Category

Cardiology

Equine cardiology addresses the diagnosis, monitoring, and management of cardiovascular conditions that affect performance, safety, and long-term health in horses. This category covers equine cardiology, cardiac disease in horses, equine heart murmur, atrial fibrillation in horses, equine echocardiography, heart failure in horses, exercise-induced arrhythmias, and cardiac assessment for prepurchase and sport horse evaluation.

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Use this hub to review clinical approaches to equine cardiac auscultation, electrocardiography, echocardiographic interpretation, and exercise testing. As additional articles are published, this page will continue to develop into a stronger reference for cardiovascular diagnostics, valvular disease, myocardial conditions, and sudden cardiac events in horses.

The FAQs below provide a concise starting point for common equine cardiology questions, while the linked articles offer deeper clinical context and case-based learning. Please check back soon as this category grows into a broader pillar page for equine cardiovascular medicine.

September 2026

Heart monitoring on the Go

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August 2023

How Common Is Sudden Cardiac Death?

Premature depolarizations occur more often among horses during cross-country competition, and those in the upper divisions were at a higher risk, according…

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Frequently Asked Equine Cardiology Questions

What are the most common cardiac conditions in horses?

Atrial fibrillation is the most frequently diagnosed arrhythmia, followed by valvular regurgitation, myocardial disease, and pericarditis. Many murmurs detected at rest are physiologic and require echocardiographic evaluation to determine clinical significance.

When should a horse with a heart murmur undergo echocardiography?

Echocardiography is indicated when a murmur is loud, radiates widely, is accompanied by exercise intolerance, or is detected during a prepurchase exam. It confirms the murmur source, quantifies chamber dimensions, and assesses hemodynamic impact.

How is atrial fibrillation diagnosed and managed in horses?

Diagnosis relies on electrocardiography showing an irregularly irregular rhythm with absent P waves. Management depends on the horse’s use and includes quinidine sulfate conversion, transvenous electrical cardioversion, or rate control in cases where conversion is not pursued.

What is the significance of exercise-induced arrhythmias?

Arrhythmias detected during or immediately after exercise may indicate underlying structural or electrical disease and carry safety implications. Exercising ECG evaluation helps differentiate benign rhythm changes from those requiring restricted activity or treatment.

Can horses with cardiac disease continue to perform?

Return-to-work decisions depend on the type and severity of disease, echocardiographic findings, and exercise test results. Many horses with mild valvular regurgitation perform safely, while those with significant myocardial dysfunction or high-risk arrhythmias may need activity modification.

What causes sudden cardiac death in horses?

Reported causes include acute arrhythmias, aortic rupture, myocarditis, and ruptured chordae tendineae. Sudden death remains challenging to predict; post-mortem examination and a detailed clinical history guide retrospective assessment.