- Case Report
The cause of exercise-associated collapse is rarely established when episodes are transient and occur in the field. A 4.5-year-old intact female Siberian Husky with a body condition score of 3/9 collapsed while competing in a 246 km multi-stage sled-dog race at about 1500 m altitude. On day 2, after 14 min of running and at the start of the first uphill section, she fell into lateral recumbency, became apnoeic and unresponsive, and recovered within seconds after chest compressions by the musher. Investigations comprised clinical examination, blood analyses at 30 min and 72 h, dietary analysis, training records and race tracking data. The examination 10 min later was unremarkable. Hyperglycaemia, increased cortisol and muscle and liver enzyme activities, and a mildly decreased haematocrit were consistent with an acute exercise and stress response. Calculated energy intake (1633 kcal/day) was below estimated racing requirements (2116–2539 kcal/day), and she had trained almost exclusively on flat terrain near sea level. No definitive cause could be identified. Several contributing factors were considered, including body condition, nutritional status, training specificity, altitude exposure, and race demands. A transient mismatch between oxygen delivery and metabolic demand remains one possible explanation; however, this hypothesis could not be confirmed, and a transient cardiac arrhythmia could not be excluded. Unexplained collapse in canine endurance athletes warrants withdrawal from competition and a structured cardiovascular, metabolic, nutritional, and training evaluation.
14 November 2026





![Schematic cross-domain cascade and Five Domains overlap in Pugs. Dashed ellipses indicate the Five Domains of Welfare [57]; nodes positioned within overlapping zones represent conditions that simultaneously compromise more than one domain. Extreme skull foreshortening is the single structural root cause common to all cascades. Illustration by Cristina L. Wilkins.](https://mdpi-res.com/animals/animals-16-02867/article_deploy/html/images/animals-16-02867-g001-550.jpg)

