# Cardiac adaptations in early equine pregnancy: heart rate elevation without heart rate variability alteration in Thai native crossbred mares

## TL;DR

This study finds that heart rate increases during early pregnancy in mares, but autonomic nervous system balance remains unchanged.

## Contribution

The study provides new insights into cardiac adaptations during early equine pregnancy using HRV analysis.

## Key findings

- Heart rate increases progressively in early and second trimesters of equine pregnancy.
- No significant changes in HRV parameters or vasovagal tonus index were observed during early gestation.
- Results suggest autonomic nervous system balance is maintained during the first and second trimesters.

## Abstract

Pregnancy induces significant anatomical and physiological changes, many of which are regulated by the autonomic nervous system (ANS). Heart rate variability (HRV) is a well-established non-invasive tool for assessing ANS activity. While changes in heart rate (HR) and HRV during the third-trimester of equine pregnancy are documented, there is limited understanding of cardiac autonomic adaptations during the early stages of gestation. This study aimed to compare HR and time-domain HRV parameters between healthy non-pregnant mares and those in the first and second trimesters of pregnancy.

A total of 45 Thai native crossbred mares were enrolled and divided into three groups: Non-pregnant (n = 5), first-trimester pregnant (0–114 days; n = 18), and second-trimester pregnant (115–226 days; n = 22). All mares were clinically healthy and free from cardiac abnormalities. Electrocardiographic data were collected using a Holter electrocardiogram system over a 15 min period at rest, and HRV was analyzed using time-domain measures: Standard deviation of all NN intervals (SDNN), SDNN index, root mean square of successive differences, standard deviation of 5-min mean NN intervals, percentage of successive NN intervals >50 ms, and vasovagal tonus index (VVTI). Data were analyzed using Kruskal–Wallis and Mann–Whitney U-tests.

HR was significantly higher in first-trimester pregnant mares compared to non-pregnant mares (p < 0.05), and even higher in the second-trimester compared to the first (p < 0.05). However, there were no significant differences among the groups in any of the HRV parameters or VVTI.

The findings indicate that cardiovascular adaptation during early pregnancy in mares is characterized by a progressive increase in HR, likely reflecting increased cardiac output to support fetal development. However, the lack of significant changes in time-domain HRV parameters and VVTI suggests that ANS balance is maintained during the first and second trimesters. These results provide valuable reference values for equine reproductive monitoring and contribute to a better understanding of physiological changes in early gestation.