Sport heart

• Name: Jasmine
• Report and medical history: Horse, Sella Italiano, 6 years old, female. 

This horse was admitted for pre-purchase examination and a 2/5 systolic murmur was audible on the right side, but no murmur was heard on the left side. 
An echocardiographic examination was performed.

The right parasternal short-axis view with Color Doppler imaging showed a moderate tricuspid valve regurgitation. No other valvular regurgitation was observed. 

The tricuspid valve insufficiency (low pressure side of the cardiovascular system) is most likely not clinically significant. 
All morphological parameters were within the normal range and the horse is to be considered fit for the proposed use. Acquired tricuspid valve insufficiency is frequently found in sport horses, as training increases heart size and therewith the annular ring of the valves (a “sport heart”).