Heartworm
Canine heartworm is a dangerous disease, which has spread to virtually all parts of the United States. It is spread by mosquitoes; thus, areas heavily populated by these insects are at greater risk. 
• What is Heartworm?
o Parasite that lives in the blood of a dog’s heart and adjacent blood vessels.
o Adult heartworms living in a dog’s heart produce offspring called microfilaria that circulate in the infected dog’s blood.
o It can take 3 months for the heartworm to reach a mature length of 9-14 inches.
o At this time the female heartworm begins to produce microfilaria.
o It takes about 6 months from the time the dog is bitten by an infected mosquito until adult worms produce microfilaria.
o In some cases, up to 200 worms can be found in the heart.
• Symptoms
o difficulty breathing
o coughing
o lack of stamina
o weight loss
o rough hair coat
o In many cases, these are advanced symptoms. Some dogs do not appear to have symptoms in the early stages.
o If not detected & controlled with proper treatment, heartworms can lead to congestive heart failure and death.
• Prevention (Also see next bullet point)
o Heartworm disease is easy to prevent if you follow precautionary measures.
o Take pup to vet early and talk to them about which medications are right for your dog.
o Follow medication’s directions and you won’t be concerned with this dangerous disease.
o Some medication available
§ once a day chewable (Filarabits)
§ once a month chewable (Heartgard, Advantix)
§ 6 month injectable (ProHeart6)
§ mosquito repellant that does not contain DEET
• Diagnostic Testing and Preventative Medication
o Highly effective diagnostic testing and preventative medications have been developed.
o It is necessary to have a heartworm test prior to using a preventative medication if the dog is over 4 months.
o Severe or fatal reactions may occur if they are given to dogs with heartworm disease, or may create diagnostic confusion at a later date.
o Testing is usually done in the spring (March-April) when mosquitoes develop.
o A small amount of blood is necessary for a heartworm test, which is very accurate in detecting the disease.
o If the dog tests negative, he/she is put on preventative medication from April-December.
o The preventative medication kills the immature larvae before they become adults. It does not kill the adult heartworms.
• New Medication Available
o Heartworm treatment should be much safer for dogs now that a new medication, Immiticide, is available to veterinarians.
o This medication has fewer side effects and kills a higher percentage of heartworms than Caparsolate.
o When the heartworms are killed by medications, a danger of embolism results if the dead worms block the flow of blood to the lungs.
o This is a common cause of death during a heartworm treatment.
o This risk still exists with Immiticide, but to a much lesser extent, due to differences in the timing of heartworm deaths.
o Immiticide does not appear to damage the liver or kidneys.
o Following treatment, complete rest is needed.
Excitement and exercise should be avoided for at least a month, followed by gradual return to normal activity.