Field-training in young two-year-old thoroughbreds: investigating cardiorespiratory adaptations and the presence of exercise induced pulmonary hemorrhage

BACKGROUND

Comparatively little is known regarding the initial cardiorespiratory response of young racehorses to training. The objectives were to compare physiological parameters before and after introductory training and determine whether young Thoroughbreds show endoscopic signs of exercise-induced pulmonary hemorrhage (EIPH). Ten Thoroughbreds (20-23 months) underwent 12-weeks of introductory training, including weekly speed sessions. Two 600 m high-speed exercise tests (HSET) were performed following weeks 4 and 12 while wearing a validated ergospirometry facemask. Peak oxygen consumption (V̇O2pk) and ventilatory parameters (tidal volume, VT; peak inspiratory and expiratory flow, PkV̇I, PkV̇E; respiratory frequency, Rf; minute ventilation, V̇E) were measured. The ventilatory equivalent of oxygen (V̇E/V̇O2) and the aerobic and anaerobic contributions to energy production were calculated. Maximal heart rate (HRmax) and HR at maximal speed (HRVmax) were determined. Post-exercise hematocrit, plasma ammonia and blood lactate were measured. Evidence of EIPH was investigated via tracheobronchoscopy post-exercise. Results were compared (paired t-test, P < 0.05).

RESULTS

Horses were faster following training (P < 0.001) and V̇O2pk increased 28 ml/(kg total mass.min) (28 ± 16%; P < 0.001). Ventilatory (V̇E, P = 0.0015; Rf, P < 0.001; PkV̇I, P < 0.001; PkV̇E, P < 0.001) and cardiovascular parameters (HRmax, P = 0.03; HRVmax, P = 0.04) increased. The increase in V̇E was due to greater Rf, but not VT. V̇E/V̇O2 was lower (26 ± 3.6 vs 23 ± 3.7; P = 0.02), indicating improved ventilatory efficiency. Anaerobic contribution to total energy production increased from 15.6 ± 6.1% to 18.5 ± 6.3% (P = 0.02). Post-exercise hematocrit (P < 0.001), plasma ammonia (P = 0.03) and blood lactate (P = 0.001) increased following training. Horses showed no signs of EIPH.

CONCLUSIONS

Young two-year-old Thoroughbreds responded well to introductory training without developing tracheobronchoscopic evidence of EIPH.

Prevalence and severity of exercise-induced pulmonary hemorrhage in 2-year-old Thoroughbred racehorses and its relationship to performance

BACKGROUND

Little has been reported regarding the prevalence and severity of exercise-induced pulmonary hemorrhage (EIPH) in 2-year-old Thoroughbred racehorses.

OBJECTIVES

Evaluate EIPH prevalence and severity and its association with performance, speed index, furosemide administration, race distance, and track surface.

ANIMALS

A total of 830 2-year-old Thoroughbreds.

METHODS

Prospective blinded observational study. Videoendoscopy was performed 30 to 60 minutes postrace at 15 American racetracks. Three blinded observers independently assigned an EIPH grade (0-4) to each video, and prevalence and severity of EIPH were determined. Relationships of EIPH grade to performance, speed index, race distance, track surface, and prerace administration of furosemide were evaluated using Pearson's chi-squared test for categorical variables and analysis of variance (ANOVA) for numerical variables. Multivariable logistic regression assessed relationships between EIPH prevalence and severity, respectively, and the aforementioned independent variables. A P < .05 was considered significant.

RESULTS

A total of 1071 tracheoendoscopies were recorded. The EIPH prevalence was 74% and for EIPH grade ≥3 was 8%. Speed index (P = .02) and finishing place (P = .004) were lower with EIPH ≥3. The EIPH prevalence and severity were lower at 2 tracks where postrace tracheoendoscopy was mandatory rather than voluntary (P < .001). Probability of observing EIPH was negatively associated with speed index (P = .01) at tracks where postrace tracheoendoscopy was mandatory. Prerace furosemide administration decreased the probability of EIPH occurrence (P = .007) and severity (P = .01) where study participation was voluntary.

CONCLUSIONS AND CLINICAL IMPORTANCE

Prevalence and severity of EIPH in 2-year-old racehorses were consistent with that of older racehorses. An EIPH grade ≥3 was associated with decreased performance. Prerace furosemide administration was associated with a decreased likelihood, but not severity, of EIPH at most tracks.

Case-control exercise challenge study on the pathogenesis of high serum gamma-glutamyl transferase activity in racehorses

BACKGROUND

High serum γ-glutamyl-transferase (GGT) activity syndrome in racehorses has been associated with maladaption to exercise. Investigation of affected horses before and immediately after standard exercise may provide critical insight into the syndrome's pathophysiology.

OBJECTIVES

To investigate blood biomarker changes in actively competing racehorses with high GGT activity associated with an exercise challenge.

STUDY DESIGN

Case-control study.

METHODS

High GGT case (age: 2-3 years) and normal GGT control (age: 2-7 years) pairs (3 Thoroughbred, 4 Standardbred pairs) at least 3 months into their training/racing season were included. Horses with a recent history of high GGT activity (≥50 IU/L) without additional biochemical evidence of liver disease were identified by veterinarians. Horses were tested again in the week prior to a planned exercise challenge to confirm persistent increases in GGT activity. Controls from the same stable with similar training/racing intensity and serum GGT activity ≤36 IU/L were matched with each case. Blood samples were obtained immediately before, 15 and 120 min after exercise. Pre-exercise serum samples were analysed for baseline select serum chemistries, selenium and vitamin E concentrations. Cortisol concentration and markers of oxidative status were measured in serum or plasma for all time points. Individual serum bile acid and coenzyme Q10 concentrations, plasma lipid mediator (fatty acids, oxylipids, isoprostanes) concentrations and targeted metabolomics analyses were performed using liquid chromatography-mass spectrometry. Serum viral PCR for equine hepaci- and parvovirus was performed in each animal.

RESULTS

Cases had higher baseline concentrations of total glutathione, taurocholic acid, cortisol and cholesterol concentrations and higher or lower concentrations of specific oxylipid and isoprostane mediators, but there were no case-dependent changes after exercise.

MAIN LIMITATIONS

Small sample size.

CONCLUSIONS

Results indicated that glutathione metabolism was altered in high GGT horses. Enhanced glutathione recycling and mild cholestasis are possible explanations for the observed differences.

Conditioning equine athletes on water treadmills significantly improves peak oxygen consumption

Equine water treadmills (WT) were initially designed for rehabilitation of musculoskeletal injuries, but are also commonly used for conditioning sport horses, however the effects are not well documented. The purpose of this study was to test the effect of an 18-day WT conditioning programme on peak oxygen consumption (V̇O2peak). Nine unfit Thoroughbreds were used in a randomised controlled trial. Six horses worked daily for 18 days in stifle-height water (WT group), while 3 control horses worked without water (dry treadmill group (DT)). Preconditioning and postconditioning maximal exercise racetrack tests (800 m) were performed using a portable ergospirometry system. Measured outcomes were V̇O2, tidal volume, minute ventilation, breathing frequency, heart rate, blood lactate and instantaneous and average speed. The workload as assessed by V̇O2 was 21.7 per cent of preconditioning V̇O2peak values for WT horses. V̇O2peak on the racetrack increased by 16.1 per cent from preconditioning to postconditioning in the WT horses (P=0.03), but did not change in the DT horses. Therefore, exercising horses in high water heights may improve conditioning.

Efficacy of dexamethasone, salbutamol, and reduced respirable particulate concentration on aerobic capacity in horses with smoke-induced mild asthma

Background

Mild asthma in horses decreases racing performance and impairs gas exchange. The efficacy of treatment on performance is unknown.

Hypothesis

Treatment targeting lung inflammation improves V˙O₂peak in horses with mild asthma.

Animals

Thoroughbred polo horses (n = 12) with smoke‐induced mild asthma. Horses were exposed to increased ambient particulate matter (35.51 μg/m³ [PM_2.5]; day mean, centrally measured) from day −33 to 0, from bushfire smoke (natural model).

Methods

Prospective, randomized, placebo‐controlled, double‐blinded clinical trial. All horses completed 3 V˙O₂peak tests, measuring aerobic and anaerobic variables: day 0 ‐baseline; day 16 ‐after dexamethasone (20 mg IM q24h; DEX, n = 6) or saline treatment (SALINE, n = 6), under improved ambient PM_2.5 concentrations (7.04 μg/m³); day 17‐15‐30mins after inhaled salbutamol (1500 μg). Bronchoalveolar lavage and mucus scoring were performed on day −8 and day 20. Linear mixed effects models were used to examine the effects of timepoint and treatment group on BAL differential cell counts, mucus scores, aerobic and anaerobic variables.

Results

Horses’ mucus scores improved significantly from day −8 to 20 by 1.27 ± .38 (P = .01). There was a significant increase in V˙O₂peak of 15.5 ± 4.0 mL(min.kg)⁻¹ from day 0 to 17 (P = .002), representing an average (mean) increase in V˙O₂peak of 13.2%. There was no difference in V˙O₂peak between treatment groups (SALINE versus DEX) at any timepoint.

Conclusions and Clinical Importance

This study highlighted the key role of improved air quality on functionally important airway inflammation. Evidence provided is central to increasing owner compliance regarding improved air quality for the treatment and prevention of mild asthma.

Relative aerobic and anaerobic energy contribution in race fit endurance and Thoroughbred racehorses during strenuous exercise

The objective was to compare fit Arabian endurance and Thoroughbred racehorses’ responses to a maximal intensity standardised incremental treadmill test (MaxSIT) with respect to: (1) their relative aerobic contributions during maximal exercise; and (2) selected physiological parameters related to performance. Six high-level endurance Arabians and six race-ready Thoroughbreds performed a MaxSIT starting at 8 m/s and increasing by 1 m/s increments 60 s until maximum oxygen consumption (V̇O2max) was reached. Heart rate (HR), blood lactate concentration (BLac), haematocrit (Hct), minute ventilation (V̇E) and oxygen consumption (V̇O2) were measured. V̇O2max, the speeds at which the HR were 200 and 160 bpm, respectively (V200, V160), the speed at which the BLac reached 4 mmol/l (VLa4) and lactate at HR200 (BLa200) were calculated. The relative aerobic energy input was determined using ΔBLacPeak-Resting increase as previously described. Data were expressed as median with interquartile range and analysed with a Wilcoxon rank sum test (P<0.05). Endurance horses had greater V̇O2max (202.5 ml/(kg.min) (190.3-211) vs 152.7 ml/(kg.min) (140.5-158.3); P<0.001) and had a greater aerobic energy contribution to total exercise effort (89.9% (87.0-96) vs 82.8% (81.1-84.1); P=0.009) than Thoroughbreds. Endurance horses reached HR>200 bpm on the treadmill, but had a lower HRmax (210 bpm (205-217) vs 226 bpm (219-228); P=0.008), BLa200 (3.8 mmol/l (2.7-5.5) vs 4.8 mmol/l (3.6-5.2); P<0.001) and Hctmax (56.4% (54.9-57.5) vs 61.5% (59-64); P=0.002). Endurance horses median VLa4 was 11.6 m/s (11.0-13.0); V200=11.9 m/s (10.9-12.3) and V160=8.5 m/s (7.2-8.6). Because of the HR and speed characteristics of modern endurance races, we proposed BLa200 as a new calculated parameter with which to assess endurance horses. Trained endurance horses accumulate less lactate, have a greater V̇O2max and relative aerobic contribution to their energy requirements at maximal intensity exercise despite a lower blood haematocrit.

Effect of different protocols on the mitigation of exercise-induced pulmonary hemorrhage in horses when administered 24 hours before strenuous exercise

BACKGROUND

Public pressure exists in the United States to eliminate race-day furosemide administration despite its efficacy in decreasing the severity of equine exercise pulmonary hemorrhage (EIPH). No effective alternative prophylaxis strategies have been identified.

OBJECTIVE

To investigate alternative protocols to race-day furosemide that might mitigate EIPH.

ANIMALS

Seven fit Thoroughbreds with recent EIPH.

METHODS

Double-blinded placebo-controlled Latin square crossover using a treadmill followed by a blinded placebo-controlled crossover study at a racetrack. First, horses exercised supramaximally to fatigue 24 hours after initiating 5 EIPH prophylaxis protocols: 0.5 and 1.0 mg/kg furosemide IV 24 hours pre-exercise with and without controlled access to water, and 24 hour controlled access to water. Effects were compared to those measured after giving a placebo 24 hours pre-exercise, and 0.5 mg/kg furosemide IV 4 hours pre-exercise. Bronchoalveolar lavage (BAL) erythrocyte count was determined 45-60 minutes postexercise after endoscopy to assign an EIPH score. Data were analyzed using linear mixed effects models. The most promising protocol from the treadmill study was further evaluated in 6 horses using endoscopy and BAL after 1100 m simulated races.

RESULTS

Intravenous furosemide (0.5 mg/kg) administered 24 hours pre-exercise combined with controlled access to water decreased the severity of EIPH on the treadmill and at the racetrack.

CONCLUSION AND CLINICAL IMPORTANCE

Administering 0.5 mg/kg furosemide 24 hours pre-racing combined with controlling water intake may be a strategy to replace race-day furosemide administration for the management of EIPH. A larger study is indicated to further evaluate whether this protocol significantly mitigates EIPH severity.

Exsanguination due to gastric ulceration in a foal

An Arabian foal with a congenital heart disease died due to hemorrhage secondary to a large gastric ulcer. Previously, death of foals with gastric ulcers has been due to diffuse peritonitis resulting from gastric ulcer perforation. The foal in this case report died due to hemorrhage secondary to a large gastric ulcer.

Circulating endotoxin-like substance(s) and altered hemostasis in horses with gastrointestinal disorders: an interim report

Twenty-three horses with clinical signs of gastrointestinal disease were evaluated once or serially during the course of the disease for the presence or absence of circulating endotoxin-like substances (ET+ or ET-) and whether the horses were negative, positive, or very positive for serum fibrin/fibrinogen degradation products (FDP-, FDP+, or FDP++). In addition, platelet count, activated partial thromboplastin time (APTT), and 1-stage prothrombin time (OSPT) were measured. When examined initially, 5 horses were ET-/FDP-, 8 were ET-/FDP+, 7 were ET+/FDP-, 3 were ET+/FDP+, and none was ET+/FDP++. Eight horses were evaluated serially and the following changes were noted: 1 ET-/FDP- horse became ET+/FDP++; 1 ET-/FDP- horse became ET-/FDP+; 1 ET-/FDP- horse became ET+/FDP-; 2 ET-/FDP+ horses became ET+/FDP++; 1 ET+/FDP- horse became ET+/FDP+ (++); and 2 ET+/FDP- horses became ET-/FDP-. At the last examination, 4 horses were ET-/FDP- and all survived; 7 were ET-/FDP+ and only 1 was euthanatized; 5 were ET+/FDP- and only 2 were euthanatized; and 7 were ET+/FDP+ or ++, and 5 horses died or were euthanatized. The relationship between ET and FDP is discussed and a working model of endotoxemia and gastrointestinal disease in the horse is presented.