Thermoregulatory capacity of the Thoroughbred racehorse and its relationship to the pathogenesis of exertional heat illness

When racehorses fail to thermoregulate effectively, whether due to intrinsic or extrinsic factors, a condition called exertional heat illness (EHI) may occur, which can be life-threatening and represents a significant welfare issue. Horses usually become affected in the recovery phase soon after racing, so that a knowledge of the ‘normal’ thermoregulatory processes which operate at this time and their variations is essential to enable early detection of EHI. Racing in hot or warm and humid weather conditions represents the upper extreme of thermoregulatory variations, and observations on how horses normally recover at the racetrack may provide a clearer perspective on the physiology of that process for all sports horses. This review focuses on the post-exercise thermoregulatory capacity of the Thoroughbred racehorse, with a view to understanding the physiological mechanisms that should efficiently dissipate excess heat. The clinical manifestations of exertional heat illness are due to inadequate or harmful physiological responses, and if recognised and treated early can be effectively curtailed.