Reference Values and Repeatability of B-Mode and M-Mode Echocardiographic Parameters in Healthy Donkey (Equus asinus)—The Guide to Assess Healthy Heart

Donkey (Equus asinus), the cheapest form of agricultural power in Egypt, is used principally as draught or pack animals and may also be ridden, or used for threshing, raising water, milling, and other work. The aim of the present study was to provide B-mode and M-mode echocardiographic reference ranges from a sample of population of donkeys (E. asinus) based on the probability theory and statistics. In the present study, B-mode and 2-dimensional guided M-mode echocardiography were performed on 44 clinically healthy donkeys (E. asinus) (22 males and 22 females), without any neither clinical nor echocardiographic evidence of cardiovascular diseases, aged 2–25 year old, and weighed 150–350 kg. The echocardiographic dimensions, including interventricular septum thickness at end diastole, interventricular septum thickness at end systole, left ventricular internal diameter at end diastole, left ventricular internal diameter at end systole, left ventricular posterior wall thickness at end diastole, and left ventricular posterior wall thickness at end systole were assessed. The cardiac function indices, including end diastolic volume, end systolic volume, stroke volume, ejection fraction, and fractional shortening were also measured. B-mode and guided M-mode echocardiographic examination of healthy donkeys revealed that both the interventricular septum thickness and the left ventricular posterior free wall were greater during systole than diastole. However, the left ventricular dimension during diastole was greater than systole. Furthermore, the recorded data of cardiac function indices, including end diastolic volume, end systolic volume, stroke volume, ejection fraction, and fractional shortening using B-mode echocardiography were closer to those recorded by guided M-mode echocardiography. To our knowledge, this is the first Egyptian study to report the echocardiographic reference ranges of donkeys (E. asinus) based on the probability theory and statistics, the coefficient of variation. The results of the present study can be used as standard and reference values for further echocardiographic studies in donkeys and represent a step in the identification, interpretation, and evaluation of cardiovascular disorders in such animals.     

Echocardiographic and right-sidedcardiac pressure comparison of the mule and horse

There are few physiologic studies that substantiate thepopular belief that mules are superior to horses as working animals. The purpose of this study was to compare selected cardiac dimensions and right-sided cardiac pressures of mules and horses. Using 2-D real time and M-mode echocardiography and transjugular cardiac catheterization resting cardiac dimensions and right-sided pressures were recorded from 10 adult mules and 10 adult horses. The mules and horses were similar in size and physical condition, and both groups had served equally as pack animals. The end diastolic left ventricular lumen diameter, interventricular septal thickness, left ventricular free wall thickness, and aortic root diameter measured (mean ± SD) 9.51 ±0.92 cm, 2.63±0.34 cm, 2.28±0.31 cm, 7.9±0.57 cm, respectively, in mules, and 9.83±0.87 cm, 2.83±0.29 cm, 2.39±0.33 cm, 7.9±0.36 cm, respectively, in horses. The end systolic left ventricular lumen diameter measured 5.79 cm in mules and 5.94±0.99 cm in horses, yielding left ventricular luminal shortening fractions of 39.2±7.15% in mules and 39.7±6.91% in horses. Right atrial mean pressure was 5.3±2.3 mm of Hg in mules and 5.8±1.2 mm Hg in horses. Right ventricular peak systolic pressure was 47.9±4.9 mm Hg in mules and 47.7±3.5 mm Hg in horses. Pulmonary artery mean pressure was 27.3±3.2 mm Hg in mules and 28.1±3.6 mm Hg in horses. No significant differences were detected between mules and horses for the resting cardiac dimensions examined or right-sided pressures measured.     

Physical Parameters and Risk Factors Associated with the Elimination of Arabian and Crossed Arabian Endurance Horses during a 120-km Endurance Race

Endurance racing is one long-distance event among the equine sporting activities associated with severe injuries and metabolic derangements that impede the health status of horses participating in the event. Therefore, this study evaluated the physical parameters and risk factors associated with the elimination of Arabian and crossed Arabian endurance horses during a 120-km race. Fifty-three Arabian and crossed Arabian endurance horses aged 6 to 15 years old participated in an endurance race of 120 km. All the horses were examined and found fit according to Fédération Équestre Internationale (FEI) regulations. After the endurance race 14 Arabian endurance horses completed the race successfully while 31 Arabian and crossed Arabian were eliminated. Their speed and heart rates were significantly higher (P < .0001). There were significant differences in skin recoil (P < .0395), color of mucous membrane (P < .0189), intestinal motility (P < .0124), and capillary refill time (P < .0082). There also were significant differences in age (P < .0018), breed (P < .0119), and equine establishments (P < .0205) among the eliminated horses and the Arabian and crossed Arabian endurance horses that successfully completed the race. In conclusion, the physical parameters and risk factors were significantly associated with the elimination of Arabian and crossed Arabian endurance horses. Therefore, close monitoring of the physical parameters and risk factors are essential in order to improve the performance of Arabian and crossed Arabian horses, and further studies are required on other associated parameters.     

The Effect of Different Physical Exercise on Plasma Leptin,Cortisol, and Some Energetic Parameters Concentrations in Purebred Arabian Horses

Leptin is a hormone that coordinates food intake, energy expenditure, and metabolic rate; it is, however, unknown how exercise influences plasma leptin concentration in horses. The aim of the study was to evaluate the exercise-induced changes in plasma leptin concentration in purebred Arabian horses competing in races and endurance rides. A total number of 26 horses (12 purebred Arabian racehorses aged 3–5 years and 14 endurance horses aged 7–14 years) were studied during performing routine physical exercise. From each horse, blood samples were collected at rest and immediately after the exercise session. Concentrations of plasma leptin, cortisol, lactic acid, uric acid, triacylglycerols, glycerol and free fatty acids were determined. Exercise-induced increase in cortisol and free fatty acid values were higher in endurance horses than in racehorses. Neither endurance nor race exercises influenced the plasma leptin concentration. Further research is needed to elucidate the effects of different types of exercise on leptin synthesis and secretion in horses.     

Cardiovascular variables in eventing and endurance horses over a season

IntroductionThe objectives of this study were to describe the changes in clinical cardiovascular examination variables over a competition season in groups of competitive eventing and endurance horses and to compare these findings to non-competitive controls of the same breeds.AnimalsThis study included two eventing horses, 11 endurance horses, and 13 eventing and seven endurance control breed-matched horses.Materials and methodsCardiovascular examinations were performed before starting the competition season, in the middle and at the peak/end of the competition season. Examinations included auscultation of the heart; M-mode echocardiographic measurements and calculated values; left atrial, pulmonary artery, and aortic diameters; color flow Doppler; exercise electrocardiograms (ECG) measuring peak heart rates and quantifying premature complexes; and 24-h continuous ECGs quantifying premature complexes per hour.ResultsAuscultation, echocardiograms, arrhythmias during exercise, and 24-h continuous ECGs did not change significantly throughout the season (p > 0.05 for all variables).ConclusionCardiovascular examination variables of eventing and endurance horses throughout a competition season are reported here for the first time. Although the present study did not reveal significant changes, data should be interpreted carefully as only a small number of horses were examined.     

Effects of the ACE inhibitor quinapril on echocardiographic variables in horses with mitral valve insufficiency

Twenty horses with mitral valve insufficiency, but without signs of congestive heart failure, and five horses without signs of heart disease were examined before and after medication with an angiotensin-converting enzyme (ACE) inhibitor. The examination included echocardiography assessment as well as heart catheterization. The echocardiographic examination included B-mode, M-mode, conventional and colour Doppler techniques. For 8 weeks, all horses were treated with Accupro 20 (active substance: Quinapril) at an oral dose rate of 120 mg/horse/day. A follow-up of the horses with mitral valve insufficiency after 8 weeks revealed a statistically significant increase in the stroke volume and the cardiac output as well as a decrease in regurgitation velocity time integral (VTI). The regurgitation blood velocity remained the same. The severity of mitral valve insufficiencies revealed a moderate improvement in five horses, from moderate to mild, after therapy. Significant changes of cardiac dimension (B-mode) and shortening fraction (M-mode) before and after treatment could not be observed. The owners' judgement of the horses' performance was that of a minor improvement. In the horses without clinical findings the results of examination before and after treatment remained the same.     

The Use of a Metabolic Disorder Index as a Predictor for Metabolic Eliminations in Endurance Horses

The equine endurance race involves both aerobic and anaerobic metabolisms of the horse. The intense physical activity over an extended period often causes susceptible horses to develop metabolic signs or problems resulting in elimination from races. Thus, the objective of this study was to develop a method for prediction and validation of a metabolic disorder index (MDI) to be used before endurance races. Three hundred seventy-five Arabian (n = 152) and Arabian cross (n = 223) endurance horses aged from 6 to 15 years and weighing between 350 and 450 kg were selected for the study in Malaysia. Blood samples were collected at pre- and post-race periods. The significant (P < .05) findings in horses with metabolic disorder were packed cell volume (0.50 ± 0.06 LL−1), creatine kinase (1,275.89 ± 121.45 UL−1), interleukin-6 (2.01 ± 0.89 ng/mL), decreased glutathione reductase (26.57 ± 3.95 ng/mL), and chloride (94.98 ± 8.12 mmol/L). A new method called MDI was developed as a predictor for horses with the potential to develop metabolic disorders in endurance races. The MDI indicated a higher value greater than 5.5 for those eliminated and lower value below 5.5 for those that completed the race successfully, this proved to be accurate in the prediction of metabolic disorder in endurance horses. The MDI is an innovative and simple method used as a prediction method that will assist the equine endurance society to reduce the rate of elimination and to safeguard against serious medical problems during endurance races in the tropics.     

SOURCES AND MAGNITUDE OF VARIATION OF ECHOCARDIOGRAPHIC MEASUREMENTS IN NORMAL STANDARDBRED HORSES

The purpose of this study was to assess the intraobserver variation of various echocardiographic measures in standardbred trotters. Serial echocardiographic examinations were carried out on eight standardbred mares by one ultrasonographer for 5 separate days. During each examination, five nonconsecutive cardiac cycles (frames) were recorded and an average obtained for each individual measure. Various echocardiographic measures were obtained by use of two-dimensional (2-D), M-mode, color flow Doppler and pulsed wave Doppler echocardiography. The total variation in the echocardiographic measurements was split into three levels: the variation between horses, the day-to-day variation within individual horses, and finally the variation within horse on the same day of examination (intercardiac cycle variation). The intraclass correlation coefficient (ICC) was calculated for each measure. The ICC represents the variability of the measurements because of differences between the horses. In general the 2-D, M-mode and color flow Doppler measures had higher ICC values (ICC from 0.63 to 0.95) than the pulsed wave Doppler measures (ICC from 0.24 to 0.46), and the former measures were more repeatable than the pulsed wave measures. Exceptions to that were left ventricular free wall in diastole, the pulmonary artery in systole and the left ventricular mass, which all had low repeatability (ICC from 0.22 to 0.49). The results were used to calculate the relative differences that must be detected to diagnose a statistically significant change between two measurements in an individual horse. Differences from 4.2% to 21.8% must be achieved to document significant changes between serial measurements. A general tendency is that the color flow and pulsed wave Doppler measures require a larger relative difference (11.4-21.8%) between the measures to point out statistically significant cardiac changes than the 2-D and M-mode measures (4.2-13.9%).     

Reference values of two-dimensional and M-mode echocardiographic measurements as a function of body size in various equine breeds and in ponies

Introduction

The aim of this study was to establish echocardiographic reference values for the equine species using allometric regression equations based on body weight (BW) and thoracic circumference (TC).

Measurement of M-mode echocardiographic parameters in healthy adult Maine Coon cats

OBJECTIVE: To determine reference values for M-mode echocardiographic parameters in nonsedated healthy adult Maine Coon cats and compare those values with data reported for nonsedated healthy adult domestic cats. DESIGN: Prospective study. ANIMALS: 105 healthy adult Maine Coon cats. PROCEDURE: Over a 3-year period, M-mode echocardiographic examinations (involving a standard right parasternal transthoracic technique) were performed on Maine Coon cats as part of prebreeding evaluations; values of M-mode parameters in healthy individuals were collected, and mean values were calculated for comparison with those reported for healthy adult domestic cats. RESULTS: The mean +/- SD weight of Maine Coon cats was significantly greater than that of domestic cats. Mean values of left ventricular internal dimension at end diastole and end systole (LVIDd and LVIDs, respectively), interventricular septal thickness at end systole (IVSs), left ventricular posterior wall thickness at end systole (LVPWs), left atrial dimension at end systole (LADs), and aortic root dimension (Ao) in Maine Coon cats differed significantly from values in healthy domestic cats. The greatest differences detected between the 2 groups involved values of LVIDd, LADs, and Ao. Linear regression analysis revealed a weak but significant correlation between weight and each of LVIDd, LVPWs, IVSs, Ao, LADs, and left ventricular posterior wall thickness at end diastole. CONCLUSIONS AND CLINICAL RELEVANCE: Values of several M-mode echocardiographic parameters in Maine Coon cats differ from those reported for domestic cats; these differences should be considered during interpretation of echocardiographic findings to distinguish between cardiac health and disease in this breed.     

An Echocardiographic Study of Atrial Fibrillation in Horses: Before and After Conversion to Sinus Rhythm

Two-dimensional and M-mode echocardiograms were recorded from 41 horses before they were successfully treated for atrial fibrillation. In addition, these examinations were performed in a subgroup of 20 horses after treatment, and the results were compared with pretreatment values. Atrial fibrillation in this group of horses was associated with a reduction of mean left ventricular fractional shortening (mean 31 %± 5.24%), and 22 of the 41 horses were below the reference range. The remaining mean M-mode variables were within the normal reference range, although 12 horses had increased left ventricular lumen dimensions in systole, and 8 horses had decreased left ventricular ejection times. Abnormal motion of the mitral valve was present in all horses and was characterized by the absence of A peaks, which were replaced by small diastolic undulations in 55% of the horses. In horses 1 to 20, after conversion to sinus rhythm, the mean fractional shortening increased (35.34%± 5.4%, P = .004), but there were no significant differences in heart rate or left ventricular lumen diameters in systole or diastole. These results suggest that ventricular function may be compromised by the presence of atrial fibrillation. However, this improved after correction of the arrhythmia.     

Echocardiographic changes in heart size in hypohydrated horses

Background: Hypohydration causes transient echocardiographic changes in pigs, dogs, humans, and cats. These changes mask the diagnosis of some cardiac diseases (valvular regurgitation, dilated cardiomyopathy) and promote the diagnosis of others (hypertropic cardiomyopathy and infiltrative disease), thus inhibiting accurate echocardiographic evaluation. Objectives: To describe the echocardiographic changes associated with hypohydration in normal horses. Animals: Ten adult horses without detectable cardiac disease. Methods: Experimental study. Echocardiographic examinations were performed on horses in the euhydrated and hypohydrated states. Horses were hypohydrated by combined water deprivation and furosemide administration until a 4–7% reduction in bodyweight was achieved. Statistical analyses were performed by paired t‐tests. Results: Hypohydration decreased left ventricular internal diameter in systole (0.8 ± 0.6 cm) and diastole (1.7 ± 0.9 cm), left atrial diameter (1.5 ± 0.4 cm) and left ventricular volume (490 ± 251 mL) (P‐values < .01), and increased septal wall thickness in diastole (0.6 ± 0.3 cm), free wall thickness in diastole (0.5 ± 0.3 cm), mean wall thickness (0.5 ± 0.2 cm) and relative wall thickness (0.2 ± 0.1 cm) (P‐values < .01). Conclusions and Clinical Importance: Hypohydration produces changes in left ventricular and atrial size that could mask or promote the severity of cardiac disease. The thickened, “pseudohypertrophied” appearance of the left ventricle in hypohydrated horses could affect interpretation of echocardiographic variables that are applied to the prediction of athletic performance. Echocardiography may prove a noninvasive method of monitoring volume status and response to fluid therapy in hypovolemic horses.     

The effects of detomidine, romifidine or acepromazine on echocardiographic measurements and cardiac function in normal horses

OBJECTIVE: To evaluate by echo- and electrocardiography the cardiac effects of sedation with detomidine hydrochloride, romifidine hydrochloride or acepromazine maleate in horses. STUDY DESIGN: An experimental study using a cross-over design without randomization. ANIMALS: Eight clinically normal Standardbred trotters. MATERIALS AND METHODS: Echocardiographic examinations (two-dimensional, guided M-mode and colour Doppler) were recorded on five different days. Heart rate (HR) and standard limb lead electrocardiograms were also obtained. Subsequently, horses were sedated with detomidine (0.01 mg kg(-1)), romifidine (0.04 mg kg(-1)) or acepromazine (0.1 mg kg(-1)) administered intravenously and all examinations repeated. RESULTS: Heart rate before treatment with the three drugs did not differ significantly (p = 0.98). Both detomidine and romifidine induced a significant decrease (p < 0.001) in HR during the first 25 minutes after sedation; while acepromazine had a varying effect on HR. For detomidine, there was a significant increase in LVIDd (left ventricular internal diameter in diastole; p = 0.034) and LVIDs (left ventricular internal diameter in systole; p < 0.001). In addition, a significant decrease was found in IVSs (the interventricular septum in systole; p < 0.001), LVFWs (the left ventricular free wall in systole; p = 0.002) and FS% (fractional shortening; p < 0.001). The frequency of pulmonary regurgitation was increased significantly (p < 0.001). Romifidine induced a significant increase in LVIDs (p < 0.001) and a significant decrease in IVSs (p < 0.001) and FS% (p = 0.002). Acepromazine had no significant effect upon any of the measured values. CONCLUSIONS: and clinical relevance The results indicate that sedation of horses with detomidine and to a lesser extent romifidine at the doses given in this study has a significant effect on heart function, echocardiographic measurements of heart dimensions and the occurrence of valvular regurgitation. Although the clinical significance of these results may be minimal, the potential effects of sedative drugs should be taken into account when echocardiographic variables are interpreted in clinical cases.     

RIGHT HEART ENLARGEMENT IN HEARTWORM-INFECTED DOGS

Radiographically, the size of the right ventricle of 54 heartworm-infected dogs was graded subjectively as normal, 1 +, 2 +, and 3 + and served to classify the dogs into groups A, B, C, and D. With M-mode echocardiograms, right ventricular enlargement ratios (RVE ratios) were determined for each dog by dividing the measured right ventricular internal diastolic dimension (RVIDd) by the expected RVIDd of a normal dog of the same body weight. The normal RVIDd relation to body weight was derived from 25 healthy heartworm-free control dogs. These two variables were linearly related with a correlation coefficient r²= 0.59. Means and standard deviations of the RVE ratio were calculated for each group. Despite wide ranges and considerable overlap, the ratio was significantly different (t-test, p < 0.005) between groups with the exception of groups A and B, and C and D. The incidence of electrocardiographic signs of right ventricular hypertrophy was also determined for each group; it was 38% in group C and 62% in group D. From this data, it was concluded that M-mode echocardiography is a very sensitive technique for the documentation of right ventricular dilatation in heartworm-infected dogs, correlating with radiographic impressions of right ventricular enlargement.     

Adiponectin and leptin are related to fat mass in horses

Plasma concentrations of adiponectin and leptin were measured in 23 mature Standardbred mares (age: 10 ± 3 years) and 12 weanling fillies (10 Quarter Horse/Belgian crossbreds and two Quarter Horses; aged: 4 ± 3 months) to test the hypothesis that adipocytokines are proportional to adiposity in horses. Rump fat thickness was measured using B-mode ultrasound and percent body fat (% fat) calculated using a published formula for the estimation of fatness in horses. Plasma adiponectin and leptin were determined using radioimmunoassay. In the absence of purified equine adiponectin or leptin, results were expressed as human equivalents (HE) of immunoreactive (ir) adipocytokines.Plasma ir-leptin HE concentration was positively correlated (r = 0.543; P < 0.001) with percent body fat and (r = 0.556; P < 0.001) to fat mass in all horses. The plasma ir-leptin HE concentration was lower (P = 0.03) in weanlings (1.90 ± 0.34 ng/mL HE) than in mature mares (3.47 ± 0.50 ng/mL HE). The ratio of ir-adiponectin HE to ir-leptin HE was negatively correlated (r = −0.621; P < 0.001) to percent fat and (r = −631; P < 0.001) to fat mass in all horses. The ratio of ir-adiponectin HE to ir-leptin HE was higher (P < 0.001) in weanlings (3.04 ± 0.51) than mature mares (1.03 ± 0.13). These data suggest that leptin is proportional while adiponectin is inversely proportional to adiposity in horses.     

Prevalence and Potential Risk Factors of Dermatophytosis in Arabian Horses in Egypt

The objective of the present study was to verify the prevalence and the risk factors associated with dermatophytosis in Arabian horses. For this purpose, a total of 457 Arabian horses in 15 farms were examined. A questionnaire was constructed to include the hypothesized risk factors. Fungal isolation and identification for each horse were carried out by standard microbiological procedures. Logistic regression analysis was used to evaluate the risk factors on both animal and farm levels. Trichophyton spp. was recovered from 50 horses and Microsporum spp. from 27 cases. Trichophyton equinum was more prevalent than Trichophyton mentagrophytes (45 vs. 4) and Trichophyton tonsurans (45 vs. 1). However, Microsporum canis was more prevalent than Microsporum gypseum (21 vs. 5) and Microsporum audouinii (21 vs. 1). On horse level, final multivariate logistic regression analysis showed that there was a significant association between dermatophytosis and horse' age (P < .05; odds ratio [OR]: 1.07; 95% confidence interval [CI]: 1.0–2.69), poor grooming practice (P < .05; OR: 57.11; 95% CI: 2.47–13.44), moist condition (P < .05; OR: 42.77; 95% CI: 2.0–25.18), and farm size (P < .05; OR: 1.06; 95% CI: 1.00–7.05). However, on the farm level, farm size of >30 horses was the risk factor (P < .05; OR: 1.0; 95% CI: 1–3.03). In conclusion, the present results indicate existance of dermatophytosis in Arabian horses. Identification of the potential risk factors associated with the disease may be helpful to construct the ideal preventive measures.     

Performance of acclimatized European horses in a modified One Star (*) Three-Day Event in heat and humidity

The physiological and biochemical responses of previously acclimatized European three-day event horses to competition in hot humid conditions were investigated. Four Thoroughbred (TB) and four non-Thoroughbred (NTB) horses were flown from Europe to Georgia (USA), underwent a three-week period of acclimatization, and then took part in a modified FEI One star Three-Day Event. The speed and endurance test was modified in an attempt to compensate for the environmental conditions to reduce thermal stress; these alterations included reduction of Phase A, a 10 min cooling stop on Phase C and extension of the 10 min box to 12 min to permit a test to be performed in order to obtain a cardiac recovery index (CRI). Non-Thoroughbred horses were significantly heavier than Thoroughbred horses (591 ± 31 versus 522 ± 17 kg; P<0.02). There were no significant differences in any other characteristics between TB and NTB and only minor differences in variables measured or recorded at rest or during competition. Final competition placings of TB were not significantly different from NTB. None of the horses suffered any heat-related condition at any time before, during or following the field trial. All horses returned to Europe and no medical consequences were reported to occur subsequently in relation acclimatization or competition.     

Tissue Doppler Imaging and Two-Dimensional Speckle Tracking of Left Ventricular Function in Healthy Horses After Clenbuterol Application

The cardiac effects of high dosages of the ß²-adrenergic agent clenbuterol have been the focus of several histological, biochemical and echocardiographic studies in the past. Possible effects of a therapeutic dosage on myocardial contractility and velocities have not been evaluated using tissue Doppler imaging (TDI) and two-dimensional speckle tracking (2DST) in equine medicine. Twenty-five healthy horses were treated over 14 days with clenbuterol in a normal dosage (0.8 μg/kg every 12 hours). Before and after the treatment, an echocardiographic examination was performed using B-mode, M-mode, color flow Doppler, and tissue Doppler imaging (TDI). In all horses, the radial and circumferential myocardial functions were recorded in the right parasternal short-axis view (SAX). Pulsed-wave (PW) and color TDI were used for evaluation of peak and mean myocardial velocities; myocardial deformation was documented in 2DST. An improvement of diastolic function after clenbuterol treatment was demonstrated by a significant increase of the early diastolic radial wall motion velocity (E_m) in all myocardial sections except the right ventricular free wall (RVFW) in TDI, as well as an increase of the E/A quotient in the left ventricular free wall (LVFW) and the interventricular septum (IVS). Shortened time intervals, in particular in the LVFW and a tendency of increase of all deformation parameters showed improved relaxation characteristics of the cardiac muscle after treatment. The results can be interpreted as beginning physiologic cardiac hypertrophy due to clenbuterol treatment. No signs of increased rigidity or reduced compliance of the heart muscle could be found at the applied dosage. This study demonstrates the sensitivity of TDI and 2DST in equine cardiology to detect myocardial remodeling before the appearance of obvious findings in conventional echocardiographic techniques. This technique can be used to detect pharmacologic effects on myocardial function.     

Comparison of the Repeatability of Echocardiographic Measurements from Different Modes and Views in Horses of Various Breeds and Sizes

The objective of this study was to compare the repeatability of echocardiographic measurements obtained from different echocardiographic modes and views in healthy adult equids of various sizes, breeds, and thorax shapes. Ten equids (body weight: 120–662 kg; age: 1–26 years) from various breeds, free of cardiac disease, were used in this study. Each animal was submitted to a standardized echocardiographic and Doppler protocol 3 times at 1 day interval. This protocol included the measurements of left and right ventricular, aortic, pulmonary, and left atrial parameters obtained from different views using the bidimensional (2D) or the motion (M) modes, and the measurement of several parameters of blood flow obtained from the pulsed wave Doppler mode. Repeatability of each measurement was estimated on the basis of the residual variance using a linear model and the coefficient of variation of repeated measurements. A two by two comparison of the repeatability of measurements performed in different views was performed using the residual variances in a variance ratio F test. Results showed that repeatability of echocardiographic or Doppler measurements in equids of various sizes, breeds, and thorax shapes are comparable to previously reported results in thoroughbred and standardbred horses. Left ventricular morphologic parameters showed a good repeatability in the classic M-mode right parasternal short axis view at the level of the chordae tendineae, but the 2D-mode right parasternal long axis four-chamber view appeared to offer an interesting alternative measurement. This latter view also allowed obtaining the most repeatable measurement of right ventricular internal diameter. The left atrial diameter was maximal and most repeatable in the 2D-mode left parasternal long axis four-chamber angled view, and the repeatability of the aortic diameter was best in the 2D-mode right parasternal long axis five-chamber view. Finally, aortic systolic time intervals were more repeatable when measured from the Doppler mode as compared with the M-mode. In conclusion, repeatability of echocardiographic measurements in horses could be optimized after the following protocol: (1) M-mode right parasternal short axis view at the level of chordae tendineae to measure left ventricular morphologic parameters, and 2D-mode right parasternal long axis four-chamber as an alternative view; (2) 2D-mode right parasternal long axis five-chambers to measure the aortic diameter; (3) 2D-mode left parasternal long axis four-chambers angled view to measure the left atrial diameter.