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veterinary
anatomy
nutrition
farriery
2019
Cohort Study

Occurrence of exercise-induced pulmonary haemorrhage in show jumping horses.

Authors: Bonomo C C M, Michelotto P V, Viccino C, Barussi F C M, Fernandes W R

Journal: Veterinary journal (London, England : 1997)

Summary

Exercise-induced pulmonary haemorrhage (EIPH) is well-documented in racehorses and eventers, yet its occurrence and risk factors in show jumpers remain poorly characterised despite their participation in high-intensity competitive sport. Researchers in São Paulo examined 50 competing jumping horses stratified by competition level—26 competing at 1.00–1.20 m and 24 at 1.30–1.50 m—performing endoscopic examination and tracheal wash sampling within one hour post-competition alongside measurement of heart rate, respiratory rate and rectal temperature. Horses jumping at higher levels showed significantly elevated post-exercise cardiovascular and respiratory parameters and more frequent endoscopic evidence of blood in the tracheal lumen, with pulmonary haemorrhage incidence demonstrating strong positive correlations to jump height (r²=0.40), post-exercise heart rate (r²=0.31) and post-exercise respiratory rate (r²=0.19). Whilst tracheal wash cytology failed to differentiate between groups, the clear association between performance intensity and haemorrhage occurrence suggests that competition level is a meaningful risk factor for jumpers, indicating that veterinary monitoring and conditioning protocols should account for the physiological demands imposed by higher-level competition. The mechanisms underlying EIPH in jumping horses warrant further investigation to clarify whether interventions effective in other equestrian disciplines translate to this population.

Read the full abstract on PubMed

Practical Takeaways

  • Jumping horses competing at higher levels (1.30m+) have substantially increased risk of exercise-induced pulmonary haemorrhage; monitor post-competition vital signs as elevated HR and RR may indicate this condition
  • Endoscopic examination within 1 hour post-competition is necessary to detect pulmonary haemorrhage in jumping horses, as tracheal wash cytology alone will miss cases
  • Performance level is a significant risk factor; consider prophylactic or management strategies for horses regularly jumping at heights ≥1.30m to mitigate haemorrhage occurrence

Key Findings

  • Pulmonary haemorrhage incidence was positively correlated with jump height (r²=0.40, P<0.0001), explaining 40% of variance
  • Horses jumping 1.30-1.50m showed significantly higher post-exercise heart rate, respiratory rate, rectal temperature, and frequency of tracheal blood observations compared to those jumping 1.00-1.20m (all P<0.013)
  • Post-exercise heart rate and respiratory rate were independent correlates of pulmonary haemorrhage occurrence (r²=0.31 and r²=0.19 respectively)
  • Tracheal wash cytology did not differ between high and low jump height groups, suggesting endoscopy is more sensitive for detecting pulmonary haemorrhage in jumping horses

Conditions Studied

exercise-induced pulmonary haemorrhagehigh-intensity exercise response in jumping horses