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G F Fregin

Publications and source records attributed to G F Fregin.

9 recordsLinked to original sources

Medical evaluation of the cardiovascular system.

The approach to pre-purchase evaluation of the equine cardiovascular system is discussed with emphasis on cardiac auscultation and on the terminology that should be used when reporting clinical findings. Innocent cardiac murmurs and arrhythmias are contrasted with those that should be considered as reliable signs of cardiovascular disease. Ultrasonography and electrocardiography are recommended to establish baseline values for future reference, to support opinions rendered by the examining veterinarians, or to provide for diagnosis and treatment.

Animals

Electrocardiography.

Electrocardiography is currently the most accurate method of documenting cardiac arrhythmias and conduction abnormalities. This article discusses techniques of recording electrocardiograms and the systematic evaluation of electrocardiograms to ensure accurate interpretation.

Animals

Effects of training on cardiorespiratory function in the horse.

The effects of 5- and 10-wk treadmill exercise training on cardiorespiratory function were evaluated in the horse. Cardiac output (Q), heart rate (HR), and stroke volume (SV), as well as left ventricular (LVP), aortic (AoP), and mean right atrial (RAP) pressures and the peak first time derivative of LVP (LV dP/dtmax), were measured at rest and at five different levels of exercise up to 90% of initial predicted maximal HR (HRmax). Oxygen uptake (VO2) and respiratory exchange ratio (R) were also obtained under the same conditions. At rest, although HR was no different after training, LV dP/dtmax was lower at 10 wk (2,369 +/- 502 vs. 1,615 +/- 302 mmHg/s). At the different measured work loads during exercise, Q and VO2 remained unchanged with training, whereas there were consistent trends toward lower LVP, AoP, and LV dP/dtmax and significant reductions in HR and R (both P less than 0.05). In contrast, SV and mean RAP were elevated (P less than 0.05) during exercise after the 10-wk training program. Although the observed changes in cardiorespiratory function in response to a training program in the horse are generally similar to those reported for other species, our data also suggest a training-induced increase in venous pressures during exercise as measured by elevated mean RAP values.

Animals

Atrial fibrillation in horses: factors associated with response to quinidine sulfate in 77 clinical cases.

Seventy-seven horses with atrial fibrillation (AF) were treated orally with quinidine sulfate (QS) at the University of Pennsylvania, School of Veterinary Medicine, Thirty-seven horses (48%) had adverse reactions to QS, the most common of which were nasal mucosal edema, anorexia, colic, and diarrhea. The mean highest daily QS dose was slightly greater in horses showing toxicity (P less than 0.1) and their conversion rate was less (P less than 0.05). A schedule of gradually increasing QS dose was time consuming, costly and not associated with fewer adverse reactions. Horses were compared by their response to QS: conversion for at least 12 months (Group I; 25 horses); reversion with 12 months (Group II; 8); nonconversion (Group III; 14). All horses with congestive heart failure (CHF) failed to convert. The mean age (P less than 0.05), total QS dose and highest daily QS dose (P less than 0.05) were significantly greater in Group III horses. The mean duration of signs before treatment and occurrence of adverse reactions to QS were greater in horses in Group II and III than Group I. (P less than 0.05). All horses in Groups I and II returned to performance, and many (81%) were successful. Most Group III horses (13/14) are known to have died. It was concluded that most horses with AF uncomplicated by CHF have a good prognosis when treated early with QS. Delayed QS therapy may reduce chances for conversion of AF or increase the probability of reversion.

Animals