[QUOTE=vineyridge;8181944]
It’s odd, but i was talking to a friend who is up on medical matters after Scubed died, and she told me that there was a known genetic human heart defect where the first symptom of the problem is usually death. Started me wondering if horses might have something similar.[/QUOTE]
I never even thought about that, but I think you’re right. I had a patient with that (long QT syndrome, specifically, but your friend may have been talking about Brugada).
Gentleman had no history of any health issues whatsoever, was playing basketball on a hot day, and basically dropped dead. We were able to revive him (Thank God!), he got a pacer implanted, and made a full recovery. The assumption is that he must have gotten hit/jolted at just the right moment that it disrupted his heart rhythm.
It isn’t a stretch to imagine the same sort of thing happening with an event horse running at speed with no prior cardiac problems;
LQT is usually asymptomatic because, in lieu of anything acting on the heart during the lengthened QT interval, everything usually works just fine. The QT interval (time between depolarization and repolarization) is a vulnerable time during a heart beat, and so the longer it is, the more opportunity something has to disrupt the beat and cause a dysrhythmia, like a funky step, bumping a fence, et al.
The example I use is the difference between a line drive (normal heart beat) and a pop fly ball (LQT); the latter is a heckuva lot easier to catch.
(Any cardiac-wise COTHers, please feel free to correct me if I explained it wrong.
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