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Cardiac Disease in Companion Animals

The heart is a vital organ responsible for pumping blood throughout the body, delivering oxygen and nutrients to tissues, and removing waste products. Understanding how the heart functions and the various ways it can malfunction is crucial for pet owners to recognize signs of cardiac disease and seek timely veterinary care.The heart is a vital organ responsible for pumping blood throughout the body, delivering oxygen and nutrients to tissues, and removing waste products. Understanding how the heart functions and the various ways it can malfunction is crucial for pet owners to recognize signs of cardiac disease and seek timely veterinary care.

How the Heart Works

The heart is a vital organ that pumps blood throughout the body, supplying oxygen and nutrients to tissues and removing waste products.

In both cats and dogs, the heart is composed of four chambers: two atria (upper chambers) and two ventricles (lower chambers).

The right side of the heart pumps blood to the lungs to receive oxygen, while the left side pumps oxygen-rich blood to the rest of the body.

An image of the heart with a cross-section showing the chambers and the valves of the heart.

Blood flows through the heart in a coordinated manner, regulated by four heart valves:

  • Tricuspid Valve: Located between the right atrium and right ventricle, it ensures blood flows from the atrium to the ventricle without backflow.
  • Pulmonary Valve: Positioned between the right ventricle and the pulmonary artery, it allows blood to flow from the heart to the lungs for oxygenation.
  • Mitral Valve: Found between the left atrium and left ventricle, it controls blood flow from the atrium to the ventricle.
  • Aortic Valve: Located between the left ventricle and the aorta, it ensures blood flows from the heart to the rest of the body.

Each valve opens and closes with each heartbeat, ensuring unidirectional blood flow through the heart and preventing backflow.

The heart functions through a coordinated series of electrical impulses that ensure the muscle contracts in a rhythmic manner. These impulses originate from the sinoatrial (SA) node, often called the heart’s natural pacemaker, located in the right atrium. The impulses then travel to the atrioventricular (AV) node and through the ventricles, causing them to contract and pump blood.

There are several ways the heart can malfunction, leading to various cardiac diseases. Understanding these mechanisms can help in recognizing and managing heart disease in pets.

  • Structural Problems: Issues with the heart’s structure can impede its ability to pump blood effectively. This includes defects in the heart valves or walls and can be congenital or develop over time.
  • Electrical Issues: The heart’s rhythm can be disrupted by problems with the electrical signals that control heartbeat. Arrhythmias, such as atrial fibrillation or ventricular tachycardia, can cause the heart to beat too fast, too slow, or irregularly.
  • Muscle Disorders: Conditions that affect the heart muscle itself, such as cardiomyopathies, can weaken the heart and reduce its efficiency. This can lead to heart enlargement, poor contraction, and eventual heart failure.
  • Circulatory Problems: Conditions like hypertension (high blood pressure) can put extra strain on the heart, leading to structural and functional damage over time.
  • Infections and Inflammations: Infections such as endocarditis (infection of the heart valves) or myocarditis (inflammation of the heart muscle) can significantly affect heart function.

Signs of Cardiac Disease in Pets

Early detection of heart disease in pets is crucial for effective management. Here are some common signs that may indicate a cardiac disease:

  • Coughing: Persistent coughing, especially at night or after exercise, can be a sign of heart disease, particularly in dogs.
  • Difficulty Breathing: Laboured or rapid breathing can indicate fluid buildup in the lungs, a common symptom of congestive heart failure.
  • Exercise Intolerance: Pets with heart disease may tire easily and show reluctance to exercise or play.
  • Weakness or Collapse: Episodes of weakness, fainting, or collapse can be indicative of serious heart problems.
  • Abdominal Swelling: Fluid accumulation in the abdomen, known as ascites, can be a sign of advanced heart disease.
  • Decreased Appetite and Weight Loss: These can be nonspecific signs but may accompany other symptoms of heart disease.

Your pet may have a cardiac disease without showing any of these signs. Presence of these signs may be due to other issues and not related to cardiac disease.

If you have any concerns regarding your pet, it is best to consult with your veterinarian.

Common Cardiac Diseases in Companion Animals

While the heart is a robust and efficient organ, various issues can arise that affect its function. These problems can be structural, electrical, or related to the heart muscle itself.

Here are some common cardiac diseases in cats and dogs.

Click on the pictures to learn more about each disease.

text overlay image. Image is two doberman dogs laying on the ground. Text is dilated cardiomyopathy or DCM
Dilated Cardiomyopathy (DCM)

Causes the heart muscle to become weak and enlarged, leading to decreased pumping ability.

text overlay image, the image is an orange domestic shorthair cat and the text is hypertrophic cardiomyopathy or HCM.
Hypertrophic Cardiomyopathy (HCM)

Primarily affecting cats, HCM involves the thickening of the heart muscle, which reduces the heart’s efficiency and can lead to congestive heart failure.

Text overlay imgae, the image is a small white dog laying down and the text is degenerative valvular disease or DVD
Degenerative Valvular Disease (DVD)

A common heart condition in older small dogs which involves the degeneration of the mitral valve, leading to blood leaking backward into the left atrium.

Text overlay image, the image is three small golden and cream puppes laying don and the text is patent ductus arteriosus or PDA
Patent Ductus Arteriosus (PDA)

A congenital disease that is due to a connection between two of the vessels in the heart that should only be present before birth.

Text overlay image, the image is a small golden pupping laying down with an orange ball behind it and the text says pulmonic stenosis.
Pulmonic Stenosis

Abnormal narrowing of one of the vessels that exists the heart and goes to the lungs.

Diagnosing Cardiac Diseases In Cats and Dogs

Diagnosing heart disease in pets involves several steps and tools:

1. Physical Examination: A veterinarian will listen to your pet’s heart and lungs for abnormal sounds, such as murmurs or irregular rhythms, and check for signs of fluid buildup.

2. Chest X-Rays: These can show the size and shape of the heart and detect fluid in the lungs.

3. Echocardiogram (Ultrasound): This is the gold standard for diagnosing heart disease, providing detailed images of the heart’s structure and function.

4. Electrocardiogram (ECG): This test records the electrical activity of the heart and helps identify arrhythmias.

5. Blood Tests: Tests such as NT-proBNP can indicate heart stress and damage.

Managing Cardiac Disease

While many heart conditions are chronic and progressive, there are various treatments and management strategies to improve quality of life and prolong survival:

  1. Medications: Depending on the condition, medications can help manage symptoms and slow disease progression. Common drugs include diuretics, ACE inhibitors, beta-blockers, and pimobendan.
  2. Dietary Management: A low-sodium diet can help reduce fluid buildup and decrease the workload on the heart.
  3. Regular Monitoring: Frequent veterinary check-ups and monitoring at home, such as counting resting respiratory rates, are crucial for managing heart disease.
  4. Lifestyle Adjustments: Keeping your pet at a healthy weight, ensuring moderate exercise, and avoiding excessive stress can help manage heart disease.
  5. Surgical Interventions: Some conditions, like congenital defects, may require surgical correction.

 

Preventing Heart Disease in Companion Animals

As a pet owner, you play a crucial role in preventing heart disease in your furry friends. While some cardiac conditions are genetic and unavoidable, there are several proactive steps you can take to promote your pet’s heart health.

These strategies are backed by peer-reviewed research and veterinary recommendations, ensuring that you are providing the best care possible for your beloved companion.

 1. Maintain a Healthy Weight

One of the most significant factors in preventing heart disease is maintaining a healthy weight. Obesity can lead to various health issues, including heart disease. Overweight pets are at higher risk for conditions such as hypertension, which can strain the heart and lead to complications like congestive heart failure.

  • Diet and Nutrition: Feed your pet a balanced diet that meets their nutritional needs without overfeeding. Consult with your veterinarian to determine the appropriate amount and type of food for your pet’s age, breed, and activity level. A study published in the Journal of Veterinary Internal Medicine highlighted the importance of maintaining an optimal body condition score to reduce the risk of cardiovascular diseases in pets .
  • Regular Exercise: Regular physical activity helps keep your pet’s heart strong and their weight in check. Dogs benefit from daily walks, play sessions, and activities like swimming. Cats, although less active, still need interactive playtime to stimulate their minds and bodies.

 2. Provide a Heart-Healthy Diet

Feeding your pet a heart-healthy diet can significantly impact their cardiovascular health. Certain nutrients and ingredients are known to support heart function and overall health.

  • Taurine: Taurine is an amino acid critical for heart health, especially in cats. Some cardiac diseases might be related to deficiency in Taurine. Ensure your pet’s diet includes adequate taurine, either through their food or supplements.
  • Low Sodium: A low-sodium diet helps prevent fluid retention and reduces the workload on the heart. However, going on a low-sodium diet is not necessary for most of the cardiac patients. Consult with your veterinarian regarding the most suitable diet for your pet.

 3. Regular Veterinary Check-Ups

Regular veterinary check-ups are essential for early detection and prevention of heart disease. Routine visits allow your veterinarian to monitor your pet’s heart health and catch any potential issues early.

  • Annual Examinations: During a check-up, your veterinarian will listen to your pet’s heart for murmurs or irregular rhythms, check blood pressure, and possibly recommend blood tests to assess cardiac biomarkers. Early detection of heart disease can lead to more effective management and treatment.
  • Specialized Testing: For breeds predisposed to heart disease, your veterinarian may recommend additional tests such as echocardiograms or Holter monitoring. These tests provide detailed information about heart structure and function, helping to identify problems before symptoms appear.

 4. Preventing Heartworm Disease

Heartworm disease is a severe and potentially fatal condition caused by parasitic worms living in the heart and pulmonary arteries. Prevention is crucial, as treatment can be complex and risky.

  • Preventive Medications: Administering heartworm preventive medications regularly is the most effective way to protect your pet. These medications, available in oral, topical, or injectable forms, kill the larvae before they mature into adult worms. A study in the Journal of the American Veterinary Medical Association showed that consistent use of heartworm preventives significantly reduces the incidence of heartworm disease in dogs .
  • Regular Testing: Even if your pet is on preventive medication, annual heartworm testing is recommended to ensure they remain heartworm-free. Early detection allows for prompt treatment and better outcomes.

 5. Avoiding Toxins and Infections

Certain toxins and infections can negatively impact heart health, leading to conditions like myocarditis or cardiomyopathy.

  • Household Toxins: Keep your home free of substances that are toxic to pets, such as antifreeze, certain plants, and medications. Ingestion of these substances can cause severe damage to the heart and other organs.
  • Infectious Diseases: Regular vaccinations and preventive care can protect your pet from infectious diseases that may affect the heart. For example, Lyme disease, spread by ticks, can lead to myocarditis. Ensuring your pet is protected against such diseases is vital for their heart health.

 6. Stress Reduction

Chronic stress can have adverse effects on your pet’s heart health, leading to conditions such as hypertension and heart disease.

  • Calm Environment: Create a calm and stress-free environment for your pet. Avoid sudden changes in routine, loud noises, and stressful situations whenever possible.
  • Enrichment Activities: Providing mental and physical stimulation through toys, puzzles, and social interactions can help reduce stress and improve overall well-being.

 7. Monitor and Manage Other Health Conditions

Conditions such as diabetes, kidney disease, and hyperthyroidism can impact heart health. Managing these conditions effectively is crucial in preventing secondary heart disease.

  • Regular Monitoring: Work with your veterinarian to monitor and manage any chronic health conditions your pet may have. This can include regular blood tests, medication management, and dietary adjustments.
  • Integrated Care: Ensure that your pet’s healthcare providers communicate and coordinate their efforts. An integrated approach can help manage the overall health of your pet, including their heart.

Preventing heart disease in companion animals requires a proactive approach that includes a healthy diet, regular exercise, routine veterinary check-ups, and preventive care. By staying informed and working closely with your veterinarian, you can help ensure your pet enjoys a long, healthy, and heart-healthy life.