Dog has cardiac failure

Author
Discussion

MYOB

Original Poster:

4,984 posts

144 months

Wednesday 30th October 2013
quotequote all
Hello

Our 6 year old ESS has been diagnosed with cardiac failure. He has an enlarged heart (size 13 on the vertebral scale) and an accumulation of fluid in his lungs. The diagnosis was done after we took him to the vets due to his coughing but I think the signs of the heart disease has been there for a few years, e.g., withdrawn, not coping in hot weather etc.

He's now on vetedin and frusemide and I have already noticed an improvement in the space of a few days. The vet says the medication will help improve his quality of life but didn't say they will prolong his life. However, my understanding, thanks to google, is that they should prolong his life somewhat. Blooming Dr Google in various places seems to say that dogs generally live up to a year from diagnosis, although the vet says she would guess up to 2 years.

The dog still loves his walks and food and there are no outward signs of anything wrong with him, except the coughing (and other subtle signs).

I was just wondering if anyone else has experience they can share on their young or middle age dogs having heart failure - good and bad please. I have done enough research to prepare me for the worst, so don't hold back.

For now, my focus is simply to let our dog have a great time up to the inevitable.

Thanks all.

Zeemax_Mini

1,221 posts

257 months

Wednesday 30th October 2013
quotequote all
I know absolutely nothing about pet health etc and don't want to give false hope etc, but my in-laws dog (mongrel) showed the same signs when he was about 10. Lots of coughing/gagging/choking, wheezing etc - all assumed he was on his last legs. He was put on the same pills as yours and the symptoms cleared up well, though the vet still said they didn't expect him to last long. Five years later and they're still surprised every time he goes in - he is now on his last legs but not because of his heart! Think he's cost the in-laws a fortune (no insurance) but despite us initially expecting him to be gone fairly quickly he's lasted well!

Dom

bexVN

14,682 posts

217 months

Wednesday 30th October 2013
quotequote all
His diet may help, what do you feed?

There used to be advice re: low sodium diet, however this is not usually followed so much now mainly due to the risk of lowering it too much (frusemide removes fluid so also removes more sodium than the body normally would)

However food quality is essential to assist the body.

Was it a referral vet who made the diagnosis (not always necessary I hasten to add) Vetmedin and Frusemide is a good drug combination. There may be others offered if it does worsen. It'll be the heat of the summer that will have more of an impact on him unfortunately.

I'm sorry you've had such bad news esp considering his age but you are right quality of life is key, so careful exercise plans, care with diet and regular monitoring by your vets will all be key to helping this, all the best.

Meant to say, the reason I asked re: referral to a heart specialist is that they will be more able to determine extent of damage and possible time and also sometimes (if needed) be able to advise drugs that may not be a standard use in general vet practice.

Edited by bexVN on Wednesday 30th October 10:37


Edited by bexVN on Wednesday 30th October 10:39

MYOB

Original Poster:

4,984 posts

144 months

Wednesday 30th October 2013
quotequote all
Thanks both.

No heart disease are the same and I recognise there are lots of positive stories of dogs who has had long and happy life. However, I do not want to build my hopes up too high, especially after losing relatives with the same disease recently! I'm preparing for the worst, which I suppose is a coping mechanism, as well as being realistic. I shall treat each extra day, week, month or year as a bonus!

Vet says there's no point changing his diet at this stage - he's on kibbles which are quite low in salt/sodium.

I don't think there are any benefits in going to a cardiac specialist - the vet who did the x-rays and endoscopy etc seems quite knowledagable and I'm reassured he's on a good mix of tablets. Knowing the precise details of the heart failure and estimated time left will not necessarily provide any discernible benefits. I know he has dilated cardiomyopathy and I saw the size of his heart on the x-ray which left hardly any room against his ribs. I saw the fluid in his lungs and not too sure if I have remembered correctly but I may have saw fluid built up in his heart - but will clarify this at the next appointment.

I shall find a happy balance between allowing my dog to enjoy his walks and food, with as little stress on him as possible. He seems happy in himself on balance, and is still hacking but the frequency has dropped.

Although we have pet insurance, we will look into getting the tablets on the internet (Vet UK) as they are considerably cheaper. We have an annual cap on our insurance and the less we spend on tablets, the more we'll have to allow for veterinary fees.

Thanks again, and I hope to hear more stories of how others have managed in such situations.

Regards.

MYOB

Jasandjules

70,413 posts

235 months

Wednesday 30th October 2013
quotequote all
DCM?

I will see what treatment someone I know would suggest.

I trust you've informed the breeder?

GokTweed

3,799 posts

157 months

Wednesday 30th October 2013
quotequote all
VetMedin and Frusemide is a good regime for DCM, there are other drugs that may be considered on top but it depends on budget and whether the vet thinks they will help your particular case. I have access to one of the best small animal cardiologists in Europe so if you have any questions you would like me to put to her I would be happy to.

Also Ben Fogle's animal clinic on channel 5 tonight at 8pm if you're interested!! Rolf isn't doing it this year for obvious reasons although I sincerely hope they turn out to be untrue.

Jasandjules

70,413 posts

235 months

Wednesday 30th October 2013
quotequote all
Sounds like he is on the right stuff but is there any requirement for something like Lanoxin for blood pressure if that is a problem.

Have you notified the breeder? And have they notified all other littermates? That line should no more be bred from.

MYOB

Original Poster:

4,984 posts

144 months

Wednesday 30th October 2013
quotequote all
Thanks for the tip of the programme - it's on in the background.

Vet didn't say anything about blood pressure so I will ask that question during our next check-up.

Thanks very much GokTweed for your offer - very generous of you. I don't think I have anything specific to ask as I have some experience of heart diseases, albeit with humans but I gather that heart disease and added complications are very similar between humans and animals.

As for notifying the breeder, they are long gone but would there be any merits in notifying the Kennel Club (they were registered) or would that be a waste of time?

Appreciate everything guys.

Jasandjules

70,413 posts

235 months

Wednesday 30th October 2013
quotequote all
MYOB said:
As for notifying the breeder, they are long gone but would there be any merits in notifying the Kennel Club (they were registered) or would that be a waste of time?
Perhaps the breed club? Or other breeders? Those lines should be tracked and to put it politely stopped - no breeding unless the dog has been heart tested at 5 and is clear.

I read one breeder who was happy to have her dogs die at 5-6 of DCM as long as they won enough shows first and had a couple of litters. Makes me so angry.


Zeemax_Mini

1,221 posts

257 months

Thursday 31st October 2013
quotequote all
Just to add - given the expense of the medicines I told the in-laws to look online for the medicines. They did, and they were much cheaper, so they asked the local vet just for the prescription so that they could buy elsewhere. The vet then beat the online price, which gives the best of both worlds.

Dom

MYOB

Original Poster:

4,984 posts

144 months

Thursday 31st October 2013
quotequote all
The vet charges £55 per month for the Vetmedin whilst online they are £12.50…not sure the vet will match that price!

GokTweed

3,799 posts

157 months

Thursday 31st October 2013
quotequote all
MYOB said:
The vet charges £55 per month for the Vetmedin whilst online they are £12.50…not sure the vet will match that price!
where did you find them for £12.50?

bexVN

14,682 posts

217 months

Thursday 31st October 2013
quotequote all
GokTweed said:
MYOB said:
The vet charges £55 per month for the Vetmedin whilst online they are £12.50…not sure the vet will match that price!
where did you find them for £12.50?
That is an amazing price! Just make sure it is definitely a British website. They will insist on a written px from your vet. The website should have a logo showing they they are voluntarily registered with the VMD. It will definitely be a trustworthy site.

MYOB

Original Poster:

4,984 posts

144 months

Friday 1st November 2013
quotequote all
http://www.vetuk.co.uk

I know of others who have used them with no difficulties. I'm aware we will need to send the prescription to them too. Just waiting until we know if our dog is responding to the correct medication and dosage before we commit to using them.

MYOB

Original Poster:

4,984 posts

144 months

Friday 1st November 2013
quotequote all
Just realised their Vetmedin tablets are only 5mg, whereas we need 40mg.

Hm, need to revisit this!

bexVN

14,682 posts

217 months

Friday 1st November 2013
quotequote all
There us no 40mg Vetmedin only 1.25mg, 2.5ng and 5mg.

Furosemide comes in 20 and 40mg.

MYOB

Original Poster:

4,984 posts

144 months

Friday 1st November 2013
quotequote all
bexVN said:
There us no 40mg Vetmedin only 1.25mg, 2.5ng and 5mg.

Furosemide comes in 20 and 40mg.
I'm most definitely off form today. Thanks for this - I was looking at the wrong tablets. You are correct, the Vetmedin are indeed 5mg, so yes, I can order them for £12.30 on Vet UK.

bexVN

14,682 posts

217 months

Friday 1st November 2013
quotequote all
thumbup happy to help

MYOB

Original Poster:

4,984 posts

144 months

Saturday 23rd November 2019
quotequote all
OP here.

6 years further on, after a valiant and hercules effort, my spaniel is at death's door.

He's hanging on bravely but I'm having to make the call when to euthanise him. He's gone down hill rapidly this past week and since today he's not mobile and only managed to eat a little from my hands. I'm having to carry him outside to go to the toilet and the last defecation was diarreah, which can be a sign that his kidneys are shutting down. He has had high readings on his kidneys over the past two years.

I'm not ashamed to say that I have sat with him today and shedded a few tears and to me shedding a few tears is suggesting it's time for euthanasia. Hopefully he will be fine until Monday when the vet's open but if not, tomorrow I'll call the emergency vets. I'll carry him upstairs and let him sleep in the bedroom tonight so I can keep an eye on him.

An extremely horrible thing to watch, and my other dog is utterly confused too with what is happening.

garythesign

2,234 posts

94 months

Saturday 23rd November 2019
quotequote all
my cocker is sending lots of love.

Feel for you both