Heart rate during a defined exercise test in horses with heart and lung diseases

Ventricular response during lungeing exercise in horses with lone atrial fibrillation

REASONS FOR PERFORMING THE STUDY

Atrial fibrillation (AF) is the most important dysrhythmia affecting performance in horses and has been associated with incoordination, collapse and sudden death. Limited information is available on ventricular response during exercise in horses with lone AF.

OBJECTIVES

To investigate ventricular response in horses with lone AF during a standardised lungeing exercise test.

METHODS

A modified base-apex electrocardiogram was recorded at rest and during a standardised lungeing exercise test from 43 horses diagnosed with lone AF. During the test horses walked for 7 min, trotted for 10 min, cantered for 4 min, galloped for 1 min and recovered for 7 min.

RESULTS

Individual average heart rate during walk ranged from 42 to 175 beats/min, during trot from 89 to 207 beats/min, during canter from 141 to 269 beats/min, and during gallop from 191 to 311 beats/min. Individual beat-to-beat maximal heart rate ranged from 248 to 492 beats/min. Ventricular premature depolarisations were present in 81% of the horses: at rest (16%), during exercise (69%), and during recovery (2%). In 33% of the horses, broad QRS complexes with R-on-T morphology were found.

CONCLUSIONS

Exercising horses with lone AF frequently develop disproportionate tachycardia. In addition, QRS broadening and even R-on-T morphology is frequently found. QRS broadening may originate from ventricular ectopic foci or from aberrant intraventricular conduction, for example due to bundle branch block. This might explain the high number of complexes currently classified as ventricular premature depolarisations.

POTENTIAL RELEVANCE

Prevalence of QRS broadening and especially R-on-T was very high in horses with AF and was found at low levels of exercise. These dysrhythmias are considered risk factors for the development of ventricular tachycardia and fibrillation and they might explain signs of weakness, collapse or sudden death that have been reported in horses with AF.

Practical assessment of heart rate response to exercise under field conditions

Regular monitoring of the heart rate (HR):speed relationship may help evaluate response to training and aid in the early detection of problems. This relationship is normally determined using a treadmill or via a ridden test conducted outside on a track. Simple practical alternative methods to obtain this relationship without access to a treadmill or a track could be of value in the field. To evaluate whether the HR:speed relationship could be determined via an indoor ridden test or a lunge test, HR was monitored on two occasions at least 3 h apart, in 12 adult horses (mixed breed) in a familiar environment during a 5 or 7 m radius circle lunge (unridden) test (5LT or 7LT) and an incremental (ridden) test (RT) on the same day. The RT comprised two ridden laps of the perimeter of a 60 × 40 m indoor school at walk, three laps at trot, three at medium canter and four at fast canter (all on the right rein). The speed of each lap was recorded. The LT comprised lunging for 2 min on each rein at walk, trot and canter. Speed was determined from the number of laps completed and measurement of the distance travelled. HR and speed were highly correlated in both lunge and ridden tests (both r = 0.99 ± 0.01). V140 on the ridden test (5.2 ± 0.6 m s− 1) was significantly greater than on the pooled lunge test data (4.4 ± 0.6; P < 0.0001). There was a negative correlation between recovery HR at 2 min following either the LT or RT and V140 (P < 0.05). The slope of the HR versus speed relationship and V140 were not different between RT and 7LT, but were significantly different from those of the 5LT (P < 0.05). V140 was always lower on the lunge tests compared with the ridden test. This suggests that, in this study, lunging without a rider increased the metabolic demand above that for being ridden at a similar speed. V140 determined by the 7LT gave the closest approximation to the V140 determined by the RT. The HR:speed relationship can be obtained either from riding an incremental test in an indoor school or from an unridden lunge test.

Physiological measurements and upper and lower respiratory tract evaluation in French Standardbred Trotters during a standardised exercise test on the treadmill

There are a variety of reasons for poor performance in racehorses. Exercise intolerance has often been associated with subclinical respiratory abnormalities, and diagnostic aids are therefore used to enhance clinical detection. Physiological variables can also be measured in order to evaluate the metabolic reponse to exercise. This study evaluated the relationship between physiological measurements and upper airway videoendoscopy during a standardised treadmill exercise test and bronchoalveolar lavage (BAL) cytology in control horses (good racing performance, n = 14) and poor performers (n = 27). The poor performers were divided into 2 groups: Group 1 = both upper and lower respiratory airway abnormal findings (n = 10); Group 2 = lower respiratory airway abnormal findings (n = 17). Horses in Group 2 were divided into 3 categories: Group 2A = exercise-induced pulmonary haemorrhage (EIPH ; n = 5); Group 2B = small airway inflammation (SAI +/- EIPH; n = 7) and Group 2C = other (n = 5). During exercise, the poor performers had significantly lower arterial PaO2 and higher HR and blood lactate concentrations compared to controls. Total nucleated cell count of BAL fluid collected from poor racing performers was significantly higher than in controls; also, epithelial cells and haemosiderophage percentage collected from poor racing performers were significantly higher than in controls. Eight horses with dorsal displacement of the soft palate also had cytological evidence of lower respiratory airway disease. The results of this study suggest that there is a significantly different metabolic response (HR, blood lactate, PaO2) to exercise in poor compared to good performers. As both upper and/or lower respiratory problems can be associated with poor racing performance, a detailed examination of the upper and lower respiratory tracts at rest, during and after exercise is advised.

Gait, estimated net cost of transport and heat production at different speeds in three-day-event horses

Heart rate and gait characteristics (stride length and frequency) were studied in 6 horses subjected to a standardised incremental exercise test, involving moving at the trot and increasing speeds up to a fast gallop and subsequently during the steeplechase phase of a 3-day-event. The studies were performed in hot conditions. Appropriate scaling, based on hindleg length (hh), stride length (L), stride frequency (f) and speed (Sp) for nondimensional stride length (lambda = (L/hh), nondimensional stride frequency (phi = f(hh/g)1/2) and nondimensional velocity (û = Sp/(ghh)1/2), where g is the gravitational acceleration, demonstrated that there were no major differences in characteristics over the full range studied lambda = 2.3 û0.68. However, there were subtle differences in some horses that could endow a benefit in locomotory efficiency when compared to others exercising at the same absolute speed. There were clear changes in the relationship between nondimensional stride length and frequency with increasing speed, from trot to canter (at û approximately 1.4) and to full gallop (at û approximately 2.3); when trotting, lambda was less than 2.2 and the transition from canter to gallop took place at lambda approximately 3.2. The cost of transport/kg/m, estimated from the heart rates measured continuously during each study, decreased with increasing speed and bodyweight. In some animals, there appeared to be a weak minimum around the canter-gallop transition speed. When interpreted as oxygen cost, using published values for the oxygen consumption-heart rate relationship, the cost fell from an average of 0.201 ml/kg/m at the trot to 0.161 mlO2/kg/m when galloping during the incremental exercise tests. During the steeplechase, the cost was approximately 7.5% higher than at the same speed in the exercise tests; this was probably due to jumping effort. Estimated power consumption increased linearly with speed. In the steeplechase, power consumption was also 7.5% higher than during the exercise tests at the same absolute speed; this was equivalent to an average rate of heat production of 346 kcal/min (24 kW) or 59.5 kcal/min/m2 of the measured body surface area.

Computerized ECG recording in horses during a standardized exercise test

In the horse, it is important to make a reliable ECG recording during exercise as cardiac arrhythmia is one of the possible causes of poor performance. The purpose of the present study was to obtain a satisfactory, standardized method for ECG recording by computer during a standardized treadmill exercise test and to evaluate the procedure both in healthy and in diseased horses. Ten experienced healthy research horses were used to develop and adapt the original method (for humans) of computerized ECG recording with the Cardio Perfect software program and to obtain reference values for heart rate and blood variables. Further, three diseased horses (patients) were examined to evaluate whether the test procedures were also usable for horses without extensive experience in treadmill and other experimental procedures. During a standardized exercise test on a treadmill at walk (1.7 m/s), trot (4.0 m/s), and canter (7.0 m/s at 0% and 4% treadmill inclination), the ECG was recorded using two bipolar leads (from xiphoid to manubrium respectively to the left withers) and one unipolar lead (on the left ventral thorax). The quality of the exercise ECGs was satisfactory. The heart rate was detectable and arrhythmias were identifiable. Most research horses did not show arrhythmias during exercise, except a single atrial premature complex (APC). The reference values for the mean heart rate for the different stages of the exercise test differed from 84 + or - 7 to 176 + or - 21 beats per minute (bpm). The exercise test provoked in healthy horses a plasma lactate concentration around the anaerobic threshold. Most patients were also able to finish the test. In conclusion, the developed method to obtain an exercise ECG during a standardized exercise test proved to be reliable and applicable both in research horses and in patients, thus extending the possibilities to diagnose arrhythmias.

Exercise testing

In the athletic horse, an exercise test may be required to measure the adaptation of the animal to a specific training program; to modify the training program in response to the progress achieved; to investigate the reasons for failure to perform at the expected level; and to form part of an overall clinical examination of a horse with a specific disability. This article includes information on the scope and form of an exercise test, the parameters measured during the test and their interpretation, treadmill and track tests, and the clinical applications of exercise tests.

Cardiovascular adaptations to exercise and training

The cardiovascular system provides the link between pulmonary ventilation and oxygen usage at the cellular level. During exercise, efficient delivery of oxygen to working skeletal and cardiac muscles is vital for maintenance of ATP production by aerobic mechanisms. The equine cardiovascular response to increased demand for oxygen delivery during exercise contributes largely to the over 35-fold increases in oxygen uptake that occur during submaximal exercise. Cardiac output during exercise increases greatly owing to the relatively high heart rates that are achieved during exercise. Heart rate increases proportionately with workload until heart rates close to maximal are attained. It is remarkable that exercise heart rates six to seven times resting values are not associated with a fall in stroke volume, which is maintained by splenic contraction, increased venous return, and increased myocardial contractibility. Despite the great changes in cardiac output, increases in blood pressure during exercise are maintained within relatively smaller limits, as both pulmonary and systemic vascular resistance to blood flow is reduced. Redistribution of blood flow to the working muscles during exercise also contributes greatly to the efficient delivery of oxygen to sites of greatest need. Higher work rates and oxygen uptake at submaximal heart rates after training imply an adaptation due to training that enables more efficient oxygen delivery to working muscle. Such an adaptation could be in either blood flow or arteriovenous oxygen content difference. Cardiac output during submaximal exercise does not increase after training, but studies using high-speed treadmills and measurement of cardiac output at maximal heart rates may reveal improvements in maximal oxygen uptake due to increased stroke volumes, as occurs in humans. Improvements in hemoglobin concentrations in blood during exercise after training are recognized, but at maximal exercise, hypoxemia may reduce arterial oxygen content. More effective redistribution of cardiac output to muscles by increased capillarization and more efficient oxygen diffusion to cells may also be an important means of increasing oxygen uptake after training.

Cardiovascular response to exercise and training in the horse

The quality of the overall response to exercise in the horse is very similar to that seen in man and laboratory animals; differences are mainly quantitative and persist when relative body weight is taken into account. The apparently greater flow capacity of the equine muscle bed during maximal whole-body exercise implicates the extent of central circulatory adaptations as the limiting factor in performance but implies a role for increase in arteriolar capacitance/muscle capillarity as an appropriate response to intense endurance training. The blood oxygen-carrying capacity of the horse is often quoted as the major component of the animal's superior aerobic work capacity, although the measured maximal a-vO2 for the horse is only 2 to 3 ml greater than that found in elite athletes. In fact, comparison of published performance data for man and the horse reveals that improved a-vO2 accounts for 23 per cent of the difference, and increased Qc accounts for the remaining 77 per cent of the superior oxygen consumption in the horse. The extent to which the horse can increase Qc and muscle blood flow appears to represent its major adaptations for maximal aerobic performance. It is frequently observed that there have been far greater improvements in human athletic performance than in that of the race-horse, and this difference is usually attributed to the application of scientific training methods to the athlete. It has also been suggested that the horse may have reached the limit of its adaptive ability. The horse has a maximal oxygen pulse of at least 0.6 ml per kg per beat compared with 0.35 for man, a 90 per cent whole body oxygen extraction, and an 80 to 90 per cent higher muscle blood flow, with an overall capability of increasing Vo2 max by 35 times. These represent levels that would appear to be difficult to improve upon. However, insufficient research has been performed to firmly state true maxima for the horse, and current research does not reveal to what extent the horse is capable of responding to even conventional training methods. The relative improvement that such research could reveal would provide some objective guidance to the extent to which further improvement could be anticipated. A consistent finding in the majority of studies reviewed is the tendency for results to show a lack of statistical significance, which is particularly frustrating for a researcher when the trends are consistent with the initial hypotheses. This tendency arises because of small group sizes and inherent variability in the test population.(ABSTRACT TRUNCATED AT 400 WORDS)