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Congestive Heart Failure in Dogs

Congestive heart failure in dogs is a serious problem that affects a large number of dogs, especially older dogs. It results from certain severe heart disease or a genetic malformation of the heart muscle.

Congestive Heart Failure in Dogs

First, let's not confuse heart disease with heart failure. Heart disease is the underlying physical problem. Heart failure is the consequence of heart disease.

Unlike heart attacks in people, canine heart failure rarely results in the heart stopping to function all of a sudden. Rather, congestive heart failure in dogs is a slow process - the conditions tend to worsen over time and as a result the performance of almost every part of the body will be affected.

When a dog has heart disease, certain parts of the heart cease to function properly. As a result, other parts of the organ have to work extra hard to compensate for the improper function. Heart failure occurs when the heart cannot pump enough blood to meet the body's needs.

Because the heart is not pumping effectively, blood may back up in the heart, lungs, or other major organs. Blood vessels constrict and blood pressure builds. As a result, fluid may leak out of the blood vessels (especially blood vessels of the lungs and liver), causing congestion of the lungs, or fluid accumulation in the abdomen and/or other tissues. This condition is called congestive heart failure in dogs.

Symptoms of Congestive Heart Failure in Dogs

The symptoms associated with congestive heart failure vary depending upon the type of the underlying heart disease, and sometimes different dogs with heart problems may show different symptoms.

However, there are certain symptoms that are common to several different forms of heart disease and these symptoms can be considered warning signs - If your dog is displaying any of the following symptoms, be sure to consult your veterinarian immediately and have your dog undergo a medical examination:

  • Unproductive coughing, especially during the night or first thing in the morning
  • Difficulty breathing; increased panting and puffing
  • General fatigue and lethargy
  • Intolerance of exercise
  • Appetite and weight loss
  • Fainting
  • Distended abdomen
  • Gray or bluish gums

Dogs suffering from a failing heart may stand with their front legs spread wide apart and their necks lowered and extended to let more air go into the lungs.

If the right side of the heart is affected, the dog will have a swollen abdomen due to a fluid build-up in the abdominal cavity caused by a backup of blood within the abdominal vessels.

All these signs and symptoms start off subtly and will gradually worsen as the heart disease progresses and failure begins.

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Types of Heart Disease in Dogs

Congestive Heart Failure in Dogs

There are two broad categories of heart disease - acquired heart diseases and congenital heart diseases.

Congenital Heart Diseases

Congential heart diseases result from a birth defect of the heart. This type of heart diseases is rare and only accounts for about five percent of all canine heart diseases.

Common congential heart diseases include dilated cardiomyopathy (enlarged heart), atrial septal defect (hole in the heart), and mitral dysplasia (leaky mitral valve).

Acquired Heart Diseases

Acquired heart diseases are those that a dog acquires during his lifetime, due to normal wear and tear, bacterial infections, injury, etc. Acquired heart diseases are quite prevalent and amount to about ninety-five percent of all cases of canine heart disease.

Many things can cause acquired heart diseases in dogs; the most common causes are:

  • Bacterial Infections

    Bacteria from the mouth (due to diseased teeth and gums) can enter the blood stream and attach to the heart valves, cause inflammation in the lining of the heart or in the valves, resulting in initial mechanical obstruction and possibly damage to the valves themselves. It is therefore important to regularly brush our dog's teeth to prevent dental problems that may eventually lead to heart disease.
  • Heartworms

    Heartworms can mechanically block the valves, and if a dog is heavily infested, the heartworms can clog an entire heart chamber!
  • Canine Parvovirus

    Canine parvovirus often infects the heart muscles, and the resulting death of the heart muscle cells can sometimes cause acute heart failure in dogs.
  • Hormones

    Hormones, especially of the thyroid, also affect heart function and performance. For example, a dog with hypothyroidism usually has a slower than normal heart rate.
  • Nutritional Deficiencies

    A lack of Vitamin E or selenium is known to cause damage to the heart muscles.

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Diagnosis of Congestive Heart Failure in Dogs

When a dog is suspected to have heart disease, a veterinarian employs different diagnostic tools and methods in order to get a proper diagnosis.

First, the vet will probably:

  • take the pulse of the dog;
  • inspect the gums;
  • feel for enlarged or swollen internal organs.

Then, he will use some or all of the following tools to confirm whether or not the dog does have a heart problem, and if so, what kind of problem:

  • A stethoscope - to listen for irregular sounds, such as heart murmurs, slowed or quickened heart rate, lung congestion, etc.
  • Chest x-rays - for observations of the heart's physical characteristics, including its shape and size.
  • An electrocardiogram (ECG) - to detect irregular heartbeats (arrhythmia).
  • Echocardiograms - to measure the strength of heartbeats, detect irregularities, and reveal congenital birth defects.
  • Blood and urine tests - to check the function of the kidneys, liver and other organs for their involvement in the heart failure process, and for the presence of other diseases.
  • Heartworm tests

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Treatment for Congestive Heart Failure in Dogs

The underlying heart disease per se is rarely curable. However, there are treatments for heart failure to help dogs extend their lives and hopefully improve their life quality.

Success of treatment congestive heart failure in dogs depends on such factors as:

  • The underlying heart disease
  • The severity and progression of the disease
  • The age and general health condition of the dog

Generally speaking, conventional treatment for heart failure includes the use of:

  • a type of drugs called ACE inhibitors to reduce blood volume and pressure so as to relieve stress on the heart and to slow the deterioration of the heart muscles;
  • a diuretic to stimulate the kidneys to remove excessive fluid that is often built up in the lungs and abdomen;
  • a digitalis-type drug to control an excessively fast heart rate;
  • a low-sodium diet with supplements;
  • regular exercise.

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Natural Remedies for Congestive Heart Failure in Dogs

Natural remedies, especially herbs and natural supplements and vitamins can be used as an alternative approach to not only counteract symptoms, but also strengthen the affected organs and/or tissues. Conventional drugs such as digitalis can cause nasty side-effects in dogs - sometimes adding more misery to the already weakened and sick dog. Natural remedies are more gentle and can actually improve the quality of life of the animal. Natural remedies can also be used in conjunction with conventional medications for better overall results.

For more information on this topic, please visit our page on Natural Remedies for Dog Heart Problems.



Related Topic

Natural Remedies for Dog Heart Problems

References

R. Kidd, Dr. Kidd's Guide to Herbal Dog Care (Storey Publishing, 2000).
Pitcairn and Pitcairn, Dr. Pitcairn's Complete Guide to Natural Health for Dogs and Cats (Rodale, 2005).
Web-DVM.net

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