Equine Physiology Flashcards
Heart Sounds
S1 - S4 = all heard in horse & normal
Split S1 may be heard = normal
- indicative of venrtricles emptying at different rates d/t athletic hypertrophy (especially of LV)
Measuring HR
- indirect ausc. w/ steth
- arterial palpation = submandibular a./facial a.
- on-board HR monitor
- ECG = holter recorder mounted on horse, telemetry
Normal HR
Foal = 60-80/min if relaxed *(~2x the adults’)
*
Adult at rest: 24/min < HR < 40/min
- have high vagal tone that leads to low resting HR
- ↓ rate is physiologic by ↑HR with excitation/excercise
HRrest
↑ with:
- excitation
- fatigue
- pain
- cardiac abnormalities
- other illiness +/- fever
HRrest is NOT affected by level of fitness
HRexercise
Walk = 60-100/min
Trot/Pace = 100-140/min
Canter = 140-160/min
Gallop = 160-220/min
Anaerobic treshold ~160-180/min
HRmax ~ 220-240/min
↑ with:
- exercise intensity
- ↓ degree of fitness/conditioning
- excitation
- fatigue
- pain
- cardiac abnormality or other illness
HRrecovery
should decline by at least 50% in first 30s recovery after exercise
↑ with:
- excercise intensity
- ↓ degree of fitness/conditioning
- excitation
- fatigue
- pain
- cardiac abnormality or other illness
Stroke Volume (SV)
amount of blood pumped by heart in single beat
resting SV in adult = 900-1300 ml
does not change measurable with onset of exercise
Larger heart → ↑SV → ↑CO (if HR constant)
Measuring Heart Size
1) Heart Score = sum of QRS durations at an ECG paper speed of 50/mm/sec
2) Echocardiography
Cardiac Output (Q)
Q (L/min) = HR (bpm) x SV (L)
exercise → ↑ Q
- if SV remains constant then ↑ Q ← ↑ HR
Maximal Oxygen Consumption (VO2max)
best indicator of aerobic capacity in any athlete
measured with facemask system
Fick Principle → Vo2 = Q x (a-v O2 difference)
Packed Cell Volume (PCV)
indicator of red cell mass + oxygen-carrying capacity
↑ with:
- dehydration (along with TP, USG)
- training
- altitude
- blood transfusion
- eyrthropoietin (r-EPO/darbopoeitin)
Splenic Reserve
PCVrest = 30-45%
with onset of exercise, spleen contracts & releases stored RBC mass into circulation
PCVexercise = 55-65%
Cobalt
Inhibits enzyme which breakdown of Hypoxia Inducible Factor (HIF-Ia) →
- ↑ HIF-1a → ↑ activity of EPO gene → ↑ production of endogenous EPO → ↑ circulating red cell mass → ↑ oxygen-carrying capacity
stage racing regulators are now setting thresholds for [Co] in urine &/or plasma
Exercise → ↑ Q
blood diverted to excercising tissues
- muscles
- heart + lungs
blood is diverted away from non-excercising tissues
- GI tract blood flow ↓
- skin blood flow ↓
BP
BP = Q x TPR
excercise → ↑ Q → ↑ BP unless TPR ↓
exercise → ↓ TPR in exercising muscles
- ↑ blood flow to exercising muscle
- ↑ delivery of O2 + other nutrients (glu, FFA) to exercising muscles
Mucous Membranes
oral, scleral, nasal, vaginal
capillary refill time = CRT
- blanch oral mm with thumb pressure
- normal = 1-2s
- delayed CRT implies circulatory compromise
↑ Training/Conditioning
CV Effect
↓ HRexercise at given WL
↓ HRrecovery
↑ VO2max
↑ PV
↑ RBCmass
↑ blood HB content
↑ capillary density in muscle
Tissue Oxygenation for Exercise
- movement of ambient O2 to alveolus = ventilation
- movement of alveolar O2 across alveolar + capillary membranes = diffusion
- movement of diffused O2 thru blood = transport via Hb
- discharge of O2 to exercising tissues
Horses are obligate:
obligate nose-breathers
- dilate nostrils
- abduct laryngeal arytenoid cartilages
- bronchodilate
can breathe in so hard the nostrils collapse
horse mouth breathing = bad
Respiratory Rate
Foal = 20-30/min
Adult at rest = 12-20/min
adult w/ exercise:
- RR linked 1:1 with stride rate at canter/gallop (1 breath per cycle)
- RR approaches 180-200/min w/ exercise
should decline rapidly after exercise
- inversion = RR > HR during recovery
↑ RRrecovery indicates:
- unfitness
- overheating = panting
- overuse = exhaustion
Ventilation
Ve = f (breaths/min) x Vt (L/breath)
f = RR
At rest = 50-60 L/min
at full gallop = >1800 L/min
at nares → max airflow ~40 L/s thru each nostril
- total max flow → ~70-80 L/s
Respiratory-Locomotory Coupling
fixed ratio between RR (f) + stride freq. (SF)
fast canter + gallop = 1:1
- inhale when forelimbs extended in stride
- exhale when standing one forelimb + hindlimbs flexed underneath in stride
- abdominal piston/pendulum explanation
trot/pace usually = 2:1
- horse is on same diagonal or same pace side when it inhales
- horse is on opposite diagonal or pace side when it exhales
Hypoxemia Mechanisms
assuming normal red cell mass, normal heart:
1) ↓ ventilation (hypercapnea a hallmark)
2) diffusion limitation
3) V/Q mismatch
4) shunt (failure to respond to O2 therapy is hallmark)
5) transport limitation (anemia, cardiac pump failure)
Excercised-Induced Arterial Hypoxemia
normal horses undergoing max intensity exercise →
- ↓ paO2 (hypoxemia)
- ↑ paCO2 (hypercapnia) → indicative of hypoventilation
horse literally cannot breathe fast & deep enough
- should ↑ ventilatory drive but does not
- probably d/t resp-locomotory coupling
RBC time in capillaries
at rest = ~1s in cap
w/ exercise = 0.38-0.40s in cap
Upper Airway Obstructions w/ Exercise in Horses
- Left laryngeal hemiplegia (LLH)
- dorsally-displaced soft-palate (DDSP)
- epiglottic entrapment
- dynamic pharyngeal collapse
Dorsal pharyngeal collapse
when placed on bit
with ↑ poll flexion, repeatable DDSP + coughing but no other noise was ever apparent
Lung Sounds
Lung Borders:
- rib 6 ccjxn
- rib 11 mid-thorax
- rib 16 at tuber coxae level
normal sounds = slight air movement
re-breathing bag
- bag over nostrils →→→ ↑ RR +/- depth → ↑ ability to auscult abnormal lung sounds
cannot hear lung sounds through back musculature of horses
Abnormal Lung Sounds
Wheezes
- indicative of ↓ airway d/t bronchoconstriction or exudate
- high-pitched musical sounds similar to pipe organ
Crackles
- indicative of rapid alveolar opening, alveoli prev. collapsed d/t exudate
- indicatived of exudate which moves around w/ resp resulting in rattling/popping/crackling sound
- harsh sound similar to cellophane
Lower Airway Obstructions with Exercise in Horses
- poor mucociliary clearance 2nd to viral infxn
- pneumonia
- COPD (or RAO)
- exercise-induced pulmonary hemorrhage (EIPH)
↑ Training/Conditioning →
Resp Effect
1) resp system thought to not be trainable
- VE does not change with ↑ fitness (only mild increase in respiratory muscle)
2) ↓ RR w/ ↑ fitness thought to be more of a function of:
- ↑ CV fitness
- ↑ IM fitness, ↑ aerobic enzyme capacities
- ↑ thermoregulatory capacity
3) same VO2 at given WL
4) ↑VO2max by 15-20%
Horse Dietary Energy Sources
CHO > fat > protein
-CHO from :
- grains (starch) eaten as concentrates
- minor CHO source = hindgut use of fiber
Dietary VFA from hindgut ferm. of fiber
protein should not be considered a good source of energy in horses
Energy for exercise/work comes from:
high energy phosphate bonds (ATP, CP)
Anaerobic Threshold
- point of “onset of blood lactate accumulation” (OBLA)
- point at which IM lactate production + accumulation overwhelms liver’s ability to catabolize lactate → ↑ plasma [LA]
typically ~ 60-80% of max effort (% HRmax + %VO2max)
Standard [LA] Measurement
Commonly agreed that 5-10 min post-exercise = peak plasma [LA] for most exercise bouts
- ↑ active warm-down → ↓ IM + plasma [LA]
post-exercise [LA] can be used to assess:
- innate ability
- severity of exercise bout
- fitness
- response to training (should ↓ with ↑ fitness)
Mechanisms of Fatigue
Peripheral Fatigue:
- ↑ [LA]
- ↓ substrate availability (↓ blood + muscle GLC or FFA)
Central Fatigue:
- ↓ blood + brain GLC
- ↑ blood + brain NH3
- ↑ blood + brain tryptophan
Does ↑ [LA] → ↑ fatigue?
LA productin allows anaerobic exercise to continue longer than if not produced
↑ [LA] → altered Ca2+ activity @ muscular SR
- ↓ myofibrillar contractility
- ↑ muscular fatigue
glucose infusions can help delay onset of fatigue
CNS Balance w/ Exercise
- perfusion of CNS = hydration, BP, oxygenation
- A-B/electrolyte balance
- thermoregulation
- energy balance (blood glucose)
- neurotoxins from exercise
- peripheral v central fatigue