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Heart disease can occur at
any age. However, chronic heart disease becomes more
common with advancing age. When your dog starts to age
and becomes less active, you may consider having his
heart checked.
The heart is a
four-chambered pump whose role is to receive blood that
needs oxygen and pump it into the lungs, where carbon
dioxide is exchanged for oxygen. Then the heart pumps
the oxygen-rich blood throughout the body.
Heart failure is a
condition in which a heart, weakened by disease, cannot
receive and pump blood adequately to meet the needs of
the body. As a result, blood starts to pool, fluids
build up (congestion) and causes coughing, weakness and
breathing difficulties, which may result in death.
What causes
heart failure?
There are many causes of
heart failure. However, among the most common are:
Acquired heart disease (e.g. chronic disease of the
heart valves)
Congenital heart disease
Acquired heart disease in
older, small breeds of dogs usually involves
degeneration of the valves which results in leakage and
loss of pumping efficiency of the heart. There are some
breeds which are very at risk such as Maltese, miniature
and Toy Poodles, Pomeranians and Yorkshire Terriers.
In large breeds of dogs,
such as Doberman, Great Danes, Boxers and Labrador
Retrievers the disease usually involves a weakness in
the heart muscle and is typically found in middle-aged
male dogs.
Both conditions result in
an increased workload on the heart, which gradually
enlarges in size as the heart muscle stretches in an
effort to pump more blood. As efficiency drops, fluid
begins to build-up in the lungs
and/or abdomen. Dogs of any size can become affected by
heart disease.
Congenital heart disease
occurs more rarely and results from birth defects of the
heart muscle and/or valves.
Physical examination -
with careful exam-ination including listening to the
heart and lungs with the stethoscope, your vet can
detect heart murmurs, irregular beats, weak pulse, and
the presence of congestion in the chest or abdomen.
What are the
warning signs?
Rapid
or difficult breathing
Cough (especially when the dog rises
in the morning)
Tires easily, puffs and pants more
Appetite loss
Weight Loss
Pot-bellied appearance
Pale or grey/blue gums
These signs may be caused
by other factors, not just heart failure. Be sure to
have your dog checked by a veterinarian if you notice
these changes.
How does the veterinarian
determine the existence and cause of heart failure?
Electrocardiogram (ECG) -
this simple test detects irregular and abnormal heart
beats, called arrhythmia, and provides information that
helps the veterinarian determine the type of treatment
needed.
Chest X-ray - evaluates
the size and shape of the heart, lungs and blood
vessels. Heart en-largement and fluid congestion in the
lungs can be detected and helps to make a correct
diagnosis and an assessment of the severity of the
condition.
Echocardiogram - this
test uses sound waves to harmlessly examine the inside
of the heart and blood vessels. It can also detect how
strongly the heart beats, show abnormalities which cause
heart murmurs, cancer and congenital birth defects.
What can be done
if my dog has heart failure?
Exercise: may have to be
limited to below the level that provokes signs of
discomfort fatigue, laboured breathing, or coughing.
Diet: Together with drug therapy, a change in diet is
essential to help maintain heart function. Restricted
salt content helps prevent excessive blood pressure, one
of the dangerous effects of heart disease. Added Taurine
and L-carnitine also helps to improve heart muscle
contraction, thereby improving blood flow. All the above
requirements are met in Hill¹s® Prescription Diet®
h/d®, a therapeutic pet food which is also low in
protein and phosphorous to help the kidneys function at
a time when they are under stress due to lack of blood
flow.
Excess weight can
exacerbate heart disease, so keep your pet¹s weight
under control by feeding correctly.
Drug therapy: Most
heart conditions have traditionally been controlled by
drug treatments that remove congestion (fluid build up),
control irregular heartbeats (arrhythmia), or improve
the action of the heart muscle (contraction). The latest
advance in the treatment of heart failure in dogs is a
drug that actually intervenes in the compensatory
processes that the body instigates when the heart cannot
adequately receive the pumped blood. These processes are
initially beneficial to the dog. However in a
chronically ill dog, the process eventually perpetuates
the cycle of heart failure.
What can I do
now?
Talk to your vet:
If your dog exhibits any
of the signs indicating underlying heart disease, such
as difficulty in breathing, chronic coughing, lethargy
and appetite or weight loss, you should consult your
veterinarian.
Merial South Africa (Pty) Ltd. (Reg. No.
1997/022402/07).
PO Box 5924, Halfway House, 1685. Tel: (011) 315- 8001,
Fax: (011) 805-1469.
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