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  • Author or Editor: Tamara Sierra-Rodriguez x
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A 17-year-old 513-kg (1,129-lb) gray Holsteiner gelding was presented for evaluation of lethargy of indeterminate duration. On examination, the horse was markedly lethargic with dull attitude and exercise intolerance when walking. It was thin (body condition score, 3/9). Mucous membranes were pink and moist with a capillary refill time < 2 seconds. Heart rate was 28 beats/min, respiratory rate was 20 breaths/min, and rectal temperature was 37.6°C (99.8°F). Cardiac auscultation revealed a grade 3/6 left-sided, apical, systolic murmur as well as an irregularly irregular arrhythmia. Frequent pauses with presumptive S4 heart sounds were auscultated. Gastrointestinal sounds and digital pulses were

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in Journal of the American Veterinary Medical Association