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Heartworm disease is a serious and potentially fatal disease in dogs (and less often, cats.) Heartworm disease is transmitted by mosquitos. The female mosquito bites an infected dog and ingests the microfilaria while feeding. The microfilaria undergo a life cycle change, called an infective larvae, inside the mosquito and then enter the mouth parts of the mosquito. When a mosquito bites a pet, the infective larvae enter the bloodstream and travel to the heart. The infective larvae grow to maturity in a few months time and begin to reproduce.
Adult worms cause disease by clogging the heart and major blood vessels leading from the heart. They interfere with the valve action in the heart. By clogging the main blood vessels, the blood supply to other organs of the body is reduced, particularly the lungs, liver, and kidneys, leading to malfunction of these organs.
The most obvious signs of infection are a dry cough, shortness of breath, weakness and loss of stamina. All of these signs are most noticeable after exercise. Some dogs even faint. A dog may also have weight loss, poor coat condition, and anemia. Severely infected dogs may die suddenly during exercise or excitement.
Microfilaria (young worms) circulate throughout the body but remain primarily in the small blood vessels. Because they are as wide as the small vessels, they may block the flow of blood. The body cells being supplied by these vessels (particularly the lungs and liver) are deprived of the nutrients and oxygen normally supplied by the blood.
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Destruction of lung tissue can lead to coughing. Cirrhosis of the liver causes jaundice and general weakness because this organ is essential in maintaining a healthy animal. The kidneys may also be affected and allow toxins to accumulate in the body.
In most cases diagnosis of heartworm infection can be made by a simple blood test that can be run at our hospital. Further diagnostics, such as blood chemistries, urinalysis, radiographs (x-rays), or an echocardiogram (ultrasound) of the heart are necessary to determine if the dog can tolerate heartworm treatment.
With heartworm treatment, there is some risk, although fatalities rarely occur. Heartworm disease can be treated successfully in more than 95% of patients, with the newer drugs on the market. In some situations of advanced disease, it is often safer to treat the organ damage, rather than risk treatment to kill the worms. Dogs in this condition are not likely to live more than a few weeks or months.
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While heartworm disease can be devastating to the body and potentially fatal to your pet, it is also completely preventable. We highly recommend yearly testing and heartworm prevention for your dog. Heartworm disease is much easier to prevent than to treat.
Cats are also susceptible heartworm infection. Outdoor cats are more likely to become infected, however we see a drastically lower incidence of heartworm disease in cats than dogs. Cats are not the natural host for heartworm infection. What this means is that while a cat may become infected through a mosquito bite, they are less likely to develop disease. The cat is unable to provide the ideal environment for development of the heartworm larvae into the adult worm. If cats do develop heartworm infection, there is generally a small number of adult worms that survive in the heart; there is usually only 1 adult worm. For this reason, it can be very challenging to diagnose heartworm disease in cats. Because there is such a low incidence of heartworm disease in cats and because they are not the natural host for the parasite, we do not recommend preventative for cats.
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