All services can be delivered in the hospital or at your clinic or yard. We have access to the latest diagnostic equipment from endoscopy to ultrasound and critical care.
Using the latest in mobile ultrasound technology alongside ECG equipment we are able to provide answers when cardiac murmurs are detected, whether as part of a routine examination, such as a pre-purchase examination or when assessing horses with poor performance.
We are also able to undertake the latest treatments for horses with atrial fibrillation, an important cause of poor performance in the horse.
Cardiac ultrasound (Echocardiography) allows us to evaluate the structures of the heart, as well as how blood flows through them.
The images here show a ventricular septal defect (hole in the heart) of a young racehorse that was poorly performing. The green colour shows how blood shunts from the left side of the heart to the right, while the graph below demonstrates that this is having limited impact on his performance.
Working in collaboration with our team, it became apparent that the horses lameness was much more limiting to his performance than his heart and fortunately much of this could be improved through farrier and medication.
Electrocardiography (ECG) recordings provide a valuable insight into the cardiac electrical activity that coordinates cardiac function.
By recording the ECG both at rest in the stable, we are able to identify occasional changes that may become more important over time or those that might impact on the safety of further ridden exercise.
Atrial fibrillation is an important abnormality of the heart that has affected some very high profile competition horses including Denman. An ECG is required to confirm a diagnosis and demonstrates an irregular rhythm
In horses competing at low levels, this usually is not a problem, however it is important to ensure that the ECG remains stable during exercise.
The example below demonstrates further irregularities in a pleasure horse that made us undertake treatment.
Traditionally atrial fibrillation was treated with drugs, however the latest technique, transvenous electrocardioversion (TVEC) provides an alternative and often safer approach to management of this condition.
By placing wires in the heart under ultrasound guidance our specialist clinicians are able to place the wires across the heart. Once the wires are safely placed, the horse is anaesthetised to deliver the shocks to its heart.
As well as providing routine methods of assessing the respiratory system, using endoscopes at rest, chine house vets are able to undertake endoscopy at exercise to evaluate the respiratory system at exercise.
This provides valuable information about how the airway functions during exercise.
Thoracic radiography allows us to visualise significant disorders in the horses lungs, however this is often combined with ultrasound to map specific lesions.
Ultrasound normally allows us to only evaluate the surface of the lungs, but in some cases, we can evaluate lung pathology such as abscesses and work with our specialist surgeons to remove areas of tissue or drain these as required.
Vision is a vital part of our horses lives, but the location of the eyes on the side of the head and their lifestyle around hedges make them prone to injury.
Our medicine specialists have experience in the management of complex disorders of the cornea including penetrating injuries and the local injection of medication to remove clots from the eyes.
The iris, the pigmented part of the eye that surrounds the pupil, contains multiple structures, often at the top of the pupil (corpra nigrans) but horses can develop large iris cysts that sometimes impact on vision.
We are able to assess these and remove them using a minimally invasive procedure while your horse is standing.
Our specialists are also able to offer second opinion on findings identified during pre-purchase examinations, such as cataracts.
Cataracts are any opacity in the lens of the horse, and while these can be disconcerting, many of them do not progress.
Using high frequency ultrasound together with a slit lamp, we are able to identify and characterise cataracts and advise about suitability for purchase.
Surgical options exist for the management of cataracts and we would be happy to advise about this when it is appropriate