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Related Experiment Videos

Pericarditis in horses: 18 cases (1986-1995)

L T Worth1, V B Reef

  • 1Department of Clinical Studies, University of Pennsylvania, New Bolton Center, Kennett Square 19348, USA.

Journal of the American Veterinary Medical Association
|February 4, 1998
PubMed
Summary

Early detection and aggressive treatment of equine pericarditis lead to a good prognosis. Clinical signs like tachycardia and echocardiographic findings are key to diagnosis and successful outcomes in horses.

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Area of Science:

  • Veterinary Cardiology
  • Equine Internal Medicine

Background:

  • Pericarditis in horses can present with various clinical and echocardiographic findings.
  • Understanding the relationships between clinical signs, diagnostic imaging, treatment, and outcomes is crucial for effective management.

Purpose of the Study:

  • To identify clinical signs associated with pericarditis in horses.
  • To investigate the correlation between clinical signs, echocardiographic results, treatment strategies, and patient outcomes.

Main Methods:

  • Retrospective analysis of 18 horses diagnosed with pericarditis.
  • Review of physical examination findings, cardiovascular and respiratory abnormalities.
  • Evaluation of echocardiographic data, pericardial effusion characteristics, and cardiac compromise.

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  • Assessment of treatment modalities including antimicrobials, corticosteroids, and pericardial drainage.

    • Main Results:

    • Common cardiovascular signs included tachycardia, pericardial friction rub, and venous distention.
    • Respiratory abnormalities such as dull lung sounds suggestive of pleural effusion were frequent.
    • Echocardiography proved essential for diagnosing pericarditis and assessing cardiac compromise.
    • Clinical signs of right-sided heart failure correlated significantly with severe pericardial effusion and cardiac compromise.
    • Idiopathic and bacterial pericarditis were the most common causes.
    • All 14 treated horses recovered and returned to their intended use.

    Conclusions:

    • Early diagnosis of equine pericarditis is achievable through careful clinical and echocardiographic evaluation.
    • Aggressive treatment, including antimicrobials, corticosteroids, and pericardial drainage when necessary, leads to favorable outcomes.
    • The prognosis for horses with pericarditis, when detected and treated promptly, is generally good.