Why the study?
Injuries and sudden death during the cross-country phase of eventing prompted interest in characterizing the frequency, types, and risk factors of rhythm disturbances in competing equine athletes.
Premature depolarisations are common in horses during cross-country eventing, with higher prevalence in upper divisions and associated with prolonged high heart rates.
May inform arrhythmia monitoring during equine eventing; leaves open whether PDs predict sudden death or require screening.
BACKGROUND: Injuries and sudden death during the cross-country (XC) phase of eventing have raised interest in the frequency and types of cardiac arrhythmias occurring in these equine athletes. OBJECTIVES: To characterise the frequency and types of rhythm disturbances and examine possible risk factors for premature depolarisations (PDs) occurring during the XC phase of United States Eventing Association (USEA) and Fédération Equestre Internationale (FEI)-sanctioned events. STUDY DESIGN: Prospective, cross-sectional study. METHODS: Continuous electrocardiographic (ECG) recordings were obtained from horses prior to, during and immediately following the XC competition. Physiological rhythms pre-XC were included in the arrhythmia group for analysis. The frequency of PDs was calculated for all horses, as well as by division. PDs were categorised by complexity (singles, couplets, triplets, complex) and variably grouped for statistical analysis. Multiple logistic regression was used to identify risk factors for the presence of specific cardiac arrhythmia groupings during XC. RESULTS: PDs were identified in 42/75 horses (56% [45, 67]) during XC. Horses competing in the upper divisions of eventing had higher odds for having any PD during XC compared to the lower divisions (OR = 17.5 [4.3, 72.01], p = 0.006). The amount of time the heart rate (HR) was greater than 199 beats per minute (BPM) was associated with more complex arrhythmias (triplets, salvos and tachyarrhythmias) (OR = 1.01 [1.0, 1.02], p = 0.005). An arrhythmia at rest (physiological or PD) was associated with arrhythmia in the early recovery period (OR = 3.5 [1.1, 10.8], p = 0.03). MAIN LIMITATIONS: Convenience sampling and technical challenges of continuous ECG recordings under competition settings limited the number of enrollments. CONCLUSIONS: PDs were seen in a high percentage of horses during the XC competition. Upper levels and time the HR was greater than 199 BPM were related to PD presence and complexity.
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Durando et al. (2023) studied this question.
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