Congestive Heart Failure

                   ------------------------

                      General Information



Chronic congestive heart failure occurs when the heart does not

pump enough blood to meet normal body needs.  Pets with

congestive heart failure tire easily, are short of breath, and

cough deeply, due to poor circulation through the lungs.  They

may actually lose weight, but the abdomen becomes enlarged due

to fluid accumulation.  The legs may also be swollen and puffy.

Often these patients faint or collapse after excitement or

exertion, and the tongue appears bluish-gray.  Congestive heart

failure can result from heart-valve disease, heartworm

infection, or heart defects present at birth.  Though congestive

heart failure cannot be cured, many patients can live a

comfortable life with proper medical management.



                 Important Points in Treatment



1.  Treatment is aimed at removing accumulated fluids, improving

    the heart's pumping efficiency, and decreasing the heart's

    workload.



2.  Radiographs (x-rays) and electrocardiograms (EKG) are used to

    diagnose the condition and monitor the response to

    treatment.



3.  Give all medication as directed.  Call the doctor if you

    cannot give the medication.



4.  Diet:  A low-sodium diet is essential in controlling

    congestive heart failure.  Feed your pet as follows:





5.  Exercise:  Follow the instructions checked.



    ____Allow normal activity.



    ____Restrict exercise as follows:





6.  Special instructions:





       Notify the Doctor if Any of the Following Occur:



    * Your pet continues to cough.



    * Your pet's signs tend to worsen.



    * Your pet passes out or has seizures.



    * Your pet vomits or has diarrhea.



    * Your pet refuses to eat the recommended diet.