CHF medications

hawaiian

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Aloha,

(sigh...)  My 4 year old female cat recently passed a blood clot about 4 months ago.  I believe its called throttle thrombosis.  She had the typical attack which was very sudden and painful.  Thankfully she survived but she was diagnosed with CHF.  Her left ventricular wall was measured at 14mm and has grown to 16mm after the 3rd month.  She has gained control of her right hind leg but still has no control of her lower right hind leg.  We massage and stretch her leg several times a day and hopefully she can gain control of her left leg also. 

We have her on 18mg Plavix every day and 2mg liquid aspirin every other day.  We want to do as much as possible to make her as comfortable as possible just wish for the best for her.  We were wondering if we could add an "Ace Inhibitor" to her medications?  Anyone have any experience with what we are dealing with and the medications that I mentioned? 
 

stephenq

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Aloha,

(sigh...)  My 4 year old female cat recently passed a blood clot about 4 months ago.  I believe its called throttle thrombosis.  She had the typical attack which was very sudden and painful.  Thankfully she survived but she was diagnosed with CHF.  Her left ventricular wall was measured at 14mm and has grown to 16mm after the 3rd month.  She has gained control of her right hind leg but still has no control of her lower right hind leg.  We massage and stretch her leg several times a day and hopefully she can gain control of her left leg also. 

We have her on 18mg Plavix every day and 2mg liquid aspirin every other day.  We want to do as much as possible to make her as comfortable as possible just wish for the best for her.  We were wondering if we could add an "Ace Inhibitor" to her medications?  Anyone have any experience with what we are dealing with and the medications that I mentioned? 
I had a CHF cat and if there is fluid in the lungs then she needs a diuretic like Lasix to get her to pee the fluids out.  A cat who is in CHF (defined as having fluid in the lungs) must be on a diuretic and although it carries risks the alternative is worse.  I believe the plavix is to prevent more clots as is the aspirin but aspirin is toxic to cats so the dose has to be very carefully given.  My CHF cat was never out on aspirin but he didn't have any clots either. 

It sounds based on your description that the CHF is being caused by hypertrophic cardiomyopathy which is characterized by a thickening of the left ventricle.  If that is the case then there are a lot of drug options including ace inhibitors and beta blockers.  A complete list is on page 2 of the linked article below.  If you want to see page 1, just click on the "1" button at the bottom of the page.

http://www.petmd.com/cat/conditions/cardiovascular/c_ct_cardiomyopathy_hypertrophic?page=2
 
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