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二维和 M 型超声心动图在弗里斯兰马和温血马中的参考值。

Reference values for 2-dimensional and M-mode echocardiography in Friesian and Warmblood horses.

机构信息

Equine Cardioteam Ghent University, Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

出版信息

J Vet Intern Med. 2020 Nov;34(6):2701-2709. doi: 10.1111/jvim.15938. Epub 2020 Oct 24.

Abstract

BACKGROUND

Echocardiographic reference intervals for Friesian horses are poorly described.

OBJECTIVES

To obtain reference intervals for echocardiographic measurements in Friesians and compare these with Warmbloods.

ANIMALS

One hundred healthy adult Friesians and 100 healthy adult Warmblood horses.

METHODS

Cross-sectional study. Two-dimensional and M-mode echocardiographic images were obtained. Echocardiographic measurements, including size, area, and volumetric measurements of left atrium, left and right ventricle, aorta, and pulmonary artery, were performed. Measurements were compared between the 2 breeds using an independent samples t test with Bonferroni correction for multiple comparisons.

RESULTS

Reference ranges for standard echocardiographic measurements in Friesians were obtained. Several left ventricular measurements were significantly smaller in Friesians compared to Warmbloods, such as the left ventricular end-diastolic volume using the 4-chamber modified Simpsons' method (99.85% confidence interval for the difference [CI] = -245 to -63). Also the right ventricular end-diastolic and peak-systolic internal diameter were smaller in Friesians (99.85% CI = -1.33 to -0.6 and 99.85% CI = -1.54 to -0.76, respectively). Fractional shortening (99.85% CI = 0.61-6) and ejection fraction (99.85% CI = 0.21-4.6) were significantly larger. No structural effects of systemic hypertension, such as concentric hypertrophy, were detected.

CONCLUSIONS AND CLINICAL IMPORTANCE

Our study provides reference intervals for echocardiographic measurements in Friesians useful in a clinical setting. In general, the left ventricular dimensions in Friesians were significantly smaller compared to Warmbloods, emphasizing the need for breed-specific reference intervals.

摘要

背景

弗里斯兰马的超声心动图参考区间描述不足。

目的

获得弗里斯兰马超声心动图测量的参考区间,并与温血马进行比较。

动物

100 匹健康成年弗里斯兰马和 100 匹健康成年温血马。

方法

横断面研究。获取二维和 M 型超声心动图图像。进行左心房、左心室和右心室、主动脉和肺动脉的大小、面积和容积测量等超声心动图测量。使用独立样本 t 检验和 Bonferroni 校正多重比较,比较 2 个品种之间的测量值。

结果

获得了弗里斯兰马标准超声心动图测量的参考范围。与温血马相比,弗里斯兰马的几个左心室测量值明显较小,例如使用 4 腔改良 Simpson 法的左心室舒张末期容积(差异[CI]的 99.85%置信区间=-245 至-63)。此外,弗里斯兰马的右心室舒张末期和收缩末期内径也较小(99.85% CI=-1.33 至-0.6 和 99.85% CI=-1.54 至-0.76)。分数缩短率(99.85% CI=0.61-6)和射血分数(99.85% CI=0.21-4.6)明显较大。未发现高血压引起的结构性影响,如向心性肥厚。

结论和临床意义

本研究提供了在临床环境中使用的弗里斯兰马超声心动图测量的参考区间。一般来说,弗里斯兰马的左心室尺寸明显小于温血马,这强调了需要特定品种的参考区间。

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