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Can Acute Neurological Disease Cause Cardiomyopathy in Horses?

Title: Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
Authors: Valentina Vitale; Ana Velloso Álvarez; María de la Cuesta-Torrado; Patricia Neira-Egea; Marie Vandecandelaere; Elizabeth Tee; Marina Gimeno; Gaby van Galen
Source: Animals, Vol 15, Iss 10, p 1447 (2025)
Publisher Information: MDPI AG, 2025.
Publication Year: 2025
Collection: LCC:Veterinary medicine; LCC:Zoology
Subject Terms: equine; cardiac disease; myocardial necrosis; catecholamine; seizures; Veterinary medicine; SF600-1100; Zoology; QL1-991
Description: In human medicine, neurological diseases have been associated with transient cardiac abnormalities. In horses, myocardial disease is rarely diagnosed and has been associated with a wide variety of causes. The aim of this article is to describe three horses with no previous cardiac disease, which all developed severe cardiomyopathy following neurological disease. A 5-year-old Shetland pony stallion was diagnosed with cardiomyopathy with arrhythmias following an episode of seizures caused by an accidental intra-arterial xylazine injection. A 20-year-old crossbred mare was hospitalised for an open fracture of the left maxillary bone with copious epistaxis from both nostrils and developed acute cardiomyopathy with arrhythmias following a venous air embolism. Both had elevated troponin concentrations. Multifocal areas of haemorrhages and coagulative necrosis within the myocardium were found at the post-mortem examination of a 4-year-old thoroughbred gelding who died shortly after suffering acute brain injury following a backward fall. Based on this report, we suggest that myocardial injury can also occur in horses following neurological disease. Equine patients with acute neurological disease may benefit from cardiac monitoring; otherwise, patients with unspecific or mild symptoms of cardiomyopathy are likely to remain unidentified. The prognosis associated with this type of cardiac disease remains to be defined.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2076-2615
Relation: https://www.mdpi.com/2076-2615/15/10/1447; https://doaj.org/toc/2076-2615
DOI: 10.3390/ani15101447
Access URL: https://doaj.org/article/a1efd3c174b44ec6bf41cbf283fbe3a6
Accession Number: edsdoj.1efd3c174b44ec6bf41cbf283fbe3a6
Database: Directory of Open Access Journals