Page 722 - The Veterinary Care of the Horse
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        Figure 16.3 Listening to the horse’s heart with a stethoscope



        PALPATION

        The heartbeat can be palpated through the chest wall by placing the flat of the hand behind
        the elbow. The point of maximum intensity of the heart beat is found where the heart lies in

        contact with the chest wall.


        AUSCULTATION

        This should be carried out in a quiet environment with the horse resting and relaxed. The vet

        will listen to:
        •    the heart rate: this is measured over a minimum of 30–60 seconds; the horse has to be

             allowed to settle to the presence of the stethoscope at the start of the examination as any
             anxiety or excitement will elevate the heart rate

        •    the heart rhythm: the vet will be listening for any missed or extra heartbeats and any

             irregularities of rhythm
        •    the normal heart sounds (see page 481)

        •    any abnormalities of the above.
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