Treatment FAQ

what treatment options are available for congestive heart failure for dogs

by Mr. Emmitt McKenzie Published 3 years ago Updated 2 years ago
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The most common treatments for congestive heart failure in dogs available are:

  • Oxygen therapy
  • Medications
  • Heart monitoring
  • Blood pressure monitoring
  • Symptomatic support and care
  • Removal of fluids, from chest (thoracocentesis) or from the abdomen (abdominocentesis)

As a result, treatment for chronic CHF generally involves the use of 4 medications: furosemide, pimobendan, an angiotensin-converting enzyme (ACE) inhibitor, and spironolactone. These drugs are usually continued indefinitely. Other drugs may also be required.

What to do if your dog has congestive heart failure?

Your vet may also recommend supplements. Dogs with congestive heart failure may benefit from vitamin B supplements, taurine (an amino acid that supports brain development), or carnitine (an amino acid that helps turn fat into energy). Antioxidants like Coenzyme Q and vitamin E may also help.

When to put down a dog with heart failure?

  • coughing up blood
  • bloody or foamy sputum
  • difficulty breathing
  • fatigue
  • loss of appetite
  • blue, purple, or muddy gums and tongue

Can enlarged heart in dogs be reversed?

There's good news and bad news for this condition. On the negative side, there's no cure for an enlarged heart - but luckily, with the right treatment, careful diet and exercise, and the right regimen of medicine, your pup can still live a long and happy life.

What are the stages of heart failure in dogs?

  • Constant coughing
  • Coughing up foam, or bloody foam
  • Labored breathing
  • Lethargy
  • Fainting episodes
  • Distended abdomen
  • Decrease in appetite
  • Blue, purple, or muddy gums and tongue
  • Collapse

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How Long Can dogs live with congestive heart failure?

Once congestive heart failure develops, the survival time of affected dogs is expected to be between 6 and 14 months. Some dogs, however, can live for nearly three years with the right treatment regimen.

How can I help my dog with congestive heart failure?

TreatmentMedications to help the heart work and correct irregular heartbeats.Medications to slow fluid build-up in the lungs.Surgery to correct a torn valve or to insert a pacemaker to correct the heart beat.A commercial or prescription low-salt diet to help decrease fluid build-up in your dog's body.More items...•

Should I put my dog down with congestive heart failure?

If the pet has a condition like congestive heart failure, or untreatable brain cancer — a disease that will, unchecked, lead to a painful death — the recommendation may be for euthanasia sooner instead of later.

What can a vet do for congestive heart failure?

There are many medications that veterinarians may recommend to help reduce fluid buildup, improve heart function, and/or normalize heart rhythms. A low-sodium diet may also be recommended to help minimize fluid accumulation. Most dogs with congestive heart failure require medications for the remainder of their lives.

How do you know if congestive heart failure is getting worse in dogs?

Trouble Breathing As heart failure progresses, pets will have more and more difficulty breathing. You may notice your pet's sides heaving in and out more when she breathes, or you may hear her wheezing in her sleep or otherwise at rest. She may also pant or breathe with her mouth open more often.

Is there an alternative to Lasix for dogs?

Torsemide, a novel and more potent diuretic than furosemide, may improve management of advanced congestive heart failure in dogs and cats. Torsemide is a novel diuretic that promotes renal excretion of sodium, chloride, and water by targeting the thick ascending loop of Henle, similar to furosemide.

What are the 4 stages of congestive heart failure?

There are four heart failure stages (Stage A, B, C and D). The stages range from "high risk of developing heart failure" to "advanced heart failure."...Stage CShortness of breath.Feeling tired (fatigue).Less able to exercise.Weak legs.Waking up to urinate.Swollen feet, ankles, lower legs and abdomen (edema).

How long can a dog live on furosemide?

Escalating doses of furosemide will most likely be needed. About 50% of heart failure patients will have died within 6 months of diagnosis. About 80% will have died by 1.5-2 years. Of course, dogs with murmurs and no heart failure commonly live normal life spans....HOURS.MON - FRI:8 AM - 6 PMSAT - SUN:8 AM - 3 PMJun 4, 2022

How long can a dog live with fluid around the heart?

Survival is expected to be from a few weeks to less than 4-6 months but quality of life between episodes is usually good. Chemotherapy may provide a small survival benefit.

What is the best medicine for dogs with congestive heart failure?

Most veterinary cardiologists use furosemide; an angiotensin-converting enzyme inhibitor like enalapril, benazepril or lisinopril; and pimobendan for management of the most common forms of congestive heart failure, said John Rush, DVM, MS, Dipl.

Can CBD oil help with heart failure in dogs?

CBD cannot cure heart disease or congestive heart failure, but it is being studied for ways it may help reduce symptoms or prevent heart disease. However, CBD has not been shown in large studies to prevent diseases that lead to heart failure.

How long can a dog live on Vetmedin?

In the case of DCM, dogs live anywhere from 3 - 24 months, depending on how well they react to the treatment. In the case of MVD, dogs live on average less than 1 year.

How to ensure the comfort of a dog with congestive heart failure?

It is important to limit your dog's physical activity so as not to aggravate his heart and lung problems. You need to slow him down and keep him pl...

Is my dog's heart failure painful?

Well cared for, your dog does not suffer from his heart condition. However, it must be closely monitored so that pulmonary edema does not form. Thi...

Can a dog recover from fluid in the lungs?

f you take your dog to the vet as soon as you notice his breathing difficulties, he will be injected with a diuretic and a cardiac stimulant. Under...

How to recognize the symptoms of pulmonary edema in dogs?

Your dog appears weak, coughs frequently, and his breathing is accelerated. You hear crackling sounds with each breath and he seems to be gasping f...

What is the best treatment for left sided CHF?

A low-sodium diet can also be helpful. Most cases of left-sided CHF are treated with diuretics. Other heart medications may be used as well. In right-sided CHF, excess fluid may be manually removed, or "tapped," from the abdomen and/or chest cavity.

Why does my dog's left sided CHF collapse?

Dogs with left-sided CHF may collapse because obstructed blood flow leads to low blood pressure, slowed heart rate, and decreased oxygen supply to the brain. Conditions like dilated cardiomyopathy, ...

What tests are used to diagnose heart disease?

Diagnostic tests used to detect and monitor heart disease include the electrocardiogram (ECG or EKG), echocardiogram (ultrasound of the heart), and thoracic radiographs (chest X-rays). Your vet will need to periodically repeat these tests to assess the severity of heart disease. Treatment of CHF is aimed at managing the underlying heart disease ...

What is the condition that can affect dogs, cats, and humans?

Congestive heart failure is a severe condition that can affect dogs, cats, and humans. CHF occurs as a complication of heart disease. Prompt treatment is necessary to relieve discomfort, ease breathing, and prevent death.

Why does my dog have difficulty breathing?

These dogs can experience difficulty breathing due to pressure around the lungs. Ascites causes a bloated appearance to the abdomen. The pressure in the abdomen can affect breathing, digestion, and organ function. Limb swelling (peripheral edema) may also be seen when a dog has right-sided CHF.

Why do dogs need chest taps?

These dogs often need regular taps of the fluid to maintain a good quality of life.

Can a dog live with congestive heart failure?

The life expectancy of dogs with congestive heart failure depends on the underlying heart disease. CHF cannot be cured unless the primary heart disease can be cured. If corrective surgery can be done to fix the heart disease, then the dog may be able to go on to live a normal life.

Causes of heart failure in dogs

Apart from valve damage, heart failure can also develop due to an abnormal heart rhythm.

What is the treatment for congestive heart failure in dogs?

Treating heart failure is essential to improve muscle strength, control possible arrhythmia, maintain normal blood pressure, and adequate blood circulation.

Dog heart failure natural treatment

Vitamin B1 (thiamine) deficiency can be the cause of overall heart failure.

Prevention of dog heart failure

Unfortunately, there is no effective prevention of this common disease, and the proposed treatment is done to improve the quality of your friend’s life.

My opinion on Pimobendane

Twice in my life, I have had to accompany a dog with mitral insufficiency.

What causes congestive heart failure in dogs?

These are definitely less common causes of congestive heart failure in dogs and include: Defects in the heart walls. Fluid builds in the sac surrounding the heart. Arrhythmias. Heartworm disease. High blood pressure. Endocarditis (an infection of the heart valves)

How to treat congestive heart failure?

Conventional Treatment For Congestive Heart Failure. Conventional vets typically treat CHF with prescription medicines. This may be diuretics, which cause the kidneys to excrete extra water to clear out the excess from the lungs or abdomen.

What does it mean when a dog's heart valves are damaged?

If your dog has damaged heart valves, your vet will be able to hear a murmur with her stethoscope. This sound happens when the blood squirts back through the defects in the valves when the muscle squeezes. Grading for murmurs rank from I to V depending on the severity.

What causes a dog to have a high incidence of CHF?

Damaged heart valves and dilated cardiomyopathy are the two most common causes (or what seem to be causes) of CHF. Some breeds commonly have genetically defective valves and have a much higher incidence of CHF than other breeds. This includes King Charles Cavalier Spaniels.

What causes a dog's heart to stop beating?

So there are other causes that aren’t directly related to problems with the heart valves, muscle or vascular system. These are definitely less common causes of congestive heart failure in dogs and include: 1 Defects in the heart walls 2 Fluid builds in the sac surrounding the heart 3 Arrhythmias 4 Heartworm disease 5 High blood pressure 6 Endocarditis (an infection of the heart valves) 7 Tumors 8 Pregnancy

Why do vets prescribe vasodilators?

Vets may also prescribe vasodilators to reduce the blood pressure. They open the blood vessels to allow blood to flow more easily.

Does Hawthorn help with heart disease?

Hawthorn can help the heart pump more strongly. Motherwort is a lovely cardiac tonic. If your dog has CHF, no matter what you do, you’ll probably need prescription medications in the end. Be sure to supplement with multivitamins and minerals if you do need to give drugs.

What is the best treatment for a dog with a heart problem?

Your vet may recommend one or more of the following: Medications to help the heart work and correct irregular heartbeats. Medications to slow fluid build-up in the lungs.

How to correct a torn heart valve in a dog?

Surgery to correct a torn valve or to insert a pacemaker to correct the heart beat. A commercial or prescription low-salt diet to help decrease fluid build-up in your dog's body. Limited activity or exercise to manage weight without putting too much strain on your dog's heart. Your vet may also recommend supplements.

What do vets want to know about a dog?

Your vet will want to know any symptoms you've noticed. They will want to know what the dog eats, what medications and supplements they may be taking, and if they are currently on heartworm protection .

What tests do vets do on dogs?

The vet will listen to your dog's chest and may want to run some tests, including: A blood and urine test to check for any other problems that could be affecting your dog's heart. Chest X-rays. These use radiation in low doses to make images of your dog's internal organs. An EKG.

Can heart disease cause congestive heart failure in dogs?

Heart disease may lead to congestive heart failure. That's when your dog's heart has trouble pumping blood to the rest of its body. Heart disease can affect one side of the heart or sometimes both sides. It can progress slowly and may take years to spot.

Can medication help with heartworms?

Medication can also clear heartworms or bacterial infections if they're caught early enough. What to Expect. Make sure to bring your dog for regular visits with your vet and stick with your treatment plan. Unchecked heart problems can make things harder on your dog and even shorten their life.

What does it mean when a dog has a congenital heart defect?

Dogs that have a congenital heart problem means that they were born with a heart defect. It can sometimes take years or even an injury to exacerbate the problem or even make you aware of it. Heart disease can take its toll as a dog ages. It can affect one or both sides of the heart and can take years to spot.

What to do if my dog is coughing and coughing?

If already diagnosed with CHF and on furosemide, your vet may recommend an additional dose to alleviate any extra accumulation of fluids. Watch your dog carefully, time coughing and take notes for next visit. 2.

What to do if my dog faints?

If your dog faints, also called syncope, you should call your veterinarian immediately to schedule an appointment. Your vet can order a 24-hour Holter ECG monitor with will record your dog’s rhythms. This will help make for a clearer diagnosis.

What does CHF mean in medical terms?

It's certainly an overwhelming diagnosis, but with a little research you'll soon figure out exactly what to expect. CHF stands for congestive heart failure and means that the heart is failing to pump blood through the body effectively .

Why does my dog cough so much?

This is due to an accumulation of fluid in the lungs and the irritation produced by the enlarged heart pushing against the trachea.

Why does my dog sleep on his chest?

You may observe your dog trying to sleep quietly sitting up. This is due to the fluid build-up in the lungs when your dog lies on its side making it uncomfortable. It’s a sign to get a check-up.

How to stop pet medication from becoming expensive?

When pet medications become expensive, talk to your vet before trying to discontinue usage. Your vet can try a generic or a larger dose that you can split up . There may also be a less expensive alternative treatment that you vet may be aware of. Call your vet first.

What is the best medication for congestive heart failure?

Medications that are commonly used to treat congestive heart failure include diuretics like furosemide and spironolactone, ACE inhibitors like enalapril, benazepril or lisinopril, and a drug called pimobendan.

What is the condition where a dog's heart can no longer pump enough blood?

Congestive heart failure (CHF) is a condition that occurs when a pet’s heart can no longer pump enough blood, causing fluid to back up into the lungs or the belly. The specific treatment for congestive heart failure depends on the underlying type of heart disease and its severity.

How to check if a dog has fluid build up in their belly?

If your pet has had fluid build-up in their belly in the past, you can monitor for recurrence by checking the size of their waist with a floppy tape measure or by monitoring their body weight. Increasing trends may indicate that a recheck to remove the fluid, or a change in medication, is needed.

What medications are used to control irregular heartbeats?

Some of the extra medications that might be used include torsemide, sildenafil, sacubitril/valsartan, or medications to control irregular heartbeats (arrhythmias).

Can a dog have congestive heart failure?

Usually once a pet has congestive heart failure, they require life-long medications. Sometimes treatment is started during a short stay in the hospital, and other times your veterinarian will feel comfortable starting treatment at home.

Does Pimobendan help dogs with heart failure?

Pimobendan increases the strength of contraction of the heart and has been shown to prolong survival of dogs with congestive heart failure. These drugs might control difficulty breathing and other signs of heart failure for several months, but eventually the heart disease progresses and adjustments to the medications are required.

What is the cause of left sided heart failure in dogs?

Congestive heart failure (CHF) is most often a result of the left side of the heart being unable to move blood out and through to the rest of the body, leading to edema formation. Edema is fluid in tissues or body cavities that should not be there. In left-sided heart failure, this edema most often accumulates in the lung tissue or chest cavity making breathing difficult. Continue reading to learn about common causes of heart failure, symptoms, testing, and treatment options for dogs.

Can furosemide cause a dog to lose potassium?

Once your dog is started on medications to help reduce the frequency of CHF episodes, they’ll need regular blood work and recheck exams to assess how their organs are tolerating the drugs and reduced heart function. Close monitoring of your dog’s electrolyte levels is also necessary, as furosemide can cause severe losses of potassium.

What is the cause of a dog's heart failure?

There are many causes of CHF in dogs. The two most common causes are: mitral valve insufficiency (MVI). MVI is a leaky mitral valve, which is the valve between the left atrium and the left ventricle. dilated cardiomyopathy (DCM).

How do you know if your dog has heart failure?

Many dogs with CHF will tire out more easily, have reduced stamina, and do not engage in playing or walking as they once did. Coughing when at rest or sleeping, excessive panting, persistent loss of appetite, a swollen belly, and pale or bluish gums are also signs associated with heart failure. The dog will develop generalized weight loss and muscle wasting due to the effects of CHF on other body systems. If any of these signs develop in a pet with a heart murmur, notify your veterinarian immediately.

What is a MVI in dogs?

MVI is a leaky mitral valve, which is the valve between the left atrium and the left ventricle. dilated cardiomyopathy (DCM). For further information on these specific causes, please see the handouts "Dilated Cardiomyopathy in Dogs" and "Mitral Valve Disease in Dogs". Clinical signs of CHF vary depending on whether the dog has left- ...

How to diagnose heart disease?

As with any heart problem, diagnosis involves several tests: Auscultation or listening to the heart with a stethoscope is the first step in diagnosing heart disease. Heart murmurs are detected by auscultation; the murmur's location and intensity help determine its significance.

What is the term for the death of a dog's heart muscle?

Myocardial infarction refers to death of the cells in an area of the heart muscle or myocardium. Cell death is usually due to oxygen deprivation caused by obstruction of the coronary blood vessels that supply blood to the heart muscles. Heart attacks are rare in dogs but unexpected and sudden death in dogs diagnosed with any form ...

Can MVI cause CHF?

However, there are many other causes. Disease of the heart muscle (cardi omyopathy), irregularities of rhythm, and narrowing of some of the major blood vessels can also cause CHF. Initially, MVI results in left-sided congestive heart failure . If left untreated, the heart failure may progress to involve both sides of the heart.

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