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Updates on Treating Congestive Heart Failure, Part 1: Is Spironolactone a Game Changer?
Dr. Simon DennisBVetMed, MVM, DECVIM (Cardiology) The Renin-Angiotensin-Aldosterone System (RAAS)Most veterinarians familiar with the pathophysiology of congestive heart failure will be familiar with the Renin-Angiotensin-Aldosterone System (RAAS). The RAAS is activated in congestive heart failure, particularly when Furosemide (Lasix) is started. While the short-term effects of RAAS activation are beneficial to cardiovascular homeostasis, the chronic…
Updates on Treating Congestive Heart Failure, Part 2: Guidelines for Diagnosing Congestive Heart Failure in Dogs with Chronic Degenerative Valvular Disease
Dr. Simon DennisBVetMed, MVM, DECVIM (Cardiology) This article will describe the ACVIM staging system for chronic degenerative valvular disease in dogs and how to diagnose each stage, with emphasis on left-sided congestive heart failure. It will set the scene for subsequent articles that will discuss the management of disease in each stage. Chronic degenerative valvular…
Updates on Treating Congestive Heart Failure, Part 3: Which Treatments to Give and When to Start Them
Dr. Simon DennisBVetMed, MVM, DECVIM (Cardiology) This article is a follow-up to Updates on Treating Congestive Heart Failure, Part 2: Guidelines for Diagnosing Congestive Heart Failure in Dogs with Chronic Degenerative Valvular Disease. In this article, I will discuss treatment of dogs with ACVIM stages B and C disease, starting with pathophysiology of the disease,…
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