Congenital Cardiac Defects in Neonatal Foals: 18 Cases (1992–2007)

Background: Literature available regarding congenital cardiac defects in foals is limited to reports of individual cases or small case series. Objective: To describe the clinical, echocardiographic, and necropsy findings and breed predilection of congenital cardiac defects in neonatal foals. Animals...

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Veröffentlicht in:Journal of veterinary internal medicine 2010, Vol.24 (1), p.206-212
Hauptverfasser: Hall, T.L, Magdesian, K.G, Kittleson, M.D
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creator Hall, T.L
Magdesian, K.G
Kittleson, M.D
description Background: Literature available regarding congenital cardiac defects in foals is limited to reports of individual cases or small case series. Objective: To describe the clinical, echocardiographic, and necropsy findings and breed predilection of congenital cardiac defects in neonatal foals. Animals: Eighteen foals
doi_str_mv 10.1111/j.1939-1676.2009.0445.x
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Objective: To describe the clinical, echocardiographic, and necropsy findings and breed predilection of congenital cardiac defects in neonatal foals. Animals: Eighteen foals &lt;15 days of age with 1 or more congenital cardiac defects. Methods: Medical records of foals diagnosed with congenital cardiac defects at the William R. Pritchard Veterinary Medical Teaching Hospital were reviewed. Data collected included history, signalment, clinical signs, laboratory data, diagnostic and necropsy results, and outcome. Results: Arabian foals represented 39% of cases with congenital cardiac defects and were significantly (P= .004) overrepresented (OR = 4.7 [CI: 1.8–12.4]) compared with the general hospital population. Ventricular septal defect (VSD) (14/18), tetralogy of Fallot (5/18), and tricuspid valve atresia (4/18) were the most common defects identified. A ≥3/6 heart murmur (14/14) accompanied by tachycardia (14/17), tachypnea (17/17), and cyanosis of mucous membranes (7/16) were the most common clinical signs. Concurrent congenital defects were common (9/18). Two foals, both with VSD, survived for ≥ 8 years after diagnosis and 1 was a successful performance horse. Conclusions and Clinical Relevance: Arabian horses appear to have a predisposition for cardiac defects. The presence of a loud murmur (≥ 3/6), cyanotic membranes, and tachycardia or tachypnea in a neonatal foal should warrant thorough evaluation of the heart for congenital defects. Foals with cardiac defects should be closely evaluated for concurrent congenital defects in other body systems.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/j.1939-1676.2009.0445.x</identifier><identifier>PMID: 20391638</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>animal pathology ; Animals ; Animals, Newborn ; breed differences ; Cardiology ; Congenital ; congenital abnormalities ; Echocardiography ; Female ; foals ; Genetic Predisposition to Disease ; heart ; Heart Defects, Congenital - genetics ; Heart Defects, Congenital - pathology ; Heart Defects, Congenital - veterinary ; heart diseases ; heart murmus ; Horse ; horse breeds ; horse diseases ; Horse Diseases - congenital ; Horse Diseases - genetics ; Horses ; Male ; Myocardium - pathology ; necropsy ; Retrospective Studies ; signs and symptoms (animals and humans) ; tachycardia ; tachypnea ; tetralogy of Fallot ; tricuspid valve atresia ; ventricular septal defect</subject><ispartof>Journal of veterinary internal medicine, 2010, Vol.24 (1), p.206-212</ispartof><rights>Copyright © 2010 by the American College of Veterinary Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5425-1955e5e2c958705d59552c2725da51c060e6f946186582c69409867db855afc53</citedby><cites>FETCH-LOGICAL-c5425-1955e5e2c958705d59552c2725da51c060e6f946186582c69409867db855afc53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1939-1676.2009.0445.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1939-1676.2009.0445.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,11562,27923,27924,27925,45574,45575,46052,46476</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1939-1676.2009.0445.x$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20391638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hall, T.L</creatorcontrib><creatorcontrib>Magdesian, K.G</creatorcontrib><creatorcontrib>Kittleson, M.D</creatorcontrib><title>Congenital Cardiac Defects in Neonatal Foals: 18 Cases (1992–2007)</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background: Literature available regarding congenital cardiac defects in foals is limited to reports of individual cases or small case series. Objective: To describe the clinical, echocardiographic, and necropsy findings and breed predilection of congenital cardiac defects in neonatal foals. Animals: Eighteen foals &lt;15 days of age with 1 or more congenital cardiac defects. Methods: Medical records of foals diagnosed with congenital cardiac defects at the William R. Pritchard Veterinary Medical Teaching Hospital were reviewed. Data collected included history, signalment, clinical signs, laboratory data, diagnostic and necropsy results, and outcome. Results: Arabian foals represented 39% of cases with congenital cardiac defects and were significantly (P= .004) overrepresented (OR = 4.7 [CI: 1.8–12.4]) compared with the general hospital population. Ventricular septal defect (VSD) (14/18), tetralogy of Fallot (5/18), and tricuspid valve atresia (4/18) were the most common defects identified. A ≥3/6 heart murmur (14/14) accompanied by tachycardia (14/17), tachypnea (17/17), and cyanosis of mucous membranes (7/16) were the most common clinical signs. Concurrent congenital defects were common (9/18). Two foals, both with VSD, survived for ≥ 8 years after diagnosis and 1 was a successful performance horse. Conclusions and Clinical Relevance: Arabian horses appear to have a predisposition for cardiac defects. The presence of a loud murmur (≥ 3/6), cyanotic membranes, and tachycardia or tachypnea in a neonatal foal should warrant thorough evaluation of the heart for congenital defects. Foals with cardiac defects should be closely evaluated for concurrent congenital defects in other body systems.</description><subject>animal pathology</subject><subject>Animals</subject><subject>Animals, Newborn</subject><subject>breed differences</subject><subject>Cardiology</subject><subject>Congenital</subject><subject>congenital abnormalities</subject><subject>Echocardiography</subject><subject>Female</subject><subject>foals</subject><subject>Genetic Predisposition to Disease</subject><subject>heart</subject><subject>Heart Defects, Congenital - genetics</subject><subject>Heart Defects, Congenital - pathology</subject><subject>Heart Defects, Congenital - veterinary</subject><subject>heart diseases</subject><subject>heart murmus</subject><subject>Horse</subject><subject>horse breeds</subject><subject>horse diseases</subject><subject>Horse Diseases - congenital</subject><subject>Horse Diseases - genetics</subject><subject>Horses</subject><subject>Male</subject><subject>Myocardium - pathology</subject><subject>necropsy</subject><subject>Retrospective Studies</subject><subject>signs and symptoms (animals and humans)</subject><subject>tachycardia</subject><subject>tachypnea</subject><subject>tetralogy of Fallot</subject><subject>tricuspid valve atresia</subject><subject>ventricular septal defect</subject><issn>0891-6640</issn><issn>1939-1676</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM9u1DAQhy0EokvhFWhuwCFhbGf8B3FBW7ptWcqhFCQuI9dxqizZpMS7YnvjHXhDngRHKXvGF3s8329G-hg74lDwdF6vCm6lzbnSqhAAtoCyxGL3gM32_w_ZDIzluVIlHLAnMa4ABCLqx-xAgLRcSTNjx_O-uwlds3FtNndD1TifHYc6-E3Mmi67CH3nxt5J79r4JuMmUTHE7CW3Vvz59Tst16-eskd1aodn9_chuzp5_3l-mi8_Lc7m75a5x1Jgzi1iwCC8RaMBK0y18EILrBxyDwqCqm2puFFohFe2BGuUrq4Noqs9ykP2Ypp7O_Q_tiFuaN1EH9rWdaHfRtJSqhKthkTqifRDH-MQarodmrUb7ogDjQZpRaMpGk3RaJBGg7RLyef3O7bX61Dtc_-UJeDtBPxs2nD3v3Pp_MvZx_RK8XyKN3ETdvu4G76T0lIjfb1Y0PlycflhYU7pW-KPJr52PbmboYl0dSmAS-CmVGiF_AtFI5L4</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Hall, T.L</creator><creator>Magdesian, K.G</creator><creator>Kittleson, M.D</creator><general>Blackwell Publishing Inc</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Congenital Cardiac Defects in Neonatal Foals: 18 Cases (1992–2007)</title><author>Hall, T.L ; Magdesian, K.G ; Kittleson, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5425-1955e5e2c958705d59552c2725da51c060e6f946186582c69409867db855afc53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>animal pathology</topic><topic>Animals</topic><topic>Animals, Newborn</topic><topic>breed differences</topic><topic>Cardiology</topic><topic>Congenital</topic><topic>congenital abnormalities</topic><topic>Echocardiography</topic><topic>Female</topic><topic>foals</topic><topic>Genetic Predisposition to Disease</topic><topic>heart</topic><topic>Heart Defects, Congenital - genetics</topic><topic>Heart Defects, Congenital - pathology</topic><topic>Heart Defects, Congenital - veterinary</topic><topic>heart diseases</topic><topic>heart murmus</topic><topic>Horse</topic><topic>horse breeds</topic><topic>horse diseases</topic><topic>Horse Diseases - congenital</topic><topic>Horse Diseases - genetics</topic><topic>Horses</topic><topic>Male</topic><topic>Myocardium - pathology</topic><topic>necropsy</topic><topic>Retrospective Studies</topic><topic>signs and symptoms (animals and humans)</topic><topic>tachycardia</topic><topic>tachypnea</topic><topic>tetralogy of Fallot</topic><topic>tricuspid valve atresia</topic><topic>ventricular septal defect</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hall, T.L</creatorcontrib><creatorcontrib>Magdesian, K.G</creatorcontrib><creatorcontrib>Kittleson, M.D</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of veterinary internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Hall, T.L</au><au>Magdesian, K.G</au><au>Kittleson, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital Cardiac Defects in Neonatal Foals: 18 Cases (1992–2007)</atitle><jtitle>Journal of veterinary internal medicine</jtitle><addtitle>J Vet Intern Med</addtitle><date>2010</date><risdate>2010</risdate><volume>24</volume><issue>1</issue><spage>206</spage><epage>212</epage><pages>206-212</pages><issn>0891-6640</issn><eissn>1939-1676</eissn><abstract>Background: Literature available regarding congenital cardiac defects in foals is limited to reports of individual cases or small case series. Objective: To describe the clinical, echocardiographic, and necropsy findings and breed predilection of congenital cardiac defects in neonatal foals. Animals: Eighteen foals &lt;15 days of age with 1 or more congenital cardiac defects. Methods: Medical records of foals diagnosed with congenital cardiac defects at the William R. Pritchard Veterinary Medical Teaching Hospital were reviewed. Data collected included history, signalment, clinical signs, laboratory data, diagnostic and necropsy results, and outcome. Results: Arabian foals represented 39% of cases with congenital cardiac defects and were significantly (P= .004) overrepresented (OR = 4.7 [CI: 1.8–12.4]) compared with the general hospital population. Ventricular septal defect (VSD) (14/18), tetralogy of Fallot (5/18), and tricuspid valve atresia (4/18) were the most common defects identified. A ≥3/6 heart murmur (14/14) accompanied by tachycardia (14/17), tachypnea (17/17), and cyanosis of mucous membranes (7/16) were the most common clinical signs. Concurrent congenital defects were common (9/18). Two foals, both with VSD, survived for ≥ 8 years after diagnosis and 1 was a successful performance horse. Conclusions and Clinical Relevance: Arabian horses appear to have a predisposition for cardiac defects. The presence of a loud murmur (≥ 3/6), cyanotic membranes, and tachycardia or tachypnea in a neonatal foal should warrant thorough evaluation of the heart for congenital defects. Foals with cardiac defects should be closely evaluated for concurrent congenital defects in other body systems.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>20391638</pmid><doi>10.1111/j.1939-1676.2009.0445.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects animal pathology
Animals
Animals, Newborn
breed differences
Cardiology
Congenital
congenital abnormalities
Echocardiography
Female
foals
Genetic Predisposition to Disease
heart
Heart Defects, Congenital - genetics
Heart Defects, Congenital - pathology
Heart Defects, Congenital - veterinary
heart diseases
heart murmus
Horse
horse breeds
horse diseases
Horse Diseases - congenital
Horse Diseases - genetics
Horses
Male
Myocardium - pathology
necropsy
Retrospective Studies
signs and symptoms (animals and humans)
tachycardia
tachypnea
tetralogy of Fallot
tricuspid valve atresia
ventricular septal defect
title Congenital Cardiac Defects in Neonatal Foals: 18 Cases (1992–2007)
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