The Birds are Signing, and the Bugs are Out… Let’s Talk About Heartworms!!

By: Elizabeth Alexander, DVM

Ambassador Animal Hospital

What are Heartworms?

Heartworms are a type of parasitic worm that lives in the heart and pulmonary arteries of its host.  As an adult, the worm can be up to 14 inches long!  It attaches to the heart or vessel wall and feeds on blood.  An adult Heartworm can wriggle around inside for up to 7 years!

That sounds horrible, what kind of damage does the worm cause?

The heartworms cause inflammation in the lungs and airways.  They can cause pooling of blood and blood clots.  Over time the worms cause the heart walls, and arteries in the lungs to scar, which causes trouble with heart function.  Not to mention the bodies of the worms themselves cause blockages in the arteries, blood flow issues, and eventually lead to heart failure.

Are you saying the Heartworms can kill?!

Yes, the more heartworms that are present in the heart, the faster they can kill.  But even a small number of Heartworms cause damage to the heart and lungs and shorten life spans. Large amounts of worms lead to heart failure and death faster.

Who can get Heartworms?

Heartworms can infect dogs, cats, ferrets, and some wild animals such as wolves, coyotes, and foxes.  The dog is considered the natural host, or preferred host, but wild animals are considered important carriers of the disease.

How can my dog get Heartworms?

The larval stage of heartworms is carried by the mosquito.  When the mosquito bites your dog, the larva drops out of the mouth of the mosquito and into the bite wound.  After being infected, it takes about 6 months for the larval heartworm to mature into an adult worm in your pet’s heart.

Is there a test for Heartworms?

Yes!  There is a simple blood test to check for heartworms.  It takes just three drops of blood and can be conducted by your veterinary healthcare team.  The American Heartworm Society recommends annual testing for every dog.  Heartworm infection is a treatable condition if diagnosed early.  If your dog tests negative, you can have the peace of mind that your dog is heartworm-free.

What about Heartworms in my cat?

Cats can get heartworms, but they are not the natural host, so the worms have a harder time surviving into adulthood.  However, IF even just one heartworm were to mature in a cat’s heart, the results can be devastating.  Symptoms can be very mild at first and go unnoticed, like a mild cough, or occasional vomiting, or weight loss.  Sadly, often the first sign that is noticed is collapse or death.  The treatment that is possible in dogs, does not work in cats.  So, prevention is the only way to protect these fur babies.   There is however a test for heartworms in cats, just like there is in dogs.  If you are concerned about your cat being exposed to heartworms, talk about testing with your Veterinary team.

You mentioned Prevention, can I prevent Heartworms in my pets?

Yes, there are many options for preventing heartworms in our dogs and cats.  We typically think about heartworm prevention for dogs.  Dogs can take prevention orally, topically, or by injection.  We recommend orally, or by injection.  There are many brands of oral heartworm prevention.  You may have heard of Heartgard, Simparica Trio, or Sentinel.  The injectable prevention is called ProHeart.  The price of these preventions varies, but many types are quite affordable.  Certainly, prevention is MUCH less expensive than treatment!  Cats are typically treated topically with heartworm prevention, this is because cats can be VERY difficult to give a pill!  Brands such as Revolution Plus, or Bravecto Plus provide heartworm prevention as well as coverage from fleas and ticks.

Should I really give my pets Heartworm Prevention?

Yes!  The risk-cost analysis would break down something like this:  Preventions come in a variety of forms that are easy to administer and well tolerated and cost roughly $10 per month.  Treatment costs ten times that much, and the heartworms cause permanent scarring and damage to my pet’s heart and lungs, even when treatment is successful.  If I have a cat, she might die before I find out she has heartworms.  It’s definitely worth preventing!

What about in the colder months? Or what if my cat is indoors only?

Mosquitos, the carrier of the infective stage of heartworms, are mainly active in South Carolina from March until October.  However, as you may have noticed, our weather can be quite unpredictable, making it hard to say when mosquitoes will really emerge or be active.  Also, mosquitoes do not die in the winter but hibernate in temperatures under 50 degrees.  This means that if we get a warm snap in November or December, mosquitoes could re-emerge and be a problem. For these reasons, The American Heartworm Society recommends heartworm prevention 12 months a year.  It’s better to be safe than sorry, or glued to the weather channel!  As for our indoor cats, mosquitoes get inside. The risk of infection is less than for an outdoor cat, but it’s still present.  Be aware of your own home, and if you are ever seeing mosquitoes inside your home, then your cat needs prevention.

So basically, you are saying that Heartworms are very harmful, and even deadly, to my dogs and my cats.  But I can easily prevent them by giving once monthly preventions. Or having my veterinarian give an injection to my dog.  Also, I should have my pets tested once a year for heartworms, just to make sure everything is ok.

Yes!  An ounce of prevention is worth a pound of cure, and we want to ensure that our pets live long and healthy, parasite-free lives!

For more information visit: www.heartwormsociety.org

Testimonials

Ambassador is an amazing animal hospital. They are caring, professional and leaders in animal medicine. Their entire staff is gifted, empathetic... read more

Mike P.

When I had to make the difficult decision to send my best friend of 8 years off, Dr. Alexander, Dr. Roseveare, and Dr. Alfieris were nothing but... read more

Emmalie W.

For the best care for your animals this is the place to go. The Vets here are very thorough with their exams. They are very open and informative... read more

Donna M.

This is a wonderful place to bring my pups. I have been happy with each visit. All the staff are very helpful and knowledgeable. On my third visit... read more

Teresa S.

Highly recommend this practice for your fur babies. It is extremely clean, the staff is very friendly, and the appointment for a wellness exam for my... read more

Tory N.

We had our first visit with our new dog and let me tell you it was an amazing experience from the moment we arrived. Great staff who worked so well... read more

CJ. C

My dog needed to be seen ASAP. The staff was most accommodating. He received the treatment he needed within a day. So grateful his doing... read more

Jessica L.

When we moved to Greenville we were concerned we wouldn't find a veterinary team as good as our previous one. The team at Ambassador definitely... read more

Vanessa E.

We've been taking our cats to Ambassador Animal Hospital since we moved to Greenville 2 years ago. The staff is beyond wonderful, always friendly... read more

Kristy T.

Mike P.

Ambassador is an amazing animal hospital. They are caring, professional and leaders in animal medicine. Their entire staff is gifted, empathetic and very positive. I would encourage any pet owner to call them first.

Emmalie W.

When I had to make the difficult decision to send my best friend of 8 years off, Dr. Alexander, Dr. Roseveare, and Dr. Alfieris were nothing but compassionate and helped me through one of the worst days of my life. They made the experience peaceful and I felt like Bo left with dignity. A compassionate veterinarian is a rarity these days and I am glad to know these 3 wonderful doctors do not lack love for their patients and clients.

Donna M.

For the best care for your animals this is the place to go. The Vets here are very thorough with their exams. They are very open and informative about your pets health care needs. The staff is always friendly, knowledgeable and very professional.

Teresa S.

This is a wonderful place to bring my pups. I have been happy with each visit. All the staff are very helpful and knowledgeable. On my third visit they greeted me by name. The doctors do not rush you and explain what is going on very well.

Tory N.

Highly recommend this practice for your fur babies. It is extremely clean, the staff is very friendly, and the appointment for a wellness exam for my two cats went so smoothly! I was in and out within an hour. Even with me arriving early I was taken back almost immediately. They really cater to the needs of their patients. My cats were both so nervous, my boy cat’s heart rate was really high. They quickly got my babies towels with Feliway to help calm them down. It was truly that little gesture that meant the most to me. I will continue to bring my cats here with peace of mind knowing that they will be very well taken care of.

CJ. C

We had our first visit with our new dog and let me tell you it was an amazing experience from the moment we arrived. Great staff who worked so well with our girl and so friendly! The Dr answered all of our questions and was very patient. We Couldn’t be happier with the outcome and now we have a great reliable place to go to for our new puppies medical needs!

Jessica L.

My dog needed to be seen ASAP. The staff was most accommodating. He received the treatment he needed within a day. So grateful his doing well!

Vanessa E.

When we moved to Greenville we were concerned we wouldn't find a veterinary team as good as our previous one. The team at Ambassador definitely resolved all of those concerns. Everyone there is kind, helpful, and clearly loves animals. Dr. Alexander and Dr. Aliferis are amazing and very knowledgeable, as are all of their technicians. The staff at the front desk are very efficient; they have us checked in pretty much as soon as we walk in the door because they remember us. I absolutely recommend this office for your pets.

Kristy T.

We've been taking our cats to Ambassador Animal Hospital since we moved to Greenville 2 years ago. The staff is beyond wonderful, always friendly and helpful, willing to squeeze us in when we have a sick pet. Both Dr. Alfieris and Dr. Alexander are amazing vets - caring, patient, and dedicated. They always follow up with us and check in on our pets after our visits. I can't recommend them enough, we wouldn't take our pets anywhere else!

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