Congestive Heart Failure

With its ability to onset at any age, in any breed or gender, congestive heart failure (CHF) is one of the most serious canine and feline heart conditions. Congestive heart failure is characterized by the heart’s inability to circulate enough blood to meet the body’s demands. Because a heart muscle becomes weakened by CHF, the health of other organs suffers, including that of the liver, kidneys, and lungs.

CHF can be caused by the left, right, or both valves interrupting blood flow and causing blood to back up. Left side valvular disease occurs when blood accumulates in the lungs or abdomen, though this is less common in cats. Right side valvular disease arises when blood has collected in the vena cava and jugular vein, which causes the heart to pump faster and work harder; this eventually causes the heart to enlarge, forcing the heart’s internal chamber capacity to decrease, which means less blood can be pumped out. This entire consequence is cyclic, again causing the heart to work harder and continue to enlarge.

A pet with congestive heart failure can continue to function normally for months, even years, without exhibiting any outward signs of something being wrong; therefore, it can be difficult for an owner to tell that a serious cardiovascular condition exists.

Early signs of congestive heart failure: 

• Bloating. 
• Coughing during increased activity. 
• Decreased activity level. 
• Easily tiring. 
• Fainting.
• Lack of appetite.
• Pacing and restlessness before bed. 
• Rapid breathing. 
• Unexplained weight loss.

Diagnosis of congestive heart failure

Identifying the cause of congestive heart failure is often an involved process. Diagnosis begins with a full physical examination, during which the veterinarian can find key indicators of congestive heart failure, including a scratchy sound in the lungs when breathing or a subdued sounding heartbeat. Following the physical, there are several tests the veterinarian may perform:  

• Echocardiogram (ultrasound of the heart) – allows the veterinarian to visualize valvular deformities, cardiac muscle-wall thickening, and valvular leakage.  This service is not performed at this office but a referral can be provided if necessary.
• Electrocardiogram – measures electric impulses of the heart.
• X-rays – can depict fluid build-up in the abdomen or lungs. Can also show an enlarged heart.

Depending on specific indicators, other tests can be performed, including heartworm tests in dogs and feline leukemia virus tests in cats. The veterinarian will determine which tests your pet needs based upon the results of their physical exam.

Treating congestive heart failure

While there remains no cure for congestive heart failure, the ability to treat its symptoms depends on the severity and causes. The goal of treatment is to enable a pet’s body to compensate for its enlarged heart, thus preventing further damage. Most often, CHF is treated on an out-patients basis unless breathing is extremely difficult, in which case a pet may need to be placed on oxygen therapy and held overnight.

There are several medications that might be prescribed to help improve a pet’s quality of life. Depending on the amount of fluid in the chest, a diuretic may be necessary to aid with drying out the bodily tissues. Alongside a diuretic, various vasodilators can improve blood flow, while other drugs can improve the strength of the heart. Prescriptions are written on an individual basis, and the veterinarian will determine which medications are best for your pet’s needs. Usually it is beneficial for all CHF sufferers to limit their sodium intake, as sodium helps determine the amount of water in the blood vessels and body tissues, and drying up excess fluids is beneficial for CHF sufferers.

If you have any questions about congestive heart failure or would like to discuss any health concerns with our staff, contact our office today.

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