Feline Congestive Heart Failure: Current Diagnosis and Management

• Autores: Etienne Côté
• Localización: Veterinary Clinics of North America: Small Animal Practice: Small Animal Practice, ISSN-e 0195-5616, Vol. 47, Nº. 5, 2017, págs. 1055-1064
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Congestive heart failure (CHF) is a well-recognized, potentially life-threatening result of heart disease; the onset of CHF has important implications for a cat’s treatment and prognosis.

    Appropriate medical management of CHF in cats begins with accurately identifying it and excluding other conditions that can produce similar signs.

    The cornerstones of management of acute CHF in cats are avoidance of undue stress, intravenous administration of furosemide, oxygen supplementation, and thoracocentesis in patients with large-volume pleural effusion.

    The cornerstones of management of chronic CHF in cats are identification and elimination of inciting causes (eg, general anesthesia, sustained-release glucocorticoid injections, acute sodium ingestions); oral administration of furosemide and an angiotensinconverting enzyme inhibitor in all cases; and administration of a second diuretic, pimobendan, and other medications in select cases.

    Because the underlying cardiac disease rarely is eliminated, ongoing treatment should be monitored both at home (eg, cat’s demeanor, resting respiratory rate) and periodically by the veterinarian.