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Quantitative analysis of stress echocardiograms in healthy horses with 2-dimensional (2D) echocardiography, anatomical M-mode, tissue Doppler imaging, and 2D speckle tracking


Schefer, K D; Bitschnau, C; Weishaupt, M A; Schwarzwald, C C (2010). Quantitative analysis of stress echocardiograms in healthy horses with 2-dimensional (2D) echocardiography, anatomical M-mode, tissue Doppler imaging, and 2D speckle tracking. Journal of Veterinary Internal Medicine, 24(4):918-931.

Abstract

BACKGROUND: Stress echocardiography is used to diagnose myocardial dysfunction in horses, but current methods are not well standardized. The influence of heart rate (HR) on measurements is largely unknown.

OBJECTIVES: To investigate the use of 2-dimensional echocardiography (2DE), anatomical M-mode (AMM), tissue Doppler imaging (TDI), and 2D speckle tracking (2DST) at rest and after exercise for quantification of regional and global left-ventricular (LV) function.

ANIMALS: Five athletic Warmblood horses; 11.6+/-3.6 years; 529+/-48 kg.

METHODS: Prospective study. Three separate echocardiographic examinations were performed before (baseline) and over 5 minutes after treadmill exercise with 2DE (1st, short-axis view; 2nd, long-axis view) and pulsed-wave TDI (3rd examination). Offline analyses were performed at baseline and after exercise at HR 120, 110, 100, 90, and 80 minute(-1). Global and segmental measurements were compared by analysis of variance.

RESULTS: Quantitative analyses of stress echocardiograms were feasible in all horses. None of the AMM indices changed significantly after exercise. Stroke volume and ejection fraction by 2DE and strain by 2DST decreased, whereas strain rate by 2DST increased significantly at HR>100 minute(-1). TDI analyses were technically difficult and provided little additional information.

CONCLUSIONS AND CLINICAL IMPORTANCE: Volumetric indices by 2DE and strain and strain rate by 2DST are applicable for quantitative assessment of stress echocardiograms. In healthy horses, they are significantly altered at a HR>100 minute(-1) and need to be evaluated in view of the instantaneous HR. Further investigations are needed to define the clinical value of stress echocardiography in horses with cardiac diseas

BACKGROUND: Stress echocardiography is used to diagnose myocardial dysfunction in horses, but current methods are not well standardized. The influence of heart rate (HR) on measurements is largely unknown.

OBJECTIVES: To investigate the use of 2-dimensional echocardiography (2DE), anatomical M-mode (AMM), tissue Doppler imaging (TDI), and 2D speckle tracking (2DST) at rest and after exercise for quantification of regional and global left-ventricular (LV) function.

ANIMALS: Five athletic Warmblood horses; 11.6+/-3.6 years; 529+/-48 kg.

METHODS: Prospective study. Three separate echocardiographic examinations were performed before (baseline) and over 5 minutes after treadmill exercise with 2DE (1st, short-axis view; 2nd, long-axis view) and pulsed-wave TDI (3rd examination). Offline analyses were performed at baseline and after exercise at HR 120, 110, 100, 90, and 80 minute(-1). Global and segmental measurements were compared by analysis of variance.

RESULTS: Quantitative analyses of stress echocardiograms were feasible in all horses. None of the AMM indices changed significantly after exercise. Stroke volume and ejection fraction by 2DE and strain by 2DST decreased, whereas strain rate by 2DST increased significantly at HR>100 minute(-1). TDI analyses were technically difficult and provided little additional information.

CONCLUSIONS AND CLINICAL IMPORTANCE: Volumetric indices by 2DE and strain and strain rate by 2DST are applicable for quantitative assessment of stress echocardiograms. In healthy horses, they are significantly altered at a HR>100 minute(-1) and need to be evaluated in view of the instantaneous HR. Further investigations are needed to define the clinical value of stress echocardiography in horses with cardiac diseas

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Integrative Human Physiology
05 Vetsuisse Faculty > Veterinary Clinic > Equine Department
Dewey Decimal Classification:570 Life sciences; biology
610 Medicine & health
Language:English
Date:July 2010
Deposited On:27 Oct 2010 07:45
Last Modified:05 Apr 2016 14:13
Publisher:Wiley-Blackwell
ISSN:0891-6640
Publisher DOI:https://doi.org/10.1111/j.1939-1676.2010.0542.x
Related URLs:http://www.zora.uzh.ch/42955/
PubMed ID:20561187
Permanent URL: https://doi.org/10.5167/uzh-35513

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