2.4 GERIATRIC CARDIOVASCULAR DISEASE
Some cats and dogs with congenital heart disorders may survive into old age, as will
many animals that develop clinical signs of heart disease in middle-age. Successful
management of these cases through old age requires an understanding of the physical,
metabolic and systemic changes that the individuals are undergoing due to normal
ageing changes and concurrent organ disease. Destabilisation may occur, and readjustrnent
of drug doses may be needed in some individuals, particularly those that develop
signs of decompensation or drug toxicity.
Clinical conditions that would normally be expected to occur earlier in life may
appear for the first time in old age, but in this section we shall only consider
those cardiovascular diseases which are normally expected to occur in geriatric patients.
1. Acquired chronic valvular disease (endocardiosis)
2. Bacterial endocarditis
3. Dilated cardiomyopathy
5. Feline hyperthyroidism
6. Cor pulmonale