Category: Cats

Heart Disease

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The purpose of the cardiovascular system (heart and blood vessels) is to provide the cells of the body with oxygen, nutrition, and essential fluids. It also helps these same cells rid themselves of waste products, and distributes hormones and enzymes to allow for normal physiologic processes. It is even a big part of temperature regulation.All of this is no small feat when you consider the fact that the cardiovascular system must supply these needs to a body that contains billions of individual cells.

The cardiovascular system is very complicated and does not lend itself to a simple explanation and categorization of its functions. Therefore, the sections on physiology and pathophysiology are a little complex, but if you get through them it will help in your understanding when we talk about specific diseases along with their diagnosis and treatment. You may need to go through them more than once. You might notice that we repeat important concepts, and from different angles.

Hopefully this will help put it all together.You can bypass all the background information and go directly to specific diseases like HeartwormCardiomyopathy, and Valve disease, the most common heart diseases we encounter. We also have a summary page on Heart Disease if you find this page contains more detail than you need. It will give you background information but in a condensed format.

This page has actual pictures of the heart and the organs of the chest. Most people will not be bothered by their graphic nature, and will actually find them fascinating. The mechanisms of heart failure in the dog and cat are very similar to humanoids. The explanation of congestive heart failure applies directly to people in many cases. The main drugs used to treat heart failure are almost identical in people and animals.

Heart disease and its diagnosis is complicated stuff. We commonly call in our cardiologist Dr. Fred Brewer to assist in many cases. He specializes only in cardiology, and has extensive knowledge that he is willing to share.

Here is Dr. Brewer explaining heart sounds to one of our externs

Cardiology-Teaching

We work on a wide variety of species that get heart disease in addition to dogs and cats. This guinea pig has heart failure.

Cardiology-GuineaPig

This is the heart of a 50 pound dog. It is about the size of your fist. You can easily see some of the coronary arteries that supply blood to the heart muscle in the same manner that the heart supplies blood to the rest of the body.

The pericardium has been removed for better visualization

This is a ferret heart, obviously much smaller. You can see the pericardium, the layer over the heart as it is pulled away.

Rocky Walker 21218 Ferret Gastric tumor Picture of normal pericardiumThe heart starts beating before birth, and continues until death. Think of how many beats that is in the lifetime of any living organism. Lets have fun with math and play with some basic numbers:

Average heart rate in a cat- 150 beats per minute

This is 9,000 beats in one hour

This is 216,000 beats in one day

This is 78,840,000 beats in one year

This is 788,400,000 beats in 10 years.

Many cats have a heart rate greater than 150 beats per minute, and live much longer than 10 years. They will have over a billion heart beats in their lifetimes!

Later in this page we will be referring to the right heart and left heart, which might give you the impression there are two hearts. There is only one heart- we do this only because it helps to understand the flow of blood through the heart.

Glossary of heart terminology

cardiac– pertaining to the heart aerobic– dependent on oxygen for normal physiology
arrhythmia– irregular heart beat anaerobic– not dependent on oxygen for normal physiology
murmur-abnormal flow of blood through the heart valves anemia– low number of red blood cells
atrium-two of the smaller heart chambers systole– when the heart muscle contracts and ejects blood to the arteries
ventricles– two of the larger heart chambers diastole– when the heart relaxes after systole and fills up with blood
hypertrophy-abnormally thickened heart muscle ascites- fluid buildup within the abdomen
cardiomegaly- an enlarged heart pleural effusion– fluid buildup within the thoracic cavity
pulmonary edema– fluid buildup within the lungs polycythemia- excess number of red blood cells
myocardium– the heart muscle microcardia– a small heart

We will repeat this terminology throughout this page to help you eventually get your Latin down pat. Just as it starts making sense we will add more later!

Follow the links to continue on with our heart page:

Vascular Anatomy & Physiology

Heart Anatomy & Physiology

Causes and Symptoms of Heart Disease

How We Diagnose Heart Disease

Cardiac Diseases and Treatments

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Home Care of the Surgical Patient

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When your pet first returns home from surgery let it have a calm and quiet spot away from other pets and children. It will be groggy from the pain medication it is given, which is exactly where we want it to be.

After it is home and settled, offer a small amount of water. Even though most pets are fasted prior to surgery, at our hospital they are give intravenous fluids or water after surgery, so do not worry if your pet does not drink initially.

If it drinks, and does not vomit, offer small amounts of water periodically over the next several hours, and then offer small amounts of food the same way. Give it a chance to go outside to the bathroom several times.

Use all medication, especially pain medication, as directed. What might seem like pain can sometimes be confusion after the day’s activities and surgery. If your pet seems painful several hours after returning home please call us. It is rare for a pet to be painful after surgery. We take special precautions so that does not happen. Some of these precautions include:

Preanesthetic pain patch and sedation

Local anesthetic at the surgical site

Laser surgery

Post operative pain injection

Post operative pain medication at home

Many pets will go home with an E-Collar (Elizabethan Collar) to prevent them from licking or chewing at the incision site. Leave this collar on at all times until sutures are removed, unless you are in direct supervision. Some people take the collar off after a few days when healing is progressing well and the collar seemingly is not needed. This coincides with the itchy phase of the healing process, and most pets can cause damage to the incision, or worse.

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Make sure you put your E-Collar on your pet and not on yourself!

After surgery one of our doctors will call you with a post operative update. You will also be given a detailed post operative handout when you pick up your pet.

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