Final Exam--Equine & Food Animal Flashcards
Though all 4 heart sounds are considered normal to hear in the horse, which gallop sound is more common?
S4 (atrial contraction)
Contrast pathologic and physiologic(innocent) murmurs
Pathologic–backward flow through a valve that should be CLOSED
Physiologic–vibration of forward flow through a valve that should be open
How should physiologic murmurs auscultate?
short and quiet (no greater than grade 3/6)
The most common NON-PATHOLOGIC arrhythmia in horses?
second degree AV block–type 1
Describe the rhythm of second degree AV block (type 1)
regularly irregular (3 beats, pause, 3 beats, pause)
second degree AV block can be induced by?
sedatives (alpha-2 agonists)
What lead to we run horse ECGs on and why?
Lead 1–extensive purkinje network
Two most common reasons for a systolic murmur with PMI on left side (adult horses). Where does each localize?
Mitral regurgitation (MI)–APEX
Physiologic flow murmur–BASE
If you hear a murmur on the left but it’s loudest on the RIGHT, what is it most likely due to?
Relative pulmonic stenosis from VSD
Two most common reasons for systolic murmurs with PMI on the RIGHT
ventricular septal defect (VSD)
tricuspid regurgitation
Two common reasons for DIASTOLIC murmurs on the LEFT side in adult horses. Where do they localize?
Aortic regurgitation (base)
diastolic flow murmur (apex)
When it comes to VSD, you want the lesion to be _____ & have ______ _____
small; high velocity (both are GOOD prognostic factors)
4 defects associated with tetralogy of fallot
large VSD
over-riding(reaching) aorta
true stenosis of pulmonary valve
RV hypertrophy
PMI with tetralogy of fallot is on which side and why?
LEFT side (due to right to left shunting of blood…caused by the stenosed pulmonic valve)
The most common etiology of aortic insufficiency?
Degenerative change (horses > 10yr)
A waterhammer (bounding) pulse is indicative of?
significant volume overload (due to aortic regurg)
Which valvular disease is most common in athletic/trained horses?
Tricuspid regurgitation
Most common PATHOLOGIC arrhythmia of horses?
atrial fibrillation
Describe the rhythm that you hear with atrial fibrillation
irregularly, irregular (pulses are also irregular)
3 factors that can affect refractory periods in the horse?
1) high vagal tone
2) myocardial pathology
3) electrolytes disturbances (low K)
Most common complaint of owner’s in horses with Afib?
exercise intolerance
A class 1a antiarrythmic used for conversion of Afib?
Quinidine sulfate
vagolytic
When should conversion for afib not be attempted?
When it is due to underlying cardiac disease/heart failure
Concerning ventricular tachycardia (VPCs)
1) HR when Tx should be considered
2) HR that indicates an emergency
1) >60bpm
2) >120bpm
How does Magnesium function in treatment of VPCs?
works as a Ca antagonist to slow conduction