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ACE activity post-race is influenced by furosemide administration

In: Comparative Exercise Physiology
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M.F. De Mello Costa Waikato Institute of Technology, Centre for Science and Primary Industries, A Block, Gate 3, Tristram Street, Hamilton, New Zealand.
Universidade Severino Sombra, Veterinary Medicine School, Av. Expedicionário Oswaldo de Almeida Ramos 280 Centro, Vassouras, RJ 27700-000, Brazil.

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F.A. Ronchi Escola Paulista de Medicina, Departamento de Medicina, Disciplina de Nefrologia, UNIFESP, Rua Botucatu, 591, Vila Clementino, SP, Brazil.

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J. Yoonsuh University of Waikato, Hillcrest, Hamilton 3216, New Zealand.
Department of Statistics, Korea University, 145 Anam-ro, Anam-dong, Seongbuk-gu, Seoul, South Korea.

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A. Ivanow Centaur Equine Research Consortium, Auckland, New Zealand.

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J.V. Braga Jockey Club Brasileiro, F e G, Rua Djalma Ulrich 110, Copacabana, Rio de Janeiro 22071-020, Brazil.

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M.T. Ramos Universidade Severino Sombra, Veterinary Medicine School, Av. Expedicionário Oswaldo de Almeida Ramos 280 Centro, Vassouras, RJ 27700-000, Brazil.
Universidade Federal Rural do Rio de Janeiro, BR 465, Km 07. Seropédica, RJ 23897-97, Brazil.

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D.E. Casarini Escola Paulista de Medicina, Departamento de Medicina, Disciplina de Nefrologia, UNIFESP, Rua Pedro de Toledo 669, Sao Paulo, Brazil.

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R.F. Slocombe Veterinary Science, University of Melbourne, 250 Princes Hwy, Werribee, Victoria 3030, Australia.

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Exercise induced pulmonary haemorrhage (EIPH) affecting racehorses continues to raise questions regarding animal welfare and to-date no effective treatment has been identified. The mode of action of furosemide on EIPH, the only medication for the condition accepted in some racing jurisdictions, has not been completely elucidated. This research investigated the interaction between furosemide on angiotensin converting enzyme (ACE) as a potential pathway for future investigation of EIPH treatment options in a prospective case-control analytical study. ACE is a potent vasoconstrictor and substances reducing its activity could potentially contribute to decreasing blood pressure and EIPH. Horses racing on 8 official race days at Gávea Racetrack, Brazil had respiratory endoscopy data and blood samples collected after the race and were grouped into furosemide medicated and non-furosemide medicated horses. ACE measurement was conducted using fluorescence in a previously validated method. Environmental, race and haematological data were also recorded. A multiple regression model was used to analyse the data collected, with further analysis including Fisher’s exact test and Pearson’s chi-squared test with Yates’ continuity correction; a Welch two sample t-test and a simple linear regression model. 73 horses were included in the study. ACE activity between horses not medicated and medicated with furosemide was significantly different. Pre-race furosemide significantly influenced ACE activity post-race, while distance raced, temperature, humidity, and haematocrit did not. Horses medicated with pre-race furosemide still demonstrated some degree of bleeding after the race and were at higher risk of presenting EIPH than non-medicated horses. Horses medicated with furosemide have lower circulating ACE activity which might indicate a protective effect of furosemide. Furosemide might reduce EIPH severity after a single bout of exercise, but it does not abolish or reduce its occurrence.

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