Cardiology focus for latest EVJ virtual issue

Exercising ECG an important element of
cardiac assessment in sport horses. (EVJ)

 The latest Equine Veterinary Journal virtual issue brings together new research on equine
cardiac physiology, diagnostics, and management, with a focus on atrial fibrillation (AF). 

The collection, guest edited by Laura Nath and Vicky Savage, is free to read until 7 January 2026 and features 20 papers, including an editorial overview of current advances and ongoing challenges in equine cardiology.

Highlights include:

• Atrial fibrillation (AF): Recent progress in diagnosing and managing this common cause of poor performance in horses.

• Arrhythmia monitoring: Studies using implantable loop recorders and wearable ECG devices to detect AF and other rhythm disturbances during exercise.

• Exercise and heart rate: Links between peak heart rate, heart rate variability, fatigue, and the occurrence of arrhythmias—particularly in event horses during cross-country phases.

• Associated conditions: Connections between cardiac arrhythmias, upper respiratory obstructions, and exercise-induced pulmonary haemorrhage.

• Predicting AF recurrence: Use of atrial premature depolarisations and atrial fibrillatory rate to assess recurrence risk.

• Cardiac anatomy: Structural variations such as accessory valve leaflets that can influence imaging interpretation.

• Mapping and ablation techniques: Advances in 3D electro-anatomical mapping and ablation of arrhythmogenic tissue in standing horses, showing the feasibility of trans-septal approaches.

Laura Nath said the collection “improves our understanding of arrhythmogenic mechanisms and diagnostic approaches,” while Vicky Savage added that it “offers practical, evidence-based support to equine vets for diagnosing and managing cardiac disorders.”

For more details, see:

https://beva.onlinelibrary.wiley.com/doi/toc/10.1001/(ISSN)2042-3306.current-progress-in-equine-cardiology

Early-life management linked to racing success in Thoroughbreds, RVC study finds

(c) Tania Penderakis Dreamstime.com

Recent research conducted by the Royal Veterinary College (RVC) has shown that
Thoroughbred foals given extensive turnout in larger pastures during their first six months of life, and those weaned at an older age, are more likely to enter training, race more frequently, and earn greater prize money later in life.

The study provides new insight into how gestational and early-life management can influence the growth, development, and long-term athletic performance of racehorses. It aimed to enhance understanding of how early-life health and husbandry practices affect both racing outcomes and the financial sustainability of Thoroughbred breeding enterprises.

According to the research team, this is the first UK-based field study to comprehensively evaluate the effects of early-life exposures, particularly exercise and turnout, on later-life milestones and race performance in Thoroughbreds. The findings offer direct practical applications for stud farms, supporting both horse welfare and industry retention, in line with the Horse Welfare Board’s strategy for improving the welfare of racehorses.

The research, led by Dr Rebecca Mouncey, Post-Doctoral Research Fellow at the RVC, was conducted as a prospective cohort study. The team followed 129 flat-race bred Thoroughbred foals, born in 2019 and 2020 on six stud farms across the UK, from birth through to training and early racing careers.

Detailed data were collected on each dam’s reproductive history and health during pregnancy, alongside daily records of foal management, health status, turnout duration and area, and any veterinary-attended illnesses or injuries. These records were maintained until the foals left their stud farms or exited the study. Racing performance data were subsequently collated from industry databases up to the horses’ fourth year of life.

Statistical analyses, including mixed-effects logistic and linear regression models (with farm, mare, and stallion as random effects), were used to examine associations between gestational and early-life exposures and later racing performance.

Of the 129 horses studied, 76% (98/129) went on to race by the age of four, with a median of seven starts (interquartile range [IQR] 4–11) and median prize earnings of £6,898 (IQR £1,712–£17,987).

Significant associations were identified between early-life management factors and later performance:

• Turnout: Foals that spent more time turned out at pasture during their first six months of life were more likely to race and earned more prize money.
• Increasing average daily turnout time and pasture size were associated with higher odds of racing (Odds Ratio 1.31, 95% CI: 1.09–1.58, p = 0.004) and increased total prize earnings (β = 0.32 lnGBP, 95% CI: 0.03–0.61, p = 0.03).

• Weaning Age: Foals weaned later were more likely to race and made a greater number of race starts.
• Each additional day of age at weaning increased both the odds of racing (OR 1.03, 95% CI: 1.01–1.05, p < 0.05) and total number of runs (β = 0.09, 95% CI: 0.04–0.14, p < 0.05).

These results indicate that management during the first six months of life plays a critical role in preparing Thoroughbreds for future athletic success.

The findings demonstrate that early-life turnout and weaning practices significantly affect race participation, performance, and financial outcomes. Providing foals with ample turnout opportunities and delaying weaning until after this key developmental window may support positive musculoskeletal adaptation and improved future performance.

Dr Mouncey noted that: “This study is the first of its kind to evaluate the impact of early-life experiences on later racing performance in Thoroughbreds. Our findings highlight that the first six months of life represent a crucial developmental period in which management practices must promote optimal tissue development and welfare.”

The study was funded by the Horserace Betting Levy Board, the Racing Foundation, and the RVC’s Mellon Fund for Equine Research, and is published in the Equine Veterinary Journal.

For more details, see:

Mouncey R,  de Mestre AM,  Arango-Sabogal JC,  Verheyen KL.  

Born to run? Associations between gestational and early-life exposures and later-life performance outcomes in Thoroughbreds. 

Equine Vet J. (2025).

 https://doi.org/10.1111/evj.70084

EVJ Special Focus: Advances in Diagnosing and Treating Musculoskeletal Disorders in Sport Horses

(c) Cukurs Dreamstime.com

Musculoskeletal problems are one of the main reasons sport horses lose training time, underperform, or retire early. 

The latest Equine Veterinary Journal (EVJ) Special Focus, edited by Maarten Oosterlinck and Rhiannon Morgan with guest editors Kyla Ortved and Hilary Clayton, gathers 21 studies from leading researchers to explore causes, diagnostic advances, and treatments for these conditions. The section is divided into three themes: aetiology, diagnostics, and therapeutics. There is also a podcast summarising the work.

Understanding Causes and Risk Factors

Osteochondrosis (OC), the most common developmental orthopaedic disease in horses, is linked to vascular failure in growing cartilage. Olstad summarises over a decade of research showing how this process can lead to different OC presentations, including osteochondritis dissecans.

In eventing, Cameron-Whytock et al. report that 36% of equine fatalities over 25 years were due to musculoskeletal injuries, mostly during cross-country. Lameness patterns in Australian campdraft horses, studied by Argue and Labens, showed 53% forelimb and 41% hindlimb involvement.

Spinal health is another focus. Spoormakers et al. found Warmbloods had higher rates of thoracic vertebral lesions (including osteoarthritis and kissing spines) than smaller breeds. Patricio et al. note that early detection and targeted rehabilitation for spinal articular dysfunction can extend performance careers.

Suspensory ligament (SL) injury remains a common problem, and Guest et al. review its anatomy, function, and variable treatment outcomes.

Advances in Diagnostics

Taddey et al. used inertial measurement units (IMUs) to quantify head and withers movement asymmetry, showing that even sound horses aren’t perfectly symmetrical.

Hansen et al. describe a new chronic myopathy in Icelandic horses causing poor performance and multi-limb lameness. For osteoarthritis (OA), Anderson et al. used metabolomic and proteomic profiling of synovial fluid to identify potential early diagnostic markers.

CT technology is expanding: Ogden et al. detail imaging the proximal limb and spine, while Hellige et al. explore CT myelography for detecting spinal cord compression. New standing CT techniques allow hoof imaging (Szabó et al.) and comparison with MRI for distal limb evaluation (Nagy et al.). MRI studies also include DDFT injuries (Scharf et al.) and proximal interphalangeal joint ligaments (Peeters et al.), as well as comparing MRI and radiography for hoof measurements (Bowkett-Pritchard et al.).

Treatment Innovations

Seery et al. assess how trimming affects hoof balance and load distribution, with implications for injury prevention. For SDFT tendinopathy, Blatter et al. report outcomes of tenoscopic desmotomy in Warmbloods. In back surgery, Connaughton et al. compare caudal and cranial wedge ostectomy for treating kissing spines.

Regenerative therapies are also advancing: Munevar Luque et al. test equine umbilical cord-derived mesenchymal stem cells combined with hyaluronic acid, showing promising results compared to HA alone.

“This special focus brings together the latest science and knowledge on multiple aspects of the diagnosis and treatment of Musculoskeletal disorders in sport horses” said Maarten Oosterlinck, deputy editor of the EVJ. “The practical, evidence-based studies present imperative reading for veterinary practitioners, to support their goal of providing the most advanced diagnostics and therapeutic approaches for sport horses with musculoskeletal issues.”  

 

The EVJ special focus issue on Musculoskeletal disorders in Sport horses can be found here:

 https://beva.onlinelibrary.wiley.com/toc/20423306/2025/57/5

 

The podcast in which the editors discuss the issue can be found here: 

https://www.podbean.com/ew/pb-yhq98-1928df1