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Cardiac arrhythmias in poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters undergoing high-speed treadmill testing.
Vet J. 2021 Jan; 267:105574.VJ

Abstract

The significance of cardiac arrhythmias and their possible association with upper airway obstruction are frequently considered in the clinical investigation of poor performance. The specific aims of this retrospective study of a group of poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters were to: (1) describe the overall frequency and frequency distributions of arrhythmias; (2) describe arrhythmia characteristics including percent prematurity, relative recovery cycle lengths and QRS morphology; (3) describe variability of normal RR intervals; and (4) explore possible associations between upper airway abnormalities and arrhythmia categories during peak exercise and recovery. The records of 103 trotters presented to the Norwegian University of Life Sciences for high-speed treadmill testing were reviewed. The occurrence of at least one arrhythmic event was high (77-78%) when considering all exercise periods and 6-10% prematurity criteria. Triplets, salvos, and/or paroxysmal tachyarrhythmias occurred in 8% of horses during peak exercise. Complex ventricular arrhythmias occurred in 15% of horses in the first 2 min of recovery. Evaluation of QRS morphology and return cycle lengths demonstrated areas of overlap in characteristics typically attributed to either supraventricular or ventricular arrhythmias. There was no association between airway diagnosis and arrhythmias during any exercise period. The maximum average HR during peak exercise was an excellent predicter for complex ventricular arrhythmias during recovery. Because perfect categorization of arrhythmias is not possible, future studies should report descriptive arrhythmia information. Prospective studies that evaluate various degrees of upper airway obstruction and the effect on known initiators of arrhythmogenesis are needed.

Authors+Show Affiliations

University of Pennsylvania, New Bolton Center, Department of Clinical Studies, 382 West Street Rd Kennett Square, PA 19348, USA. Electronic address: slackj@vet.upenn.edu.University of Pennsylvania, New Bolton Center, Department of Clinical Studies, 382 West Street Rd Kennett Square, PA 19348, USA.Norwegian University of Life Sciences, Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, P.O. Box 369 Sentrum, N-0102 Oslo, Norway.Norwegian University of Life Sciences, Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, P.O. Box 369 Sentrum, N-0102 Oslo, Norway.Norwegian University of Life Sciences, Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, P.O. Box 369 Sentrum, N-0102 Oslo, Norway.Norwegian University of Life Sciences, Faculty of Veterinary Medicine, Department of Companion Animal Clinical Sciences, P.O. Box 369 Sentrum, N-0102 Oslo, Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33375960

Citation

Slack, J, et al. "Cardiac Arrhythmias in Poorly Performing Standardbred and Norwegian-Swedish Coldblooded Trotters Undergoing High-speed Treadmill Testing." Veterinary Journal (London, England : 1997), vol. 267, 2021, p. 105574.
Slack J, Stefanovski D, Madsen TF, et al. Cardiac arrhythmias in poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters undergoing high-speed treadmill testing. Vet J. 2021;267:105574.
Slack, J., Stefanovski, D., Madsen, T. F., Fjordbakk, C. T., Strand, E., & Fintl, C. (2021). Cardiac arrhythmias in poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters undergoing high-speed treadmill testing. Veterinary Journal (London, England : 1997), 267, 105574. https://doi.org/10.1016/j.tvjl.2020.105574
Slack J, et al. Cardiac Arrhythmias in Poorly Performing Standardbred and Norwegian-Swedish Coldblooded Trotters Undergoing High-speed Treadmill Testing. Vet J. 2021;267:105574. PubMed PMID: 33375960.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiac arrhythmias in poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters undergoing high-speed treadmill testing. AU - Slack,J, AU - Stefanovski,D, AU - Madsen,T F, AU - Fjordbakk,C T, AU - Strand,E, AU - Fintl,C, Y1 - 2020/11/21/ PY - 2020/01/17/received PY - 2020/10/22/revised PY - 2020/10/30/accepted PY - 2020/12/30/entrez PY - 2020/12/31/pubmed PY - 2021/4/23/medline KW - Compensatory pause KW - Complex ventricular arrhythmias KW - RR variability KW - Return cycle length KW - Upper airway obstruction SP - 105574 EP - 105574 JF - Veterinary journal (London, England : 1997) JO - Vet J VL - 267 N2 - The significance of cardiac arrhythmias and their possible association with upper airway obstruction are frequently considered in the clinical investigation of poor performance. The specific aims of this retrospective study of a group of poorly performing Standardbred and Norwegian-Swedish Coldblooded trotters were to: (1) describe the overall frequency and frequency distributions of arrhythmias; (2) describe arrhythmia characteristics including percent prematurity, relative recovery cycle lengths and QRS morphology; (3) describe variability of normal RR intervals; and (4) explore possible associations between upper airway abnormalities and arrhythmia categories during peak exercise and recovery. The records of 103 trotters presented to the Norwegian University of Life Sciences for high-speed treadmill testing were reviewed. The occurrence of at least one arrhythmic event was high (77-78%) when considering all exercise periods and 6-10% prematurity criteria. Triplets, salvos, and/or paroxysmal tachyarrhythmias occurred in 8% of horses during peak exercise. Complex ventricular arrhythmias occurred in 15% of horses in the first 2 min of recovery. Evaluation of QRS morphology and return cycle lengths demonstrated areas of overlap in characteristics typically attributed to either supraventricular or ventricular arrhythmias. There was no association between airway diagnosis and arrhythmias during any exercise period. The maximum average HR during peak exercise was an excellent predicter for complex ventricular arrhythmias during recovery. Because perfect categorization of arrhythmias is not possible, future studies should report descriptive arrhythmia information. Prospective studies that evaluate various degrees of upper airway obstruction and the effect on known initiators of arrhythmogenesis are needed. SN - 1532-2971 UR - https://www.unboundmedicine.com/medline/citation/33375960/Cardiac_arrhythmias_in_poorly_performing_Standardbred_and_Norwegian_Swedish_Coldblooded_trotters_undergoing_high_speed_treadmill_testing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1090-0233(20)30151-9 DB - PRIME DP - Unbound Medicine ER -