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Mitral valve disease is often one of the earliest indicators of heart disease that could lead to heart failure. It is more common in small dogs than large breeds. This handout discusses mitral valve disease in dogs, a degeneration of the valve between the left atrium and left ventricle. The clinical signs, diagnosis, treatment, and the prognosis of this condition are outlined.
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This handout summarizes the normal function of the dog heart, and outlines the abnormalities and changes associated with degeneration of the four different valves found in the heart. An explanation is provided of clinical signs associated with valve disease, as well as the recommended tests and treatments for this condition. Staging of heart disease is also discussed.
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Endocarditis is an infection of a heart valve, most often affecting the mitral or aortic valve. It can arise any time that bacteria enter the bloodstream, though it is more common when the heart valve has already been damaged for some other reason. This handout discusses the causes, clinical signs, diagnosis, treatment, and prognosis of this condition.
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This handout discusses what a heart murmur is, how it is diagnosed, what recommended tests are advised to determine the underlying cause, and potential treatments or monitoring that should be undertaken when a murmur is detected in your dog.
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Aortic stenosis (or a narrowing involving the aortic valve) is a less common heart disease that has a higher incidence in some breeds. Dogs may not show clinical signs if they are mildly affected to more severely affected patients showing signs of heart dysfunction. Diagnostic imaging is needed to determine the severity and prognosis for each individual patient. Medications are the mainstay treatment but for some patients surgical procedures may be considered.
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Energetic and playful, the American Water Spaniel loves kids and makes a great companion for active people. They enjoy investigating, running, hunting, fetching, and swimming. This sporting breed likes to keep moving and needs lots of exercise, but isn't as gregarious as more familiar spaniels like Springers and Brittanys.
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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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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, proximal small intestine, or colon for evidence of disease-causing clinical signs characteristic of gastrointestinal disease. Foreign bodies can often be retrieved. Biopsies are taken of abnormal and normal tissue, as not all conditions cause gross changes to the stomach or intestinal surface. The endoscope cannot reach all areas of the small intestine, so other tests may be needed to diagnose disease in these areas. Endoscopic pinch biopsies are not full thickness so if diagnosis is not achieved with endoscopic biopsies, additional testing including surgical biopsies may be needed. 12-18 hours fasting and enemas are required prior to endoscopy depending on the area being studied.