Library
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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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Atrioventricular (AV) valve dysplasia is a developmental malformation of the mitral or tricuspid valve in the heart. Signs include exercise intolerance, accumulation of fluid in the abdomen, weight loss, and stunted growth. Difficulty breathing or collapse may occur if congestive heart failure develops. Treatment of AV valve dysplasia is focused on managing signs of congestive heart failure and/or disturbances in heart rhythm, generally using medications.
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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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Congestive heart failure (CHF) refers to the heart's inability to pump adequate blood to the body. There are many causes of CHF in dogs. The two most common causes are mitral valve insufficiency (MVI), or a leaky mitral valve, and dilated cardiomyopathy (DCM). The most common clinical sign of CHF is persistent coughing accompanied by difficulty breathing. Other signs include coughing when at rest or sleeping, an increased resting respiratory rate or excessive panting, persistent loss of appetite, a swollen belly, and pale or bluish gums.
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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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Heart disease is more common in dogs than in cats. It can be due to congenital defects or adult-onset disease. The two most common types of adult heart disease are mitral regurgitation (valve disease) and dilated cardiomyopathy or DCM (heart muscle disease). Diagnosis involves X-rays, ECG, and echocardiography. Treatment depends on the cause of heart disease.
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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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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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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.