The use of the hand-held infrared thermometer as an early detection tool for exertional heat illness in Thoroughbred racehorses: A study at racetracks in eastern Australia

Thoroughbred racehorses perform exercise at maximal intensities and typically display a hyperthermic exercise response, which can drive core body temperature to critical levels. Despite extremely efficient thermoregulatory mechanisms, certain weather conditions may affect the horse’s ability to cool and result in a syndrome referred to as exertional heat illness (EHI). This is characterised by central nervous system dysfunction, as well as cytotoxic effects of heat on cells, which can produce deleterious consequences. Early detection of exertional heat illness (EHI) in Thoroughbred racehorses can be difficult because signs are often vague and the measurement of rectal temperature as an indicator of hyperthermia is not practical. Best practice in the treatment of EHI in horses, as in human subjects, centres on early detection, rapid assessment and aggressive cooling. Research in human subjects has shown that EHI is manageable when recognised early and appropriate treatment provided. The aim of this study was to investigate the measurement of skin surface temperature (SST) by an infrared thermometer as an aid in the early detection of EHI. A skin surface temperature ≥39°C in the immediate postrace period is considered to be hot. It reflects the interaction of exercise-related metabolic heat production, physiological adjustments to the skin surface such as vasodilation and sweating, together with the effect of high ambient temperature. Most importantly, high SST is associated with a reduced core-to-skin temperature difference, which retards heat transfer from the deep body tissues to the skin and can hinder heat dissipation. Identification of horses with high SSTs can prioritise them for rapid cooling and curtail possible progression to EHI.     

Exertional heat illness: a review of the syndrome affecting racing Thoroughbreds in hot and humid climates

Metabolic heat produced by Thoroughbred racehorses during racing can rapidly elevate core body temperature (1°C/min). When environmental conditions are hot and humid, the normal physiological cooling mechanisms become ineffective. The heat accumulated may exceed a critical thermal maximum (estimated to be 42°C), which may trigger a complex pathophysiological cascade with potentially lethal consequences. This syndrome has been labelled exertional heat illness (EHI). EHI is described in humans, but has not been well documented in Thoroughbred racehorses. The clinical signs described in racehorses would suggest that the pathophysiological events affecting the central nervous (CNS) and gastrointestinal systems are similar to those described in humans. Clinical signs are progressive and include signs of endotoxaemia and increasing levels of CNS dysfunction. Initially, horses that may be mildly irritable (agitated, randomly kicking out) may progress to unmanageable (disorientation, severe ataxia, falling) and ultimately convulsions, coma and death. Currently, the approach to treatment is largely empirical and involves rapid and effective cooling, administration of drugs to provide sedation, administration of non‐steroidal anti‐inflammatory drugs to ameliorate the effects of endotoxaemia and glucocorticoids to stabilise cell membranes and reduce the effects of inflammation on the CNS. This review provides an overview of the current knowledge about EHI in Thoroughbred racehorses, suggests a likely pathophysiology of the syndrome in horses based on the current literature on heat illness in humans and horses, and outlines current treatment strategies being used to treat racehorses with clinical signs of EHI.     

An investigation of the relationship between race performance and superficial digital flexor tendonitis in the Thoroughbred racehorse

Reasons for performing study: There is limited information regarding the number of races and the period for evaluation of outcome which is critical for assessment of SDF tendonitis treatments. Objective: To evaluate the re‐injury rate and racing performance of Thoroughbred racehorses that sustain SDF tendonitis in relation to matched controls in terms of number of races post treatment and maximum racing performance ratings before and after injury. Study design: Clinical records and racing histories of 401 racehorses with a first occurrence of SDF tendonitis diagnosed by ultrasonography. Controls were of the same age, sex and were horses training in the same establishment at the time of injury as the case horses and where the trainer reported that the horse had not had a previous SDF tendon injury or treatment. Results: Eighty percent of both case and control horses returned to racing after the date of injury, and the re‐injury proportion within 3 years of treatment was 53%. The difference in Racing Post Rating_(max) (RPR_(max)) and the Racing Post Rating in the race immediately before the treatment date was significantly smaller in case horses (mean = 9.6 lbs; range = 0–75) compared to control horses (mean = 17.0 lbs; range = 0–79). No significant decrease in RPR_(max) was noted post injury. No difference between case and control horses was found for return to racing and racing 3 times, but control horses were significantly more likely to compete 5 races post treatment date than case horses. Conclusion and clinical relevance: Injury was associated with an individual's pre‐injury maximum performance level and return to racing and completion of 3 races are not useful indicator of the outcome of horses with SDF tendonitis. The assessment of the outcome of horses with an SDF injury in a population of racehorses using the number of races post injury requires a minimum of 5 races post injury to be a useful indicator. Further, a re‐injury proportion in a population of horses in training for 3 years post treatment.     

Injury of the origin of the gastrocnemius and superficial digital flexor muscles in a Thoroughbred racehorse: An atypical presentation of reciprocal apparatus failure

Damage to the origin of the gastrocnemius and superficial digital flexor muscles has been previously reported as an acute injury in both foals and adult horses. This case report describes, for the first time, the clinical onset of caudal reciprocal apparatus failure in a 2‐year‐old Thoroughbred. These signs were due to injury of the gastrocnemius and superficial digital flexor muscle origins sustained prior to the onset of lameness. This condition should be considered in cases demonstrating similar clinical signs, even in the absence of known trauma or acute injury to the region.     

Large B-cell lymphoma in the colon and mesocolon of a Thoroughbred racehorse: Detection prior to development of clinical signs using clinicopathological markers of inflammation

In this report, we describe an investigation into the cause of chronic inflammation in a clinically normal 5-year-old racing Thoroughbred, finally confirmed to be associated with B-cell lymphoma. Over a 14-week period, the horse was regularly evaluated by sequential blood testing, revealing persistent inflammation of unknown origin, unresponsive to treatment. Eventually, an abdominal mass was identified by transabdominal ultrasound and rectal palpation. Surgical exploration revealed an extensive, invasive soft tissue mass in the abdomen. At post-mortem examination, a mass involving the colon, mesocolon and mesocolonic lymph node was sampled and confirmed as a large B-cell lymphoma by histopathology and immunohistochemistry. In cases of unexplained chronic inflammation in a horse, neoplasia should be considered as a possible aetiology.     

Evaluation of a new strategy to modulate skeletal development in racehorses by imposing track-based exercise during growth: the effects on 2- and 3-year-old racing careers

REASON FOR PERFORMING STUDY: No data exist on the effects of conditioning exercise at foal age on workload and subsequent clinical injury rate during their 2- and 3-year-old racing careers. OBJECTIVES: To investigate the effects of subjecting TB foals to conditioning exercise prior to the start of race training on: the workload required to reach a level of fitness sufficient to compete; and the prevalence of orthopaedic injury during the first 2 seasons of their racing careers. METHODS: Twenty 18-month-old TBs, 12 subjected to conditioning exercise at foal age (CONDEX) and 8 exercised spontaneously at pasture only (PASTEX) were trained and entered in competitive events. Workload was quantified using the cumulative workload index (the product of average velocity and distance at a specific gait) and the animals were monitored clinically and radiographically for signs of musculoskeletal disorders. RESULTS: Workload to reach the desired fitness level was similar for CONDEX and PASTEX. CONDEX performed more prerace training sessions as 2-year-olds (P<0.05). The incidence of orthopaedic injuries was low in both groups and there were no differences in the occurrence of orthopaedic ailments. PASTEX animals tended to show signs of musculoskeletal disorders earlier than CONDEX animals. This time difference was significant for metacarpophalangeal joint pain on flexion, reduced carpal flexion and hindlimb lameness (P<0.05). CONCLUSIONS: Subjecting TB foals to conditioning exercise early in life does not have adverse effects on racing careers at ages 2 and 3 years, and does not influence the workload needed to reach a fitness level that is sufficient for racing. POTENTIAL RELEVANCE: The lack of negative effects and the indications of some positive effects of early conditioning exercise in the Thoroughbred encourage further large-scale comparative studies.     

Etiologic and epidemiologic analysis of bacterial infectious upper respiratory disease in Thoroughbred horses at the Seoul Race Park

Infectious upper respiratory disease (IURD) of Thoroughbred racehorses has been a frequent problem (29.6% of incidence) at the Seoul Race Park (Korea). Risk factors for IURD include the season with a high transfer rate (summer and fall), the stabling period (≤ 3 months), and age (2 to 3 years old), suggesting that the movement and new environment may have depressed the immune system of the horses and decreased their ability to respond properly to pathogens. The bacterial strains (n = 98) isolated from IURD horses included Pseudomonas spp., Escherichia coli, Staphylococcus spp., Streptococcus equi subsp. equi and zooepidemicus.     

Musculoskeletal responses of 2-year-old Thoroughbred horses to early training. 8. Quantitative back-scattered electron scanning electron microscopy and confocal fluorescence microscopy of the epiphysis of the third metacarpal bone

AIM: To characterise and explain the increase in density evident by computerised tomography (CT) and radiography in companion studies as a response to training, in bone in the palmar and dorsal regions of the condyles of the third metacarpal bone (Mc3) of 2-year-old Thoroughbred horses.

METHODS: Compositional back-scattered electron (BSE) imaging in scanning electron microscopy (SEM) and confocal scanning laser microscopy (CSLM) were conducted on polymethyl methacrylate (PMMA)-embedded mediolateral slices of the right distal Mc3 from seven 2-year-old Thoroughbred horses trained on a racetrack and seven untrained horses kept at pasture. One left Mc3 from each group was studied in transverse section planes. This study focussed on regions of Mc3 found to differ in density between the trained and untrained horses in companion studies using CT and radiography.

RESULTS: The increase of bone density in the condyles of Mc3 in trained horses compared with untrained horses occurred, without prior osteoclastic resorption, via the deposition of new bone on pre-existing internal surfaces. Within prior marrow spaces of cancellous bone, there was also rapid formation of immature strands and fronds of bone which were more cellular and mineralised, and more lamellar bone tissue was deposited on these new scaffolding elements in the trained horses. Both resulted in increased bone volume fraction (BVF). The microscopic mineralisation density of the bulk of the new tissue was lower than in pre-existing bone, and CT and radiography underestimated the increase in BVF. The new tissue was thus probably less stiff at the microscopic scale than pre-existing bone, though its addition would stiffen the global structure.

CONCLUSIONS: In Mc3 of all the trained horses, there were obvious differences in microscopic structure compared with those from the untrained horses. Moderate, industry-standard levels of exercise used to prepare young horses for racing induced the formation of new bone in non-bone spaces in bone tissue, such that the bone organ should better withstand later increased levels of exercise.