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Published on: October 26, 2017
Examination of Horses with Cardiac Disease
1The Royal (Dick) School of Veterinary Studies, Easter Bush Campus, Roslin, Midlothian EH25 9RG, UK.
Insights
A thorough history and physical exam are crucial for equine cardiology, even with advanced diagnostics. Understanding context is key to interpreting any detected abnormalities in horses.
Area of Science:
- Equine cardiology
- Veterinary internal medicine
- Cardiovascular diagnostics
Background:
- Echocardiography and other advanced diagnostics have improved equine cardiology.
- However, a comprehensive history and clinical examination remain fundamental.
- Assessing cardiac abnormalities requires careful consideration of context.
Purpose of the Study:
- To summarize the approach to a resting cardiac examination in horses.
- To highlight key assessment areas for equine clinicians.
- To emphasize the importance of contextual interpretation of cardiac findings.
Main Methods:
- Systematic review of current practices in equine cardiac examination.
- Discussion of key auscultation points and palpation techniques.
- Introduction to ancillary diagnostic methods like blood pressure measurement and laboratory tests.
Main Results:
- The article outlines a structured approach to the equine cardiac exam.
- It stresses the significance of patient history and signalment.
- Contextual evaluation is vital for accurate diagnosis.
Conclusions:
- A comprehensive physical examination is the cornerstone of equine cardiac evaluation.
- Ancillary diagnostics supplement, but do not replace, clinical assessment.
- Accurate interpretation relies on understanding the clinical context of findings.
Abstract:
Despite advances, increased convenience, and availability of echocardiography and other diagnostic techniques in equine cardiology, a comprehensive history and clinical examination still forms the essential first step in any cardiac evaluation. This article summarizes the approach to the cardiac examination at rest, highlighting key areas for the clinician to assess, and stressing the importance of context for assessing the significance of any abnormalities detected. Ancillary techniques, such as blood pressure measurement and the laboratory assessment of cardiac disease in the horse, are also introduced.
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