Keeping details vague for anonymity.
I recently vetted a 3 year old unstarted WB gelding with phenomenal movement bred for the upper levels of dressage. I am looking to get my bronze and event through Novice with my next competition horse. PPE included movement eval, physical exam, and a complete set of radiographs (back, neck, hocks, stifles, fetlocks, all four feet, knees).
During the physical exam, the vet noted the heartbeat to have a premature added beat every 5 beats (I think). This interval of the added beat stayed the same and did not change. We proceeded to the movement evaluation (free longing), where the added heartbeat went away after exercise. The vet seemed fairly confident due to the added heartbeat going away, and we proceeded to the radiographs.
I followed up with the PPE vet after the exam regarding an incidental finding on the X rays in a hind fetlock and at that point the vet had expressed reservations about completing the purchase without a halter monitor/electromyogram to determine where the premature added beat was coming from - if it were from the atrium or the ventricle. The horse would need to be hauled to the university vet school, and the test would cost roughly 500 dollars. The vet did not have reservations about the X ray finding after further review/a second opinion.
How concerned should I be about this added beat for my purposes?