Cardiology

Welcome to the Cardiology service at Cessna Lifeline. We provide compassionate, comprehensive state of art diagnostic services, evaluation and treatment for companion animals with cardiovascular conditions, respiratory disorders arising from such conditions and minimal non-invasive treatment option and Interventional medicine.

Our Specialists are board certified and have extensive training and experience in diagnosis and care of heart related problems. Evaluation is done by a complete physical examination, review of medical history, onset of symptoms, followed by recommended tests as needed. These tests include:
› Cardiac ultrasounds (Echocardiography) – examines structure and behavior of the heart
› Electrocardiograms (EKG, ECG) – measures motion of the heart such as its rate and rhythm
› Blood Pressure Test
› Radiographs – X-rays of chest and lungs
› Fluoroscopy – real time, motion X-rays
› Bronchoscopy – video endoscopy of the airways
› CT (Computed Tomography) – 3D imaging
› MRI (Magnetic Resonance Imaging) – evaluates internal systems

Heart disease is relatively common in Dogs and Cats. There is a wide variety of cardiac and cardiac related conditions, pet owners need to be aware of. Common diseases include:
› Congestive Heart Failure (CHF)
› Heart muscle disease (Dilated Cardiomyopathy, Hypertropic Cardiomyopathy, Juvenile Cardiomyopathy, Restrictive Cardiomyopathy and other unclassified forms)
Age related conditions to the valves of the heart (Mitral Valve Disease MVD)
› Syncope (Fainting)
› Hypertention (High blood pressure) (Systemic)
› Hypertention (High blood pressure) (Pulmonary)
› Congenital Disorders (present at birth) of the heart and the blood vessels
› Heartworm Disease
› Cardiac Tumors
› Arrhythmias
› Pericardial Disorders (of the heart and blood vessels)
› Genetic or Heriditary disorders
› Thromboembolic disease

In-case of an EMERGENCY, Call us immediately on 76 76 365 365

Cessna Lifeline Cardiology team is committed to providing the best, most appropriate care for your pet.

› Plan to spend 1 to 2 hours at the first appointment.
› Bring any medical records or test results.
› If your pet is on any medication, please bring it with you.
› Please complete the History Form and bring it with you to your visit
› Our specialist will talk with you about your pet’s background and condition to obtain a detailed medical history.
› Our specialist will examine your pet and review the medical history, including information and test results.
› Most likely, your pet will undergo an ultrasound of the heart, called an echocardiogram. This non-invasive test lets our specialist evaluate the heart’s ability to pump and relax, as well as look for heart enlargement, valve leaks or obstructions.
› One of our cardiologists will talk with you about your pet’s condition and suggest the appropriate course of medical therapy and follow-up.
› You will receive a discharge summary detailing the clinical findings, diagnosis and treatment recommendation(s).

What are the Clinical Signs of Congestive Heart Failure?

The most common signs of CHF include:
› Coughing
› Behavioral changes (gets tired easily, reluctance to exercise, get up, stand, walk, less playful, lack of energy)
› Anorexia (Loss of Appetite) or lack of appetite
› Fainting (Syncope)
› Generalized Weakness
› Lethargy
› Weight Loss
› Breathing difficulties, labored breathing, fast breathing, rapid breathing rate, shortness of breath, difficulty breathing, respiratory noise (noise while breathing)
Signs vary depending on the severity of the condition, Its not necessary that all signs are exhibited, but all mentioned have an effect on the pets life)

How can you determine if my pet has a heart condition?

Based on the physical examination check and diagnostic findings, we can clearly distinguish a heart disease.
› Heart Murmur – not all pets will exhibit this sign
› Abnormal heart rhythm (fast, slow, rapid, irregular heart beats)
› Poor Gum color or tongue color

What is the most common form of heart disease in cats?

Hypertrophic cardiomyopathy (HCM) is most common in cats. HCM causes the heart’s muscle to thicken, making it difficult for the heart to pump blood through the body. Thickening of the heart muscle can also be a natural response to other diseases, such as hyperthyroidism, kidney disease and hypertension.

Will my pet be sedated? Do I need to fast him/her?

Blood testing does not require a pet to be sedated. Some tests require pets to remain still, to keep them calm and allow us to perform tests, complete examinations and work-ups. It is recommended that your pet does not eat after midnight the night before your cardiology visit. However, if you pet is on any medications, it is important to give the medications at the normal scheduled times. Water is always okay up until the cardiology appointment.

What tests do you use to determine heart disease?

› Echocardiogram (cardiac ultrasound): To non-invasively image and evaluate the structure and function of the heart. Your pet may need to have a small amount of hair clipped on the side of the chest to allow adequate images to be obtained.
› Electrocardiogram (ECG): To record the electrical activity of the heart in order to diagnose the origin and significance of abnormal heart rhythms.
› Chest x-rays: To look for abnormal fluid accumulation inside or around the lungs which could indicate that a pet has developed congestive heart failure.
› Holter monitor: A 24-hour ECG recording used for in-depth assessment of abnormal heart rhythms, screening for cardiomyopathy, or assessment of the success of anti-arrhythmic treatments.
› Blood testing: Pets that need to take daily cardiac medications may require occasional blood tests to monitor kidney function, electrolyte levels, or drug levels.

If my pet has heart disease, can he or she be treated?

There are a variety of different heart diseases. Some heart abnormalities are present at birth (congenital defects) while other heart diseases develop later in life.
› If diagnosed in time, some congenital heart defects may be able to be cured or significantly improved with a surgery or an interventional (catheter-based) procedure.  Other congenital defects can only be lessened or relieved.
› Adult-onset heart diseases usually are not curable. Some are mild and may never impact a pet’s quality of life or longevity. Others can shorten a pet’s lifespan and cause symptoms such as shortness of breath, exercise intolerance, coughing, or fainting. However, those pets that do develop symptoms of heart disease can often be helped with medication for a variable period of time.
› Even pets that develop congestive heart failure can sometimes enjoy months or even years of quality living if successfully treated with a combination of medications.

Radiographs and Blood Tests have been done, will you need to repeat them?

In many cases we will not have to repeat the diagnostics done, so it is always good to bring these with you to your appointment for evaluation. However, this varies from case to case and we will provide you with an estimate for the diagnostics needed to properly evaluate the condition of your pet.

What is involved with a veterinary cardiology work up and how much will it cost?

Cardiology work up consists of getting a complete history and a cardiac physical examination along with additional diagnostic tests as indicated, so fees vary from case to case.  We will discuss all fees prior to and during treatment.

What is the difference between an Echocardiogram and an X-ray?

Although X-rays (radiographs) are an important diagnostic tool, an echocardiogram provides live images from which the cardiologist can measure the size and thickness of the greater vessels, the chambers of the heart and heart valves as well as track the flow of blood through the heart and vessels. A radiograph is a still picture that can be used to determine chamber and vessel enlargement, accumulation of fluid and other cardiac abnormalities. Radiographs allow evaluation of the lungs which an echocardiogram does not.

Dr. Girish

Dr. Ramesh

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