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Goals of therapy:

  1. Treat pulmonary edema/pleural effusion:
    • Thoracocentesis
    • Furosemide
    • Venodilator therapy (nitroglycerine cream)
    • If cat is being treated with corticosteroids, attempt to discontinue corticosteroid use as they promote fluid retention.
  2. Augment systolic dysfunction
    • ACE inhibitors
      • efficacy undetermined in cats
    • Pimobendan
      • safety and efficacy undetermined in cats
    • Arterial vasodilators (non-ACE inhibitors)
      • safety and efficacy undetermined in cats
  3. Prevent thromboembolic disease
  4. Treat the underlying etiology
    • Taurine supplementation 250 to 500 mg PO (BID) if taurine deficiency is suspected
  5. Other measures
    • Low sodium diet (watch for refusal to eat)
    • Restrict activity