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FAQ's
What Is Congestive Heart Failure?
Heart disease refers to a condition where there is an
abnormality of the heart. Heart failure exists when the heart is
no longer able to meet the circulatory needs of the body. Signs of
heart failure include cough, edema, and rapid breathing. Signs of
heart failure may be more pronounced in active animals as they are
more likely to place a demand on their cardiovascular systems
whereas the problem may go undetected in more sedentary pets.
The severity of heart failure is often staged, using the following
guideline:
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Asymptomatic: Heart disease may be detectable in the pet but there
are no outward signs. A cardiac murmur or arrhythmia may be
present.
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Mild to moderate heart failure: Clinical signs of heart failure
are in evidence at rest or with mild exercise.
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Advanced heart failure: Critical clinical signs, such as
respiratory distress, ascites (fluid in the body cavity), and
profound exercise intolerance, are in evidence.
With each advancing stage, the prognosis worsens and the need for
treatment increases.
What Is Heart Disease?
Cardiovascular disease is an important health problem that we
share with our pets, typically starting in middle age. Unlike
people, however, dogs and cats do not really have heart attacks.
According to veterinary cardiologists, this is because dogs and
cats metabolize the fats in their diets differently than we do,
and as a result, do not develop plaque on the walls of their
coronary arteries. On the other hand, many humans with heart valve
problems, or murmurs, can live long and healthy lives, but heart
valve problems in pets can be quite serious. In dogs in
particular, valve problems are frequently degenerative and can
lead to congestive heart failure, a state in which the heart’s
output is insufficient to meet the body’s metabolic needs. Certain
breeds are also prone to congenital, or inherited, heart disease.
There are many types of heart diseases in dogs and cats, which are
usually broken down into two large categories: congenital heart
disease and acquired. Congenital heart diseases are cardiac
abnormalities that animals are born with. Acquired heart diseases
are those that develop at some point during a pet’s life. Early
detection and treatment of these and other cardiovascular
problems, can help slow the course of the disease and allow your
pet a very high quality of life. The majority of patients with
heart disease usually have few or no symptoms of their problem
until late in the course of their disease. That is why regular
wellness exams are so important for the early detection of
cardiovascular disease in order to ensure the best prognosis
possible.
What is Chronic Valve Disease?
Chronic Value Disease (CVD), or endocardiosis, is a group of
diseases characterized by degeneration and fibrosis of the heart’s
mitral and/or tricuspid valves. It most commonly affects the
mitral valve in dogs, cats, and horses. It is less common in cats,
but occurs more commonly in the smaller dog breeds, particularly
the miniature poodle, Shetland sheepdog, dachshund, and cocker
spaniel.
What is Dilated Cardiomyopathy?
While valve disease is the more common heart ailment in
smaller breeds of dogs, larger breeds are more prone to suffer
from dilated cardiomyopathy. Dilated cardiomyopathy involves the
dilation and thinning of the heart’s chambers, which can lead to
lowered heart function and, eventually, congestive heart failure.
What Is Hypertrophic Cardiomyopathy?
The most common heart disease in cats, hypertrophic
cardiomyopathy (HCM) is a heart muscle disease in which the walls
of the heart, specifically the left ventricle, become abnormally
thickened. As the disease progresses, it alters the structure of
the heart and impairs its function. It is a potentially serious
disease that is found in cats of all ages. A cat that seems
healthy can suddenly become very ill or even die. There currently
is no cure, although there are medications veterinarians can
prescribe to help alleviate the symptoms.
What Is A Heart Murmur?
A heart murmur is a sound caused by turbulence in the blood
flow. Murmurs can occur if valves in the heart are leaking, either
due to congenital problems or age related changes. Murmurs are
graded according to severity. Mild murmurs, especially in older
dogs, may not require treatment.
What Is Pericardial Effusion?
This is a buildup of fluid in the membranous sac surrounding
the heart. This can be caused by various types of heart tumors
although, in many cases, no apparent cause can be found. If a
large amount of fluid is present, it can compress the heart and
prevent it from working properly. Heart sounds will be muffled
and, on x-rays, the heart may appear balloon-like due to the
presence of the fluid.
What Can Be Done if My Pet Has A Heart Problem?
Many of the same types of diagnostic tools and treatment
options that are used to help keep human heart patients alive and
healthy are also available to pets. For example, sophisticated
diagnostic options (see box below) can help determine whether
heart problems are present and, if so, assess their severity.
Depending on your pet’s particular problem, cardiac
catheterization, angioplasty, pacemaker implantation, and cardiac
surgery to repair heart defects have all become relatively
commonplace. In addition, many of the medications used in pets are
similar to those that are also used in humans.
Will My Regular Veterinarian Still Be Involved?
In most cases, your regular veterinarian will still supervise
your pet’s veterinary care. In other cases, your referral doctor
may take over the majority of your pet’s medical care. It depends
on your pet’s particular disease and condition.
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