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After qualifying from Cambridge University, Dr. Swift spent 2 years in mixed practice before moving to a specialist small animal practice in the Northwest of England. He developed an interest in cardiology, taking the RCVS cardiology certificate in 1990. He became a partner in a large emergency and referral hospital building up the cardiology referral service until he left in 2005 to follow an alternative residency program at Liverpool University. Since becoming a European Diplomate in cardiology, he worked in a private referral hospital before moving to Florida to join the College of Veterinary Medicine as Clinical Associate Professor. He is service chief for cardiology and has recently been appointed medical director. He has been involved in breeding programs and the treatment of degenerative valvular disease especially in the cavalier King Charles spaniel having been adviser to the UK CKCS club for 20 years and more recently has helped develop advanced interventional techniques at the University of Florida.
Heart failure in dogs is a syndrome of clinical signs that, although well recognized by clinicians, is difficult to define precisely. It involves the heart’s inability to maintain output sufficient to meet the body’s needs, or to do so at normal filling pressures. Elevated filling pressures can lead to congestion as increased venous pressures cause fluid to leak from the vessels, resulting in congestive heart failure (CHF) in the dog, which moves the patient into stage C (BOX 1).
With right-sided heart failure, increased right atrial and vena caval pressures cause hepatomegaly to develop, and the fluid then weeps into the abdomen as ascites; drainage is only required if the effusion compromises respiratory function. The elevated filling pressures can also be documented as jugular venous distention.
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For left-sided heart failure, the increased left atrial and pulmonary venous pressures cause fluid to seep into the interstitial spaces and then flood the alveoli with pulmonary edema. Dogs occasionally present with pleural effusion when in CHF, and respiratory effort can increase significantly if this effusion is not drained.
When heart failure develops, a number of mechanisms are activated to maintain cardiac output and blood pressure. Unfortunately, this neurohormonal activation is deleterious in the long run and increases the damage to the heart and circulation. The best-known mechanism is the renin-angiotensin-aldosterone system. Chronic elevations in angiotensin II and aldosterone are known to have harmful effects. Aldosterone can increase myocardial fibrosis and cell death. It also potentiates the sympathetic nervous system, increasing the heart rate, and decreases potassium, predisposing the heart to arrhythmias.
Congestive heart failure refers to the heart’s inability to pump enough blood to the body. There are two common causes of congestive heart failure: mitral valve insufficiency and dilated cardiomyopathy. If your dog suffers from either one of these conditions, there is no need to worry – you can treat them naturally for this ailment.
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So, what are some homeopathic remedies for congestive heart failure in dogs?There are now more natural remedies for treating dogs with congestive heart failure, including acupressure or acupuncture, cannabidiol (CBD), herbs and multivitamins, and placing your dog on a strict diet.
There are some more natural ways to treat your dog if they have congestive heart failure, but it may not mean you won’t have to use prescription medication at some point in the treatment plan.
Many veterinarians will treat congestive heart failure with prescription medicines.Prescription medicine can help your dog’s congestive heart failure but could also put more stress on other parts of your dog’s body and potentially cause more damage.
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