equine athlete

Question 1

Exercise induced pulmonary haemorrhage

Question 2

Risk factors of EIPH

Answer 2

speed
light jockets
previous eiph
number of years in training
hard groudn/bar shoes
cold external temps
upper airway disorders

Question 3

impact of Grade 1 and 2 EIPH

Answer 3

associated with normal pefromance

Question 4

clinical presentation of EIPH

Answer 4

usually seen in racehorses within 4 hrs of intese exercise
-bursts of speed+/-breath holding

bilateral epistaxis
poor performance
caudodorsal lungfield

Question 5

impact of grade 3&4 EIPH

Answer 5

associated with poor performance

Question 6

diagnosing EIPH

Answer 6

ce
tracheal endoscopy <2 hrs post race–>presence of blood, grading
BAL<14 days post race–>RBCs, haemsiderophages, low grade inflammation
imaging

Question 7

treating EIPH

Answer 7

SUpportive care
rest
anti-inflammatories as blood in airways cause inflammation

Question 8

EIPH causes fibrosis

Answer 8

intrapulmonary blood porvokes macrophage influx and activation
-these inflammatory cells results in reversible disruption of alveolar septal architecture
-chronic macrophage activity coincides with development of alveolar septal wall thickening and fibrosis
-will likely cause permanent alterations to alveolar blood air barrier and reduce local pulmonary compliance

Question 9

managing EIPH

Answer 9

furosemide 4 hrs prior to intense exercise
-not allowed on day of racing in uk
-rest after episode