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Although veterinarians have been aware of the potential effects of heartworm
disease in cats since the first diagnosis in the 1920’s, few pet owners are
aware that the canine heartworm parasite can also affect cats. Prevention
is currently the only way to keep your cat free of heartworm disease since
neither a reliable test nor a safe treatment exists for cats. Feline heartworm
disease is caused by the same parasite (Dirofilaria immitis) that causes
the disease in dogs. Heartworm is transmitted by mosquito bite to a dog or
cat. However, unlike the dog, the cat is a dead-end host which means that
the larvae grow up to be adults, but the adults die before producing more
young larvae able to perpetuate the disease in other cats.
CAUSE PREVALENCE
The prevalence of feline heartworm disease in Centre County remains unclear,
primarily because we do not look for the disease in cats on a routine basis.
However, we do know that there are cats out there with heartworm. Recent
studies indicate that indoor cats are at a higher risk for developing adult
heartworms compared to outdoor cats. It is recommended, based on the safety
and relatively low cost of the preventative, to use the monthly medication
for all cats with possible exposure to mosquitoes.
CLINICAL SIGNS (symptoms)
The signs associated with heartworm disease in cats are different than those
seen in the dog. In cats, the most common signs are a sudden difficulty in
breathing, (in some cases misdiagnosed in asthma), coughing, chronic vomiting
and sudden unexplained death. The presence and subsequent death of the adult
worms, usually within two years after infection, is what usually causes the
clinical signs.
DIAGNOSIS
Unlike canine heartworm disease, there is currently
no reliable test for feline heartworm available. Diagnosis of feline heartworm
disease usually involves a combination of physical exam findings, blood tests,
x-rays, echocardiography (an ultrasound exam of the heart) and a post-mortem
exam.
TREATMENT
Currently, there is no approved or safe treatment for a cat
that has heartworm disease, so we treat the signs associated with the disease
and wait for the adult heartworms to die. This waiting and watching period
can be a very tense time.
PREVENTION
Because a reliable test for feline heartworm
disease is not yet available and because the preventative is safe to use
even in a cat that has existing heartworm disease, the recommendation is
to use the heartworm prevention for any cat which is considered at risk.
Since indoor cats are at a higher risk, it is just as important to protect
the indoor as well as the outdoor cat from heartworm disease by use of the
preventative. No pre-prevention tests are required.
The feline preventative, like the canine preventative, consists of a once-a-month
chewable nugget that can be fed directly or mixed with a small amount of
food. It is safe and will effectively prevent heartworm disease in your cat.
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