How Congenital Heart Failure Differs in Cats and Dogs
Incidence:
Less common in cats than dogs
Breed, Sex:
No overall breed or sex predilection in cats
Frequency of congenital disorders:
A-V valve insufficiency – (17%)
Ventricular septal defect – (15%)
Endocardial fibroelastosis – (11%)
Patent ductus arteriosus – (11%)
Aortic stenosis – (6%)
Tetralogy of Fallot – (6%)
General Comments:
A-V valve insufficiency:
if severe – heart failure and death likely occur in the first few weeks of life
most cases are likely mild with no symptoms but do have a heart murmur of mitral or tricuspid regurgitation
a great deal of data is lacking with respect to the significance of this disorder
Ventricular septal defect:
the prognosis of this disorder depends on the size of the defect
it is well known that many cats can have small defects and live long normal lives
the clinical picture is identical to that of the dog
in that spontaneous closure of VSD is common in man, it may also occur in cats
in that VSD forms a part of a number of other complex anomalies, the VSD disorder is considered by many to be the most common defect in the cat
Endocardial fibroelastosis (EFE):
primarily seen in Burmese and Siamese cats
a fatal short coursed disorder in young cats (3 wk to 4 months) characterized by fibrosis of the ventricular endocardium causing a marked loss in distensibility
LV and left atrial dilation occur with fulminant heart failure
no treatment is effective
Patent ductus arteriosus:
some cats may die with this disorder soon after birth
it is reported that if they survive the immediate neonatal period, most will develop signs of CHF and die by one year of age
the incidence of reverse PDA in cats is said to be 15-20% of cases of PDA
the clinical picture is as for dogs with PDA
surgical correction is the only definitive cure
Aortic stenosis:
A.S. is usually supravalvular in the cat
the clinical picture is as for dogs
Tetralogy of Fallot:
similar to the dog in presentation and clinical course
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