chest in man.. J Appl Physiol 1956 May;8(6):587-94.
- Smith HJ, Reinhold P, Goldman MD. Forced Oscillation Technique and Impulse Oscillometry. Eur. Respir. Monogr. 2005;31:72–105.
- van Erck E, Votion DM, Kirschvink N, Art T, Lekeux P. Use of the impulse oscillometry system for testing pulmonary function during methacholine bronchoprovocation in horses.. Am J Vet Res 2003 Nov;64(11):1414-20.
- van Erck E, Votion D, Art T, Lekeux P. Measurement of respiratory function by impulse oscillometry in horses.. Equine Vet J 2004 Jan;36(1):21-8.
- Van Erck E, Votion D, Kirschvink N, Genicot B, Lindsey J, Art T, Lekeux P. Influence of breathing pattern and lung inflation on impulse oscillometry measurements in horses.. Vet J 2004 Nov;168(3):259-69.
- Van Erck E, Votion D, Art T, Lekeux P. Qualitative and quantitative evaluation of equine respiratory mechanics by impulse oscillometry.. Equine Vet J 2006 Jan;38(1):52-8.
- Klein C, Smith HJ, Reinhold P. The use of impulse oscillometry for separate analysis of inspiratory and expiratory impedance parameters in horses: effects of sedation with xylazine.. Res Vet Sci 2006 Apr;80(2):201-8.
- 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.
- Bullone M, Hélie P, Joubert P, Lavoie JP. Development of a Semiquantitative Histological Score for the Diagnosis of Heaves Using Endobronchial Biopsy Specimens in Horses.. J Vet Intern Med 2016 Sep;30(5):1739-1746.
- Dellacà RL, Santus P, Aliverti A, Stevenson N, Centanni S, Macklem PT, Pedotti A, Calverley PM. Detection of expiratory flow limitation in COPD using the forced oscillation technique.. Eur Respir J 2004 Feb;23(2):232-40.
- Mikamo M, Fujisawa T, Oyama Y, Kono M, Enomoto N, Nakamura Y, Inui N, Sumikawa H, Johkoh T, Suda T. Clinical Significance of Forced Oscillation Technique for Evaluation of Small Airway Disease in Interstitial Lung Diseases.. Lung 2016 Dec;194(6):975-983.
- Young SS, Tesarowski D, Viel L. Frequency dependence of forced oscillatory respiratory mechanics in horses with heaves.. J Appl Physiol (1985) 1997 Mar;82(3):983-7.
- Peslin R, Fredberg J. Oscillation mechanics of the respiratory system. Handbook of Physiology, Section 3: The Respiratory System 1986;Volume 3:145–166.
- Clément J, Làndsér FJ, Van de Woestijne KP. Total resistance and reactance in patients with respiratory complaints with and without airways obstruction.. Chest 1983 Feb;83(2):215-20.
- Bickel S, Popler J, Lesnick B, Eid N. Impulse oscillometry: interpretation and practical applications.. Chest 2014 Sep;146(3):841-847.
- Pedersen OF, Butler JP. Expiratory flow limitation.. Compr Physiol 2011 Oct;1(4):1861-82.
- Petsche VM, Derksen FJ, Robinson NE. Tidal breathing flow-volume loops in horses with recurrent airway obstruction (heaves).. Am J Vet Res 1994 Jul;55(7):885-91.
- Nyman G, Björk M, Funkquist P. Gas exchange during exercise in standardbred trotters with mild bronchiolitis.. Equine Vet J Suppl 1999 Jul;(30):96-101.
- Sugiyama A, Hattori N, Haruta Y, Nakamura I, Nakagawa M, Miyamoto S, Onari Y, Iwamoto H, Ishikawa N, Fujitaka K, Murai H, Kohno N. Characteristics of inspiratory and expiratory reactance in interstitial lung disease.. Respir Med 2013 Jun;107(6):875-82.
- Ceriotti S, Bullone M, Leclere M, Ferrucci F, Lavoie JP. Severe asthma is associated with a remodeling of the pulmonary arteries in horses.. PLoS One 2020;15(10):e0239561.
- Bullone M, Joubert P, Gagné A, Lavoie JP, Hélie P. Bronchoalveolar lavage fluid neutrophilia is associated with the severity of pulmonary lesions during equine asthma exacerbations.. Equine Vet J 2018 Sep;50(5):609-615.
- Mori K, Shirai T, Mikamo M, Shishido Y, Akita T, Morita S, Asada K, Fujii M, Hozumi H, Suda T, Chida K. Respiratory mechanics measured by forced oscillation technique in combined pulmonary fibrosis and emphysema.. Respir Physiol Neurobiol 2013 Jan 15;185(2):235-40.
Citations
This article has been cited 2 times.- Simões J, Batista M, Tilley P. The Immune Mechanisms of Severe Equine Asthma-Current Understanding and What Is Missing.. Animals (Basel) 2022 Mar 16;12(6).
- 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).
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