Heartworm Disease
What Is Heartworm Disease?
Heartworm Medical terms: Microfilaria, Pulmonary vessels, Heartworm-endemic areas,
Pulmonary embolus, Pulmonary thrombus
Heartworm Disease is caused by a worm that is carried by mosquitoes. Inside the
mosquito’s body, the tiny worm is called a
microfilaria. The microfilaria is injected into the
pet’s body when the mosquito bites and sucks
blood. Your pet’s blood transports the microfilaria
to its heart and through the heart to the blood
vessels in the lungs (pulmonary vessels). Protected
within the heart and pulmonary vessels, the
heartworm matures to adulthood and grows to be
several inches long. As an adult, the heartworm is
able to breed with other heartworms and produce microfilaria. These tiny microfilaria are
picked up by blood-sucking mosquitoes and carried to other pets where they can be
injected under the skin and migrate to the heart.
Who Gets Heartworm Disease?
Dogs and cats get Heartworm Disease. Heartworm Disease has been diagnosed in all 50
states and is most concentrated in the eastern United States, the southern United States,
and near Midwestern river valleys, including areas along the Mississippi and Ohio Rivers.
Pets that live outdoors are at the most risk for heartworm disease although in a North
Carolina study, 28 percent of the cats diagnosed with heartworm were inside-only cats.
This is because while outside pets are more suppectible to mosquitoes, mosquitoes can
also get inside your home and deliver the one bite necessary to spread the disease.
Heartworm Vet Tip: Don’t assume that a pet living indoors who never goes outside is
not exposed to heartworm-carrying mosquitoes. Pets that live in apartments that don’t
even go outside to go potty have developed Heartworm Disease. It’s wise to protect all
pets in heartworm-endemic areas.
Heartworm Disease & Heartworm Medications
Heartworm disease affects both dogs and cats coast-to-coast in the United States, yet only
55% of dogs and only 25% of cats are currently on preventative heartworm medication,
leaving over 60 million US pets vulnerable to the disease. To make matters worse, warmer
temperatures across the country may extend the range and number of mosquitoes, which
pass the heartworm disease, potentially increasing the risk. However, simple monthly
heartworm preventatives can virtually eliminate the risk of your pet developing the
disease.
Heartworms Signs & Symptoms
Pets with Heartworm disease often cough. They find it difficult to exert themselves and
don’t enjoy exercise. Most pets lose weight, and some develop episodes of fainting. As the
disease worsens, cats develop asthma-like symptoms and their hearts enlarge. Dogs
experience heart failure so that blood cannot return to the heart and backs up in the liver.
Heartworm Treatment
Treating Heartworm:
1. Serious Heartworm infection
2. Mild Heartworm infection
1. Serious Heartworm infection
There are two ways to treat Heartworm Disease. If the disease is severe, your pet is
hospitalized and given heaetworm medicine such as an injection of melarsomine (Rx)
(brand name--Immiticide) to kill the adult worms. A second injection of melarsomine is
given 24 hours later. This treatment is effective but harsh. Some pets develop a severe
lung reaction to the dying worms, which is why they must be hospitalized for the
Heartworm treatment. In addition to developing an allergic reaction, some pets will be
harmed as dead worms drift through the blood vessels and actually plug them. The plug
prevents blood from reaching the cells and this causes cells to die. When material floats
through a vessel in the lungs, we call it a pulmonary embolus. When the material stops
and plugs up a blood vessel in the lungs, we call the material a pulmonary thrombus.
It can be especially dangerous to give Interceptor to your pet if it has a large number of
heartworms because Interceptor immediately kills heartworms. It’s the pet’s reaction to a
large number of dying heartworms that can be fatal. Heartgard provides a slower, safer kill
of adult worms, but is not FDA-approved for use in heartworm-positive dogs. Revolution is
approved for use in heartworm-positive dogs. Your veterinarian will decide which is the
best Heartworm treatment for your pet. . See the advantages of different Heartworm
medications here
2. Mild Heartworm infection
The second treatment is for pets that have only a very mild Heartworm infection.
These pets are given a Heartworm medicines such as Heartgard or Iverhart every
month for two years. Often the Heartworm medication is begun at half the normal
dose, then increased. This form of treatment does not kill the adult worms, but kills the
tiny offspring, the microfilaria. If all the microfilaria die, and over a couple years the
adults die, your pet will then be free of Heartworm Disease.
Diagnosis of Heartworm Disease
Heartworm Disease is diagnosed with blood tests and X-rays. Blood tests are helpful in 3
ways: they can show tiny microfilaria, the presence of proteins from the adult worms, or
the presence of immune antibodies indicating the pet has been stimulated to attack the
heartworms. Some pets have blood tests that also show a high level of eosinophils, the
type of white blood cell that is elevated in the presence of allergies or parasites.
X-rays diagnose Heartworm Disease by revealing an unusually large heart that is
expanded on the right side—because it is full of worms. The vessels to the lungs are also
unusual: enlarged and tortuous. In some pets, x-rays show an allergic reaction throughout
the lungs that is caused by the heartworms.
Why is a blood test necessary? Can’t I just put my pet on Heartworm medication?
Heartworm medication requires an annual test and a prescription because this medication
has the potential to harm—even kill—a pet that is already infected with heartworms.
Protecting Your Dog or Cat Against Heartworms Disease
These are some of the potentially dangerous symptoms of heartworm disease that can
occur in pets:
Mild to severe coughing
Loss of appetite
Weight loss despite regular eating habits
Fatigue
Loss of breath (gasping for air)
If your pet has any of these symptoms, you should visit your veterinarian. Your
veterinarian can perform a simple blood test to determine if your pet has heartworm
disease.
Help prevent your pet from developing heartworm disease by following these 3 easy
steps:
1. Provide year-round prevention against heartworms.
You cannot predict when or where your pet will be exposed to heartworm-carrying
mosquitoes, so do not skip a month.
The American Heartworm Society reports that pets are diagnosed with heartworms in all
50 states throughout the year (even in winter).
2. Kill mosquitoes.
Infected mosquitoes inject heartworm larvae when they bite your dog's skin. By killing
mosquitoes before they can bite, you may help decrease your dog's chance of contracting
the disease.
3. Schedule heartworm exams.
Regularly scheduled heartworm exams are necessary to make sure your pet has not
contracted heartworm disease, even with prevention.
The Importance of Heartworm Preventatives
If your dog or cat is not on a monthly heartworm preventative, the risks of contracting this
potentially fatal disease are significantly increased. It takes only one heartworm-carrying
mosquito to infect your pet. Worst of all, adult heartworms can survive in dogs for up to
seven years, and in cats they may survive from a few months up to several years.
Help reduce your dog's or cat's risk for contracting heartworm disease by following these
simple steps:
1. Have your pet tested annually.
Despite monthly prevention, there are reported instances where pets are infected with
heartworms. As a result, consistent testing by your veterinarian is one of the best ways to
ensure your pet remains heartworm free. For pets that contract heartworm disease,
conventional treatment usually requires ongoing, expensive visits to the veterinarian office
for x-rays, blood work, and injections.
Although there are heartworm treatments available for dogs, there can be serious risks
involved depending on your dog's health at the time of diagnosis. For dogs with severe
heartworm disease, treatment may be too harsh on the respiratory system, in that case
your veterinarian will determine the best treatment plan for your pet.
Although it's estimated 95% of dogs diagnosed with heartworms are treated successfully,
there is currently no effective and safe medical treatment for cats infected with
heartworm disease.
2. Give monthly heartworm prevention.
If your veterinarian's tests do not show a presence of adult heartworms, it's likely your vet
will recommend a monthly heartworm preventative. It's important to consistently give your
pet heartworm medication at the same time each month, as this may considerably reduce
your pet's risk of disease.
The American Heartworm Society reports pets being diagnosed with heartworm disease
throughout the year (even in winter) in all 50 states. Practicing monthly prevention can
help reduce your pet's risk of infection.
In addition, some heartworm preventatives may also protect against other worms such as
roundworms, hookworms, and whipworms.
(See individual product package for full details)
Heartgard Plus Revolution Iverhart Plus Interceptor
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