Can Acute Neurological Disease Cause Cardiomyopathy in Horses?

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...

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Main Authors: Valentina Vitale, Ana Velloso Álvarez, María de la Cuesta-Torrado, Patricia Neira-Egea, Marie Vandecandelaere, Elizabeth Tee, Marina Gimeno, Gaby van Galen
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Animals
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Online Access:https://www.mdpi.com/2076-2615/15/10/1447
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author Valentina Vitale
Ana Velloso Álvarez
María de la Cuesta-Torrado
Patricia Neira-Egea
Marie Vandecandelaere
Elizabeth Tee
Marina Gimeno
Gaby van Galen
author_facet Valentina Vitale
Ana Velloso Álvarez
María de la Cuesta-Torrado
Patricia Neira-Egea
Marie Vandecandelaere
Elizabeth Tee
Marina Gimeno
Gaby van Galen
author_sort Valentina Vitale
collection DOAJ
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.
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spelling doaj-art-a1efd3c174b44ec6bf41cbf283fbe3a62025-08-20T03:14:35ZengMDPI AGAnimals2076-26152025-05-011510144710.3390/ani15101447Can Acute Neurological Disease Cause Cardiomyopathy in Horses?Valentina Vitale0Ana Velloso Álvarez1María de la Cuesta-Torrado2Patricia Neira-Egea3Marie Vandecandelaere4Elizabeth Tee5Marina Gimeno6Gaby van Galen7Hospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46115 Valencia, SpainHospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46115 Valencia, SpainHospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46115 Valencia, SpainHospital Clínico Veterinario, Departamento de Medicina y Cirugía Animal, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, 46115 Valencia, SpainSydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, NSW 2006, AustraliaSydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, NSW 2006, AustraliaSydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, NSW 2006, AustraliaSydney School of Veterinary Science, Faculty of Science, The University of Sydney, Sydney, NSW 2006, AustraliaIn 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.https://www.mdpi.com/2076-2615/15/10/1447equinecardiac diseasemyocardial necrosiscatecholamineseizures
spellingShingle Valentina Vitale
Ana Velloso Álvarez
María de la Cuesta-Torrado
Patricia Neira-Egea
Marie Vandecandelaere
Elizabeth Tee
Marina Gimeno
Gaby van Galen
Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
Animals
equine
cardiac disease
myocardial necrosis
catecholamine
seizures
title Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
title_full Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
title_fullStr Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
title_full_unstemmed Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
title_short Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
title_sort can acute neurological disease cause cardiomyopathy in horses
topic equine
cardiac disease
myocardial necrosis
catecholamine
seizures
url https://www.mdpi.com/2076-2615/15/10/1447
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