Treatment

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Supportive Therapy:
- Aspirin: previously advocated either prior to adulticide therapy or concomitant with adulticide therapy to reduce the pulmonary artery endothelial and medial changes (so-called pulmonary arteritis) is no longer recommended. It may even be contraindicated.
- Diuretic therapy: relieve pulmonary edema and fluid overload.
- Marked restriction in exercise.
- Corticosteroids: are recommended to reduce the pulmonary arteritis and risk/complications associated with pulmonary thromboembolism. There are as yet no studies to evaluate the effect of corticosteroids on the efficacy of melarsomine.
Adulticide Therapy:
- as for microfilaremic heartworm disease
Microfilaricide Therapy:
- not required; no microfilaria here
Preventative Therapy:
- as for microfilaremic heartworm disease

Acquired Heart Disease