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The aristocratic but playfully affectionate Cavalier King Charles Spaniel looks like he leapt straight out of a Renaissance painting. Sweet and docile, cuddly and adaptable, Cavaliers can be anything you want them to be.
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Pulmonary hypertension means that the peak blood pressure in the arteries of the lungs is much higher than normal. Several abnormalities can lead to high blood pressure in the arteries of the lungs and many of the underlying reasons involve the heart. There are many signs of pulmonary hypertension including exercise intolerance, difficulty breathing with or without exertion/exercise, rapid breathing, coughing, spitting up blood from the lungs, fainting, and more. There are many potential causes of pulmonary hypertension. Several medications are available to treat your dog. It is important to maintain a low-stress environment while any underlying cardiac or respiratory disease is treated and managed. Activity may need to be restricted. It is essential to monitor dogs with pulmonary hypertension for worsening of clinical signs. Periodic physical examinations, blood pressure monitoring, and ultrasound evaluations of the heart will also be important. The long-term prognosis is very guarded for dogs with pulmonary hypertension.
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The clinical signs of congestive heart failure (CHF) are seen in many dogs as they age. The two most common causes of CHF are chronic valvular disease and dilated cardiomyopathy. Hypertension (high blood pressure) may contribute to heart disease and CHF. Secondary medical conditions, such as obesity, low thyroid, or kidney disease may require dietary changes. Key nutritional goals are to maintain a stable body weight, deliver appropriate Calories, and feed a balanced diet that the dog will regularly eat.
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Cyanosis is a bluish discoloration of the skin and mucous membranes of the body caused by inadequate oxygen levels. Cyanosis is an emergency, and the root cause may be life-threatening and may or may not be reversible. Once back home, homecare instructions must be followed carefully.
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Spironolactone + benazepril (brand name Cardalis®) is a combination aldosterone antagonist (spironolactone) and angiotensin-converting enzyme inhibitor or ACE inhibitor (benazepril) used to treat certain types of congestive heart failure in dogs. Use to treat other heart conditions or in other species is "off label" or "extra label". Spironolactone + benazepril comes in chewable meat-flavored tablet form.
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Dilated cardiomyopathy (DCM) is a serious and often fatal condition in medium to larger breed dogs. Signs may be sudden or progressive in onset. Some signs include rapid breathing, increased effort with breathing, restless sleeping, coughing, or gagging, among others. Early and proper diagnosis is key, followed by treatment to give the best quality of life.
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Atrial fibrillation describes rapid contractions or twitching of the heart muscle, specifically in the atria. In dogs, atrial fibrillation usually occurs secondary to heart disease. In some large breed dogs, atrial fibrillation occurs as a primary heart problem. Signs, treatment, and outlook are discussed.
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Gastroesophageal reflux disease (GERD) is a chronic condition in which stomach acid flows from the stomach to the esophagus. In dogs with GERD, stomach acid passes through the lower esophageal sphincter and enters the esophagus. Possible signs associated with GERD include decreased appetite, difficulty swallowing, licking the lips, change in bark, chronic cough, appearance of generalized discomfort, pacing, or restlessness at night. Gastrointestinal reflux disease is often diagnosed on the basis of endoscopy. There are a number of different treatments for GERD. Most dogs require a combination of treatments, each of which addresses the problem differently. Most dogs experience a rapid improvement in clinical signs with treatment.
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Gastrointestinal endoscopy uses a flexible tube with a camera or viewing port to inspect the esophagus, stomach, and first part of the small intestine, or the colon. The endoscope cannot reach all areas of the small intestine, so other tests may be needed to diagnose disease in these areas. 12-18 hours fasting and enemas are required prior to endoscopy depending on the area being studied.
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An aortic thromboembolism (ATE) results when a blood clot is dislodged and travels through the aorta, becoming lodged in a distant location. This clot causes severely reduced blood flow to the tissues receiving blood from that section of the aorta, leading to decreased oxygen in the tissues. Aortic thromboembolism is a rare occurrence in dogs and can be associated with endocarditis, cancer, sepsis, hyperadrenocorticism, and increased protein loss through diseased kidneys. This article outlines clinical signs, treatment, monitoring, and prognosis for dogs with this condition.