{"id":34317,"date":"2024-08-09T19:00:55","date_gmt":"2024-08-09T19:00:55","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=34317"},"modified":"2024-08-09T19:00:55","modified_gmt":"2024-08-09T19:00:55","slug":"algorithmic-treatment-of-congestive-heart-failure-in-dogs","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/","title":{"rendered":"Algorithmic Treatment of Congestive Heart Failure in Dogs"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">C<\/span><span class=\"s1\">ongestive heart failure (<a href=\"https:\/\/todaysveterinarypractice.com\/cardiology\/congestive-heart-failure-in-dogs\/\" target=\"_blank\" rel=\"noopener\">CHF<\/a>) is a clinical syndrome resulting from failure of cardiac output to meet the body\u2019s demands at normal filling pressures.<sup>1,2<\/sup> The precise manifestation of CHF depends on the underlying cause. In dogs, left-sided CHF is characterized by pulmonary edema resulting from elevated left-heart filling pressures. Affected dogs typically present with tachypnea and dyspnea. Right-sided CHF is characterized by cavitary effusions and peripheral edema resulting from elevated right-heart filling pressures. In some cases, biventricular failure occurs and signs of left- and right-sided CHF are seen.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed.<sup>1<\/sup> This can be done through physical examination and additional diagnostic tests, including <a href=\"https:\/\/todaysveterinarypractice.com\/radiology-imaging\/thoracic-radiology-in-the-diagnosis-of-congenital-heart-disease-in-dogs\/\" target=\"_blank\" rel=\"noopener\">radiography<\/a>, point-of-care ultrasonography, and echocardiography.<sup>1,2<\/sup> Patient stability should not be sacrificed to obtain diagnostics. Thoracocentesis or abdominocentesis is recommended to relieve effusions deemed sufficient to impair ventilation.<sup>1<\/sup> If the patient fails to respond to initial stabilization, prioritization of imaging may be warranted to confirm the diagnosis.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Dogs with acute CHF should receive supplemental oxygen in conjunction with parenteral administration of a loop diuretic, such as furosemide.<sup>1-3<\/sup> Acute stabilization is potentially more critical for left-sided CHF, as pulmonary edema will result in dyspnea.<sup>2<\/sup> Some dogs might benefit from low-dose sedatives to mitigate the effects of stress or anxiety on respiratory rate and effort.<sup>1,2<\/sup> <a href=\"https:\/\/todaysveterinarypractice.com\/pharmacology\/pimobendan-and-heart-disease\/\" target=\"_blank\" rel=\"noopener\">Pimobendan<\/a> is also recommended to help stabilize patients with acute CHF.<sup>1-5<\/sup> Measurement of systemic blood pressure is also helpful and might help guide decisions regarding afterload reduction.<sup>2<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Once the patient is stable, diuretic administration can be transitioned from parenteral to oral and chronic treatment can begin. The 2019 American College of Veterinary Internal Medicine consensus statement guidelines and various separate studies support the use of diuretics,<sup>1,3,6<\/sup> pimobendan,<sup>1,4,5<\/sup> angiotensin-converting enzyme inhibitors,<sup>7-11<\/sup> and <a href=\"https:\/\/todaysveterinarypractice.com\/cardiology\/the-role-of-diuretics-in-congestive-heart-failure-part-2-spironolactone\/\" target=\"_blank\" rel=\"noopener\">spironolactone<\/a><sup>8,9,12<\/sup> to treat dogs with chronic CHF. If arrhythmias are present, antiarrhythmic drugs may be indicated. Serum biochemical and electrolyte measurements can provide additional information, particularly on renal function, and can help guide and optimize individual therapy.<sup>1<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Regular monitoring of the dog\u2019s condition is crucial. This includes monitoring respiratory rate and effort, especially when reducing the dose of furosemide, and is especially important in patients with left-sided CHF. Dogs receiving chronic CHF therapy should also be routinely monitored for the development of significant azotemia or <a href=\"https:\/\/todaysveterinarypractice.com\/column\/insights-in-electrolyte-disorders\/\" target=\"_blank\" rel=\"noopener\">electrolyte derangements<\/a>, which might prompt adjustments to therapy.<sup>1<\/sup> Additional diagnostics such as radiography might help confirm or refute resolution of CHF and guide adjustments to therapy. <\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Once the patient\u2019s clinical status has stabilized and no further adjustments to therapy are necessary, the frequency of diagnostic testing can be reduced. Owners should monitor respiratory rate and effort at home daily, and repeated resting respiratory rates greater than 35 breaths\/min or gradual upward trending from the dog\u2019s baseline rates should prompt reassessment.<sup>1,13<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">In certain specific circumstances (e.g., patent ductus arteriosus, valvular pulmonic stenosis, myxomatous mitral valve disease), surgical or minimally invasive interventions might also be considered.<sup>14-20<\/sup><\/span><\/p>\n<p><a href=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_Chronic-CHF-Algorithm.pdf\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-34318 size-full\" src=\"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1.jpg\" alt=\"\" width=\"2459\" height=\"2081\" srcset=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1.jpg 2459w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1-300x254.jpg 300w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1-1024x867.jpg 1024w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1-768x650.jpg 768w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1-1536x1300.jpg 1536w, https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/Aherne_TVPSepOct24_CHFAlgorithm_Fig1-2048x1733.jpg 2048w\" sizes=\"(max-width: 2459px) 100vw, 2459px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.<\/p>\n","protected":false},"author":236,"featured_media":34319,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":2855,"footnotes":""},"categories":[546],"tags":[13],"class_list":["post-34317","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-september-october-2024","tag-peer-reviewed","column-algorithmic-insights","clinical_topics-cardiology"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Algorithmic Treatment of Congestive Heart Failure in Dogs | Today&#039;s Veterinary Practice<\/title>\n<meta name=\"description\" content=\"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Algorithmic Treatment of Congestive Heart Failure in Dogs\" \/>\n<meta property=\"og:description\" content=\"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/\" \/>\n<meta property=\"og:site_name\" content=\"Today&#039;s Veterinary Practice\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/todaysveterinarypractice\" \/>\n<meta property=\"article:published_time\" content=\"2024-08-09T19:00:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"990\" \/>\n\t<meta property=\"og:image:height\" content=\"419\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Marissa Delamarter\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Marissa Delamarter\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/\"},\"author\":{\"name\":\"Marissa Delamarter\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#\\\/schema\\\/person\\\/aae8b57232625dd9c50c1f00d261e1de\"},\"headline\":\"Algorithmic Treatment of Congestive Heart Failure in Dogs\",\"datePublished\":\"2024-08-09T19:00:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/\"},\"wordCount\":497,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2024\\\/08\\\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg\",\"keywords\":[\"Peer Reviewed\"],\"articleSection\":[\"September\\\/October 2024\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#respond\"]}]},{\"@type\":[\"WebPage\",\"MedicalWebPage\"],\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/\",\"url\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/\",\"name\":\"Algorithmic Treatment of Congestive Heart Failure in Dogs | Today&#039;s Veterinary Practice\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2024\\\/08\\\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg\",\"datePublished\":\"2024-08-09T19:00:55+00:00\",\"description\":\"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#primaryimage\",\"url\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2024\\\/08\\\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg\",\"contentUrl\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2024\\\/08\\\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg\",\"width\":990,\"height\":419,\"caption\":\"janczako\\\/shutterstock.com\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/cardiology\\\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Algorithmic Treatment of Congestive Heart Failure in Dogs\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#website\",\"url\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/\",\"name\":\"Today's Veterinary Practice\",\"description\":\"Peer-Reviewed Veterinary Journal\",\"publisher\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#organization\",\"name\":\"Today's Veterinary Practice\",\"url\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2022\\\/01\\\/tvp-logo.png\",\"contentUrl\":\"https:\\\/\\\/todaysveterinarypractice.com\\\/wp-content\\\/uploads\\\/sites\\\/4\\\/2022\\\/01\\\/tvp-logo.png\",\"width\":179,\"height\":89,\"caption\":\"Today's Veterinary Practice\"},\"image\":{\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/todaysveterinarypractice\",\"https:\\\/\\\/www.youtube.com\\\/thenavc\"],\"email\":\"info@navc.com\"},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/#\\\/schema\\\/person\\\/aae8b57232625dd9c50c1f00d261e1de\",\"name\":\"Marissa Delamarter\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g\",\"caption\":\"Marissa Delamarter\"},\"url\":\"https:\\\/\\\/navc.sitepreview.app\\\/todaysveterinarypractice.com\\\/author\\\/mdelamarter\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Algorithmic Treatment of Congestive Heart Failure in Dogs | Today&#039;s Veterinary Practice","description":"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Algorithmic Treatment of Congestive Heart Failure in Dogs","og_description":"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.","og_url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/","og_site_name":"Today&#039;s Veterinary Practice","article_publisher":"https:\/\/www.facebook.com\/todaysveterinarypractice","article_published_time":"2024-08-09T19:00:55+00:00","og_image":[{"width":990,"height":419,"url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg","type":"image\/jpeg"}],"author":"Marissa Delamarter","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Marissa Delamarter","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#article","isPartOf":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/"},"author":{"name":"Marissa Delamarter","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#\/schema\/person\/aae8b57232625dd9c50c1f00d261e1de"},"headline":"Algorithmic Treatment of Congestive Heart Failure in Dogs","datePublished":"2024-08-09T19:00:55+00:00","mainEntityOfPage":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/"},"wordCount":497,"commentCount":0,"publisher":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#organization"},"image":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#primaryimage"},"thumbnailUrl":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg","keywords":["Peer Reviewed"],"articleSection":["September\/October 2024"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#respond"]}]},{"@type":["WebPage","MedicalWebPage"],"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/","url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/","name":"Algorithmic Treatment of Congestive Heart Failure in Dogs | Today&#039;s Veterinary Practice","isPartOf":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#primaryimage"},"image":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#primaryimage"},"thumbnailUrl":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg","datePublished":"2024-08-09T19:00:55+00:00","description":"When dogs with suspected CHF are treated, the diagnosis should first be confirmed and patient stability should be assessed before medical therapy is implemented.","breadcrumb":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#primaryimage","url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg","contentUrl":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2024\/08\/TVP-2024-0910_shutterstock_1585722883_-janczako.jpg","width":990,"height":419,"caption":"janczako\/shutterstock.com"},{"@type":"BreadcrumbList","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/cardiology\/algorithmic-treatment-of-congestive-heart-failure-in-dogs\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/"},{"@type":"ListItem","position":2,"name":"Algorithmic Treatment of Congestive Heart Failure in Dogs"}]},{"@type":"WebSite","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#website","url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/","name":"Today's Veterinary Practice","description":"Peer-Reviewed Veterinary Journal","publisher":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#organization","name":"Today's Veterinary Practice","url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#\/schema\/logo\/image\/","url":"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2022\/01\/tvp-logo.png","contentUrl":"https:\/\/todaysveterinarypractice.com\/wp-content\/uploads\/sites\/4\/2022\/01\/tvp-logo.png","width":179,"height":89,"caption":"Today's Veterinary Practice"},"image":{"@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/todaysveterinarypractice","https:\/\/www.youtube.com\/thenavc"],"email":"info@navc.com"},{"@type":"Person","@id":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/#\/schema\/person\/aae8b57232625dd9c50c1f00d261e1de","name":"Marissa Delamarter","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/5dc090334d16394e7b167a6ab8f68423224f6269541503e96e9c22dec0425e6a?s=96&d=mm&r=g","caption":"Marissa Delamarter"},"url":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/author\/mdelamarter\/"}]}},"_links":{"self":[{"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/posts\/34317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/users\/236"}],"replies":[{"embeddable":true,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/comments?post=34317"}],"version-history":[{"count":3,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/posts\/34317\/revisions"}],"predecessor-version":[{"id":34323,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/posts\/34317\/revisions\/34323"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/media\/34319"}],"wp:attachment":[{"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/media?parent=34317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/categories?post=34317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/wp-json\/wp\/v2\/tags?post=34317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}