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1 Departments of Anatomy, Physiology and Kinesiology, Kansas State University, Manhattan, Kansas 66506-5602; and 2 CNS, Inc., Minneapolis, Minnesota 55439
The purpose of this investigation was to
study the effects of an equine nasal strip (NS), furosemide (Fur), and
a combination of both (NS + Fur) on exercise-induced pulmonary
hemorrhage (EIPH) at speeds corresponding to near-maximal effort. Five
Thoroughbreds (526 ± 25 kg) were run on a flat treadmill from 7 to 14 m/s in 1 m · s
1 · min
1 increments
every 2 wk (treatment order randomized) under control (Con), Fur (1 mg/kg iv 4 h prior), NS, or NS + Fur conditions. During each
run, pulmonary arterial (Ppa) and esophageal (Pes) pressures were
measured. Severity of EIPH was quantified via bronchoalveolar lavage
(BAL) 30 min postrun. Furosemide (Fur and NS + Fur trials) reduced
peak Ppa ~7 mmHg compared with Con (P < 0.05)
whereas NS had no effect (P > 0.05). Maximal Pes
swings were not different among groups (P > 0.05). NS
significantly diminished EIPH compared with the Con trial [Con,
55.0 ± 36.2; NS, 30.8 ± 21.8 × 106 red
blood cells (RBC)/ml BAL fluid; P < 0.05]. Fur
reduced EIPH to a greater extent than NS (5.2 ± 3.0 × 106 RBC/ml BAL; P < 0.05 vs. Con and NS)
with no additional benefit from NS + Fur (8.5 ± 4.2 × 106 RBC/ml BAL; P > 0.05 vs. Fur,
P < 0.05 vs. Con and NS). In conclusion, although both
modalities (NS and Fur) were successful in mitigating EIPH, neither
abolished EIPH fully as evaluated via BAL. Fur was more effective than
NS in constraining the severity of EIPH. The simultaneous use of both
interventions appears to offer no further gain with respect to reducing EIPH.
bronchoalveolar lavage; pulmonary capillary stress failure; pulmonary arterial pressure; exercise-induced pulmonary hemorrhage
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