Cardiology

The Harvest Veterinary Specialty and Emergency Hospital Cardiology Team is dedicated to delivering compassionate, expert cardiac care and providing the best possible outcome for your animal and family.

Cardiology​

If your animal is suspected of suffering from heart or circulatory system disease, they will be referred to our Cardiology team. We understand that this can be a worrying diagnosis, but heart disease can range from mild to serious. The most important step is a thorough investigation and accurate diagnosis to ensure the best treatment and outcome. The Harvest Veterinary Specialty and Emergency Hospital Cardiology Team is dedicated to delivering compassionate, expert cardiac care and providing the best possible outcome for your animal and family.

We see cats and dogs for a range of heart conditions and related issues, including:

  • Heart murmurs
  • Breathing problems
  • Collapsing episodes
  • Exercise intolerance
  • Abnormal heart rhythms (arrhythmias)
  • Congenital heart conditions, such as patent ductus arteriosus (PDA) and pulmonic stenosis
  • Diseases involving the heart sac (pericardium)

Initial Consultation

Your initial consultation will usually last 20 to 45 minutes, during which we will take a thorough history. We will discuss recommended tests for your animal, potential costs, expected outcomes, and any possible risks. Our cardiologist will always be accompanied by a nurse who can translate from English to Cantonese if necessary. Your animal will usually need to stay with us for a few hours, and in some cases overnight, for further investigation and treatment.

Diagnostics

Most of our patients do not require sedation. However, some anxious animals may feel more relaxed during tests if they are sedated. If we believe sedation is in your animal’s best interest, we will request your permission. A small patch of fur is typically shaved on both sides of the chest to allow better visualization of the heart using the echocardiography machine.

We commonly perform tests such as:

Echocardiography

Echocardiography (an ultrasound of the heart) with spectral and color flow Doppler: state-of-the-art imaging as part of routine heart disease investigations

ECG

ECG (to record the electrical activity of the heart)

24-hour Holter ECG

24-hour Holter ECG (to assess heart rate and rhythm outside the hospital environment)

Blood pressure measurement

Digital thoracic radiography

Digital thoracic radiography (X-rays of the chest)

Blood tests

Blood tests (to measure cardiac biomarkers, kidney function, electrolytes, or other parameters based on your animal’s needs)

For more complex cases, we can also perform:

Cardiac CT scan

Transesophageal echocardiography

Transesophageal echocardiography (an ultrasound of the heart performed via the esophagus while the patient is under anesthesia)

Cardioversion

Cardioversion (resetting the patient’s heart rhythm in cases of atrial fibrillation or flutter)

Treatment and Management

Every patient is unique, and we will discuss the best treatment options for your animal. Most clinical signs can be managed with medication, but some animals may benefit from minimally invasive interventions (keyhole surgery) to correct or improve certain congenital defects or treat abnormal heart rhythms. These interventions involve accessing the heart through veins or arteries in the limbs or neck.

Available procedures include:

  • Balloon valvuloplasty (inflating balloons within the heart to open fused valves)
  • Stent placement to maintain vessel or chamber patency
  • Device implantation to prevent abnormal blood flow, such as treating patent ductus arteriosus (PDA)
  • Permanent pacemaker implantation (for abnormal heart rhythms) (available soon)

Our surgery service may operate on cases where minimally invasive procedures are not possible.

Heart disease is common in cats and dogs. Our cardiologist not only manages her own primary cases but also assesses patients referred by other disciplines. When a patient from another service requires anesthesia or sedation, our cardiologist collaborates closely with the anesthesia team to ensure each procedure is carried out as safely as possible.

Frequently Asked Questions

1. Does a heart murmur in dogs mean they have heart disease?

A heart murmur is an abnormal sound heard during a heartbeat, often described as a whooshing noise. It occurs when blood flows turbulently through the heart or its vessels. While a murmur can be a sign of heart disease, it doesn’t always mean your animal has a serious problem. Some murmurs are innocent or physiological, especially in young animals, and may resolve with age. Others may indicate structural heart issues like valve defects, congenital abnormalities, or cardiomyopathy. To determine the cause and significance, your veterinarian may recommend further tests such as echocardiography, chest X-rays, biomarker measurement. Identifying whether a murmur is harmless or linked to heart disease is essential for guiding treatment and monitoring. Early detection allows for better management and can improve your animal’s quality of life. Regular check-ups are key to understanding and tracking any changes in heart health.

Heart disease in animals is more common than many owners realize, especially as animals age. Understanding the types of heart conditions that affect dogs and cats can help you recognize what your veterinarian may be looking for during a cardiac evaluation.

Managing heart disease in dogs and cats without long-term medication depends on the condition’s type, severity, and progression. Early stages may show no symptoms, but silent disease can still pose serious risks. For example, cats with hypertrophic cardiomyopathy may appear healthy yet face life-threatening complications like aortic thromboembolism, warranting preventive blood thinners. Similarly, dogs with myxomatous mitral valve disease may benefit from early treatment before signs of congestive heart failure emerge, improving long-term outcomes. While lifestyle changes and treating underlying issues like hyperthyroidism or high blood pressure can help, many heart diseases are progressive and may eventually require medication. Veterinary cardiologists use diagnostic tools—such as echocardiograms, ECGs, and blood tests—to guide treatment decisions. In some cases, addressing root causes may delay medication, but once significant structural damage or heart failure occurs, drugs become essential. A personalized, diagnostic-based approach ensures animals receive optimal care throughout their heart health journey.

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