Equine & Livestock Product & Promotions Guide

July 2023

Animal Health Solution - a Henry Schein Animal Health magazine for veterinary professionals

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7 July 2023 | Product and Promotions Guide W hile veterinarians have long regarded recurrent airway obstruction (RAO or heaves) and inflammatory airway disease (IAD) as two clinically distinct entities, these two conditions have been combined under the umbrella term "equine asthma." 1 Both conditions are related to underlying chronic airway inflammation, although the two presentations differ in clinical signs and severity. Signs of equine asthma may vary widely, ranging from a subtle decrease in cardiovascular performance to overt respiratory distress. In a performance horse with mild disease, the only clinical sign may be a delayed return to normal respiration after activity. 2 The horse's significant respiratory reserve allows many horses to compensate for a surprising degree of respiratory disease without outwardly visible clinical signs. However, horses with traditional signs of heaves also exist, with flaring nostrils and labored, heaving breathing. 2 This represents a more severe manifestation of equine asthma. All horses with equine asthma have similar clinical signs (cough, excess mucus production, and poor performance), but there can be significant differences in the severity of those signs, as well as in triggers and underlying pathology. 1

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