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New Member--need input about possible heart issues

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  • Julia
    Hi everyone, I have an almost 12-year old bengal cat named Dante . He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong
    Message 1 of 11 , Mar 4, 2012
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      Hi everyone,
      I have an almost 12-year old bengal cat named Dante'. He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong to that list) and he has had his renal values stable in the normal range for the last 4 years by eating Hill's dry k/d and g/d. He has a history of food allergies that I had discovered before I knew about the CRF, but when I learned of his CRF I had to take him off the hypoallergenic food and put him on the renal food--allergy symptoms came back. He has been having trouble breathing but his heart rate has been normal. I always have his blood pressure done at his annuals (which he just had) and it was lower than last year's (in normal range). He has been sneezing for quite some time (more than a year) and I just attributed that to food allergies. He seems to be having trouble swallowing. In January he woke me up from a sound sleep with a strange whistling sound that was very loud I had never heard before. Also he has had these breathing attacks that seem like he's coughing up a hairball. Now when he eats it seems like he has trouble breathing. I let the vet know about this stuff on Jan. 20 when I took him in for his annual. We did a chest x-ray and they did a brief ultrasound. There was fluid in the lungs so we gave him Lasix that day and the following monday I brought him in to get more lasix. The chest x-ray was read by a specialist who thinks that it's allergy induced asthma. He did say the pericardial silhouette was prominent but didn't see any evidence of cardiac decompensation. My vet is diagnosing him with asthma (I belong to that group now). I think my vet was also worried about cancer, but they're calling it asthma. All his bloodwork came back normal. People on other lists advised for me to join this one too as some people have had their cats misdiagnosed with asthma but it was really heart issues. My problem is, I know bengals have a predisposition to HCM. I am very concerned with whether I am on the right track and before he gets loaded up with meds I want to rule things out and make sure he gets a correct diagnosis. He is currently on terbutaline 2x day transdermally, he cannot be pilled. Honestly it doesn't seem to be doing much for him in my opinion. I do not know anything about heart issues in cats, just joined feline asthma group, I had also joined the feline cancer group. I am overwhelmed. Sorry this is so long, maybe someone can give me some insight? I'm stumped I don't know what to do and I love my cat and want to give him the best care I can.
      Thank-you for your time,
      Julia and Dante'
    • Laurie Stead
      Hi Julia, You are being very smart as treating an HCM kitty for asthma can be deadly.  I almost lost my girl from this very thing. She always had allergies
      Message 2 of 11 , Mar 4, 2012
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        Hi Julia,

        You are being very smart as treating an HCM kitty for asthma can be deadly.  I almost lost my girl from this very thing. She always had allergies and so when she developed the breathing difficulty the vet assumed asthma.  The treatment was a steroid that almost killed her, putting her in CHF.  I would take Dante to a cardiologist as soon as possible to rule out HCM before you give him any type of steroid. 

        Good luck and keep us posted.

        Laurie and Boo


        --- On Sun, 3/4/12, Julia <jewybean71@...> wrote:

        From: Julia <jewybean71@...>
        Subject: [FH] New Member--need input about possible heart issues
        To: feline-heart@yahoogroups.com
        Date: Sunday, March 4, 2012, 8:41 PM
















         









        Hi everyone,

        I have an almost 12-year old bengal cat named Dante'. He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong to that list) and he has had his renal values stable in the normal range for the last 4 years by eating Hill's dry k/d and g/d. He has a history of food allergies that I had discovered before I knew about the CRF, but when I learned of his CRF I had to take him off the hypoallergenic food and put him on the renal food--allergy symptoms came back. He has been having trouble breathing but his heart rate has been normal. I always have his blood pressure done at his annuals (which he just had) and it was lower than last year's (in normal range). He has been sneezing for quite some time (more than a year) and I just attributed that to food allergies. He seems to be having trouble swallowing. In January he woke me up from a sound sleep with a strange whistling sound that was very loud I had never heard before.
        Also he has had these breathing attacks that seem like he's coughing up a hairball. Now when he eats it seems like he has trouble breathing. I let the vet know about this stuff on Jan. 20 when I took him in for his annual. We did a chest x-ray and they did a brief ultrasound. There was fluid in the lungs so we gave him Lasix that day and the following monday I brought him in to get more lasix. The chest x-ray was read by a specialist who thinks that it's allergy induced asthma. He did say the pericardial silhouette was prominent but didn't see any evidence of cardiac decompensation. My vet is diagnosing him with asthma (I belong to that group now). I think my vet was also worried about cancer, but they're calling it asthma. All his bloodwork came back normal. People on other lists advised for me to join this one too as some people have had their cats misdiagnosed with asthma but it was really heart issues. My problem is, I know bengals have a
        predisposition to HCM. I am very concerned with whether I am on the right track and before he gets loaded up with meds I want to rule things out and make sure he gets a correct diagnosis. He is currently on terbutaline 2x day transdermally, he cannot be pilled. Honestly it doesn't seem to be doing much for him in my opinion. I do not know anything about heart issues in cats, just joined feline asthma group, I had also joined the feline cancer group. I am overwhelmed. Sorry this is so long, maybe someone can give me some insight? I'm stumped I don't know what to do and I love my cat and want to give him the best care I can.

        Thank-you for your time,

        Julia and Dante'



























        [Non-text portions of this message have been removed]
      • Westgold
        I agree 100% -- you must have a thorough checkup by a cardiologist asap, including echocardiogram and ekg, to determine the exact status of Dante s heart. The
        Message 3 of 11 , Mar 4, 2012
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          I agree 100% -- you must have a thorough checkup by a cardiologist asap, including echocardiogram and ekg, to determine the exact status of Dante's heart. The cardiologist is the one who should manage his care, and he will inform you of the best treatment for asthma, if Dante does have it. Steroid shots can kill a cat with heart disease. But if there is asthma, I understand it can be managed with an inhaler. Others can help you with that.

          take care -- Michelle & Tigger Too in Toronto
          ----- Original Message -----
          From: Laurie Stead
          To: feline-heart@yahoogroups.com
          Sent: Sunday, March 04, 2012 8:50 PM
          Subject: Re: [FH] New Member--need input about possible heart issues



          Hi Julia,

          You are being very smart as treating an HCM kitty for asthma can be deadly. I almost lost my girl from this very thing. She always had allergies and so when she developed the breathing difficulty the vet assumed asthma. The treatment was a steroid that almost killed her, putting her in CHF. I would take Dante to a cardiologist as soon as possible to rule out HCM before you give him any type of steroid.

          Good luck and keep us posted.

          Laurie and Boo

          --- On Sun, 3/4/12, Julia <jewybean71@...> wrote:

          From: Julia <jewybean71@...>
          Subject: [FH] New Member--need input about possible heart issues
          To: feline-heart@yahoogroups.com
          Date: Sunday, March 4, 2012, 8:41 PM



          Hi everyone,

          I have an almost 12-year old bengal cat named Dante'. He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong to that list) and he has had his renal values stable in the normal range for the last 4 years by eating Hill's dry k/d and g/d. He has a history of food allergies that I had discovered before I knew about the CRF, but when I learned of his CRF I had to take him off the hypoallergenic food and put him on the renal food--allergy symptoms came back. He has been having trouble breathing but his heart rate has been normal. I always have his blood pressure done at his annuals (which he just had) and it was lower than last year's (in normal range). He has been sneezing for quite some time (more than a year) and I just attributed that to food allergies. He seems to be having trouble swallowing. In January he woke me up from a sound sleep with a strange whistling sound that was very loud I had never heard before.
          Also he has had these breathing attacks that seem like he's coughing up a hairball. Now when he eats it seems like he has trouble breathing. I let the vet know about this stuff on Jan. 20 when I took him in for his annual. We did a chest x-ray and they did a brief ultrasound. There was fluid in the lungs so we gave him Lasix that day and the following monday I brought him in to get more lasix. The chest x-ray was read by a specialist who thinks that it's allergy induced asthma. He did say the pericardial silhouette was prominent but didn't see any evidence of cardiac decompensation. My vet is diagnosing him with asthma (I belong to that group now). I think my vet was also worried about cancer, but they're calling it asthma. All his bloodwork came back normal. People on other lists advised for me to join this one too as some people have had their cats misdiagnosed with asthma but it was really heart issues. My problem is, I know bengals have a
          predisposition to HCM. I am very concerned with whether I am on the right track and before he gets loaded up with meds I want to rule things out and make sure he gets a correct diagnosis. He is currently on terbutaline 2x day transdermally, he cannot be pilled. Honestly it doesn't seem to be doing much for him in my opinion. I do not know anything about heart issues in cats, just joined feline asthma group, I had also joined the feline cancer group. I am overwhelmed. Sorry this is so long, maybe someone can give me some insight? I'm stumped I don't know what to do and I love my cat and want to give him the best care I can.

          Thank-you for your time,

          Julia and Dante'

          [Non-text portions of this message have been removed]





          [Non-text portions of this message have been removed]
        • Julia
          Ok this makes sense then, I will ask my vet for a referral. I will try and set something up soon to go to a specialist. I ve never had to do this before,
          Message 4 of 11 , Mar 4, 2012
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            Ok this makes sense then, I will ask my vet for a referral. I will try and set something up soon to go to a specialist. I've never had to do this before, kinda overwhelming and scary.
            Julia and Dante'

            --- In feline-heart@yahoogroups.com, "Westgold" <westgold@...> wrote:
            >
            > I agree 100% -- you must have a thorough checkup by a cardiologist asap, including echocardiogram and ekg, to determine the exact status of Dante's heart. The cardiologist is the one who should manage his care, and he will inform you of the best treatment for asthma, if Dante does have it. Steroid shots can kill a cat with heart disease. But if there is asthma, I understand it can be managed with an inhaler. Others can help you with that.
            >
            > take care -- Michelle & Tigger Too in Toronto
            > ----- Original Message -----
            > From: Laurie Stead
            > To: feline-heart@yahoogroups.com
            > Sent: Sunday, March 04, 2012 8:50 PM
            > Subject: Re: [FH] New Member--need input about possible heart issues
            >
            >
            >
            > Hi Julia,
            >
            > You are being very smart as treating an HCM kitty for asthma can be deadly. I almost lost my girl from this very thing. She always had allergies and so when she developed the breathing difficulty the vet assumed asthma. The treatment was a steroid that almost killed her, putting her in CHF. I would take Dante to a cardiologist as soon as possible to rule out HCM before you give him any type of steroid.
            >
            > Good luck and keep us posted.
            >
            > Laurie and Boo
            >
            > --- On Sun, 3/4/12, Julia <jewybean71@...> wrote:
            >
            > From: Julia <jewybean71@...>
            > Subject: [FH] New Member--need input about possible heart issues
            > To: feline-heart@yahoogroups.com
            > Date: Sunday, March 4, 2012, 8:41 PM
            >
            >
            >
            > Hi everyone,
            >
            > I have an almost 12-year old bengal cat named Dante'. He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong to that list) and he has had his renal values stable in the normal range for the last 4 years by eating Hill's dry k/d and g/d. He has a history of food allergies that I had discovered before I knew about the CRF, but when I learned of his CRF I had to take him off the hypoallergenic food and put him on the renal food--allergy symptoms came back. He has been having trouble breathing but his heart rate has been normal. I always have his blood pressure done at his annuals (which he just had) and it was lower than last year's (in normal range). He has been sneezing for quite some time (more than a year) and I just attributed that to food allergies. He seems to be having trouble swallowing. In January he woke me up from a sound sleep with a strange whistling sound that was very loud I had never heard before.
            > Also he has had these breathing attacks that seem like he's coughing up a hairball. Now when he eats it seems like he has trouble breathing. I let the vet know about this stuff on Jan. 20 when I took him in for his annual. We did a chest x-ray and they did a brief ultrasound. There was fluid in the lungs so we gave him Lasix that day and the following monday I brought him in to get more lasix. The chest x-ray was read by a specialist who thinks that it's allergy induced asthma. He did say the pericardial silhouette was prominent but didn't see any evidence of cardiac decompensation. My vet is diagnosing him with asthma (I belong to that group now). I think my vet was also worried about cancer, but they're calling it asthma. All his bloodwork came back normal. People on other lists advised for me to join this one too as some people have had their cats misdiagnosed with asthma but it was really heart issues. My problem is, I know bengals have a
            > predisposition to HCM. I am very concerned with whether I am on the right track and before he gets loaded up with meds I want to rule things out and make sure he gets a correct diagnosis. He is currently on terbutaline 2x day transdermally, he cannot be pilled. Honestly it doesn't seem to be doing much for him in my opinion. I do not know anything about heart issues in cats, just joined feline asthma group, I had also joined the feline cancer group. I am overwhelmed. Sorry this is so long, maybe someone can give me some insight? I'm stumped I don't know what to do and I love my cat and want to give him the best care I can.
            >
            > Thank-you for your time,
            >
            > Julia and Dante'
            >
            > [Non-text portions of this message have been removed]
            >
            >
            >
            >
            >
            > [Non-text portions of this message have been removed]
            >
          • elfinmyst@aol.com
            Hi Julia I would definitely rule out HCM before treating for asthma. Systemic steroids are a definite no for asthmatic cats with heart disease as it pushes
            Message 5 of 11 , Mar 5, 2012
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              Hi Julia

              I would definitely rule out HCM before treating for asthma. Systemic
              steroids are a definite no for asthmatic cats with heart disease as it pushes
              them into hear failure. Asthma can be treated by inhaled drugs which are much,
              much safer.

              If you have any concern at all about the heart you must have an ultrasound
              done to check for any heart disease. It is a quick procedure and you will
              get the results on the same day. If he has any fluid on the lungs, it could
              be infection, it could be heart disease but you would need to know. I would
              definitely have the scan first.

              Lyn:)

              _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

              [Non-text portions of this message have been removed]
            • acrocat@rocketmail.com
              Hi Julia Is it correct to say that the vet thought there was fluid in the lungs, but the radiologist thought it was asthma (same x-rays)? Cats with heart
              Message 6 of 11 , Mar 5, 2012
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                Hi Julia

                Is it correct to say that the vet thought there was fluid in the lungs, but the radiologist thought it was asthma (same x-rays)?

                Cats with heart disease rarely cough. Rarely as in it's almost unheard of. So I'm concerned your kitty has asthma. You need to get an AeroKat asap and get scripts for albuterol and Flovent. I don't think anyone has proven that terbutaline can be absorbed transdermally, so it may or may not be in play here. Inhaled meds can definitely be used so I'd get on that ASAP, as in "today." As you know, any asthma attack can turn out to be life-threatening so there's no time to waste in starting treatment. Inhaled Flovent (a steroid) takes a bit of time to build up so the sooner you start, the better.

                I'm glad you're going to see a cardiologist. If your cat is cleared of HCM, please consider having them submit a blood sample to NC State for this ongoing study: http://www.cvm.ncsu.edu/vhc/csds/vcgl/felinecardiacresearch.html . "Normal" cats are hard to find for these studies, because they rarely have echos. Once your cat is cleared for HCM, your vet may want to put your cat on a short course of steroids while the Flovent kicks in.

                Good luck and keep us posted.

                Adriann

                --- In feline-heart@yahoogroups.com, "Julia" <jewybean71@...> wrote:
                >
                > Hi everyone,
                > I have an almost 12-year old bengal cat named Dante'. He is an amazing cat, very energetic and playful and I love him. He is a CRF cat (I belong to that list) and he has had his renal values stable in the normal range for the last 4 years by eating Hill's dry k/d and g/d. He has a history of food allergies that I had discovered before I knew about the CRF, but when I learned of his CRF I had to take him off the hypoallergenic food and put him on the renal food--allergy symptoms came back. He has been having trouble breathing but his heart rate has been normal. I always have his blood pressure done at his annuals (which he just had) and it was lower than last year's (in normal range). He has been sneezing for quite some time (more than a year) and I just attributed that to food allergies. He seems to be having trouble swallowing. In January he woke me up from a sound sleep with a strange whistling sound that was very loud I had never heard before. Also he has had these breathing attacks that seem like he's coughing up a hairball. Now when he eats it seems like he has trouble breathing. I let the vet know about this stuff on Jan. 20 when I took him in for his annual. We did a chest x-ray and they did a brief ultrasound. There was fluid in the lungs so we gave him Lasix that day and the following monday I brought him in to get more lasix. The chest x-ray was read by a specialist who thinks that it's allergy induced asthma. He did say the pericardial silhouette was prominent but didn't see any evidence of cardiac decompensation. My vet is diagnosing him with asthma (I belong to that group now). I think my vet was also worried about cancer, but they're calling it asthma. All his bloodwork came back normal. People on other lists advised for me to join this one too as some people have had their cats misdiagnosed with asthma but it was really heart issues. My problem is, I know bengals have a predisposition to HCM. I am very concerned with whether I am on the right track and before he gets loaded up with meds I want to rule things out and make sure he gets a correct diagnosis. He is currently on terbutaline 2x day transdermally, he cannot be pilled. Honestly it doesn't seem to be doing much for him in my opinion. I do not know anything about heart issues in cats, just joined feline asthma group, I had also joined the feline cancer group. I am overwhelmed. Sorry this is so long, maybe someone can give me some insight? I'm stumped I don't know what to do and I love my cat and want to give him the best care I can.
                > Thank-you for your time,
                > Julia and Dante'
                >
              • Leo Wempu
                My beloved Leo had a cough (that took place in the middle of the night). The vets he first saw apparently thought that heart disease is not associated with
                Message 7 of 11 , Mar 5, 2012
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                  My beloved Leo had a cough (that took place in the middle of the night). The vets he first saw apparently thought that heart disease is not associated with coughing since they diagnosed him with asthma. And that almost cost him his life right then. 

                  Cats with pulmonary edema can have a moist cough (in my experience).


                  Henna & Angel Leo



                  ________________________________
                  From: "acrocat@..." <acrocat@...>
                  To: feline-heart@yahoogroups.com
                  Sent: Monday, March 5, 2012 6:46 PM
                  Subject: [FH] Re: New Member--need input about possible heart issues



                  Cats with heart disease rarely cough. Rarely as in it's almost unheard of.





                  [Non-text portions of this message have been removed]
                • elfinmyst@aol.com
                  Hi There is something called a cardiac cough and apparently it s very much like hacking furballs but nothing comes up, it s like wheezing type of cough.
                  Message 8 of 11 , Mar 5, 2012
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                    Hi

                    There is something called a 'cardiac cough' and apparently it's very much
                    like hacking furballs but nothing comes up, it's like wheezing type of
                    cough. None of mine have had that though. It's supposed to be a sign of heart
                    failure and is worse at night?

                    Lyn:)

                    _www.myfurkids.co.uk_ (http://www.myfurkids.co.uk/)

                    [Non-text portions of this message have been removed]
                  • Shelleee12@aol.com
                    I agree with you Henna! After losing one 6 year old cat just a month prior due to a sudden clot...(unknown and undiagnosed HCM) I was woken up in the middle
                    Message 9 of 11 , Mar 5, 2012
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                      I agree with you Henna!

                      After losing one 6 year old cat just a month prior due to a sudden
                      clot...(unknown and undiagnosed HCM) I was woken up in the middle of the night by
                      his brother doing a kind of hairball cough..just for a moment.....but not
                      from hairballs....sounded like he was trying to cough up mucous. I took
                      him first thing in the morning to see my vet. My vet said that cats don't
                      cough from heart disease.....and he looked and sounded fine otherwise. To be
                      safe and to ease my mind, he did a chest xray to make sure he didn't have
                      a bronchial type issue. He could see, immediately, that my boy had a
                      serious heart issue and said the coughing I heard was fluid. I was sent to a
                      Cardiologist who was surprised that I took him to my vet as, outwardly, other
                      than that cough, he showed no signs of illness. He said it's a silent
                      killer. Though he had the best care and proper meds, I lost him within three
                      months of losing his brother.

                      So, I HAVE to agree with Henna, though they say that cats don't cough from
                      heart disease...they CAN cough from the fluid in their lungs caused by
                      heart issues....

                      Shelly


                      In a message dated 3/5/2012 1:48:45 P.M. Pacific Standard Time,
                      leowempu@... writes:




                      My beloved Leo had a cough (that took place in the middle of the night).
                      The vets he first saw apparently thought that heart disease is not associated
                      with coughing since they diagnosed him with asthma. And that almost cost
                      him his life right then.

                      Cats with pulmonary edema can have a moist cough (in my experience).

                      Henna & Angel Leo

                      ________________________________
                      From: "_acrocat@..._ (mailto:acrocat@...) "
                      <_acrocat@..._ (mailto:acrocat@...) >
                      To: _feline-heart@yahoogroups.com_ (mailto:feline-heart@yahoogroups.com)
                      Sent: Monday, March 5, 2012 6:46 PM
                      Subject: [FH] Re: New Member--need input about possible heart issues


                      Cats with heart disease rarely cough. Rarely as in it's almost unheard of.

                      [Non-text portions of this message have been removed]






                      [Non-text portions of this message have been removed]
                    • acrocat@rocketmail.com
                      I didn t say it was impossible, but rather quite rare. And it is quite rare (the zebra rather than the horse). Since it s possible, this is why cats with
                      Message 10 of 11 , Mar 5, 2012
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                        I didn't say it was impossible, but rather quite rare. And it is quite rare (the "zebra" rather than the horse). Since it's possible, this is why cats with any kind of respiratory distress would benefit from a chest x-ray before treatment to rule out CHF. It would be wonderful if cats (like dogs) would always cough to let us know it is pulmonary edema, but they rarely cough with CHF.

                        A cat with a chronic cough who is not on diuretics is not going to be in CHF, because animals who are drowning in fluids need diuretics to survive. If a cat has a chronic cough and is later found to have CHF, it is extremely likely that the cat has asthma, and developed CHF from undiagnosed heart disease.

                        Adriann
                      • Leo Wempu
                        My Leo had chest x-rays before treatment . The other thing that I learned was that apparently these are not always so easy to interpret.  Henna & Angel Leo
                        Message 11 of 11 , Mar 6, 2012
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                          My Leo had chest x-rays before "treatment". The other thing that I learned was that apparently these are not always so easy to interpret. 


                          Henna & Angel Leo



                          ________________________________
                          From: "acrocat@..." <acrocat@...>
                          To: feline-heart@yahoogroups.com
                          Sent: Tuesday, March 6, 2012 9:09 AM
                          Subject: [FH] Re: New Member--need input about possible heart issues

                          Since it's possible, this is why cats with any kind of respiratory distress would benefit from a chest x-ray before treatment to rule out CHF.






                          [Non-text portions of this message have been removed]
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