Heartworm disease in dogs is caused by a roundworm (nematode) parasite called Dirofilaria immitus, which is carried by mosquitoes. It is more common in warm, humid areas but can be seen anywhere, especially as animals are often moved around geographically.
Animals cannot directly infect each other with heartworm. (A mosquito is the go-between.)
© Copyright 2007 | American Heartworm Society
The life cycle of a canine heartworm is as follows:
The entire process from an uninfected dog being bitten by an infected mosquito to being able to infect another mosquito with microfilaria takes about 7 to 9 months.
Signs of heartworm disease in dogs include coughing, wheezing, exercise intolerance, and weight loss. The number of worms infecting a given dog range from 1 to 250, with the severity of clinical signs related to how many worms are clogging the heart and pulmonary vessels.
There are two main ways to diagnose heartworm infection.
The first is to look for actual microfilaria in the dog's bloodstream. However, if a dog is only infected with male worms, immature worms, or a single unfertilized female, there won't be any larvae.
The more common method is to look for a heartworm substance called an antigen in the bloodstream. This is not dependent on the reproductive capabilities of the worms but does require them to be mature, which can take an average of 7 months. This blood test can be sent to a laboratory or is often done as a quick (5 minute) in-house test at the veterinary clinic.
Imaging studies, such as X-rays or echocardiography, can also find evidence of heartworm infection, but these are not routine screening tests.
There are several heartworm treatment options for dogs. The most common treatment is an injection of a medication that kills the mature worms. A follow-up injection is usually given one month after the initial injection. As the worms die, they pass into the lungs, which carries some risk, especially in severely affected dogs. For this reason, strict rest and additional medications such as prednisone are usually prescribed for several weeks during and after these injections.
There are a number of preventatives available for dogs susceptible to heartworm disease. These include daily or monthly tablets and monthly spot-on treatments. There is also a 6-month injectable preventative available for dogs only. These preventatives are often part of a multipurpose product that also contains other dewormers, flea controls, and/or mosquito repellants, and your veterinarian can help you pick the most appropriate one for your dog. The goal of the preventatives is to stop any larvae in the bloodstream from maturing into adult worms.
Dogs older than 6 months need to be tested prior to administration of preventatives because some of these medications are dangerous to already infected dogs.
For more information, check out The American Heartworm Society.
Note: There is no species-specificity of heartworm. In fact, it is most likely that a mosquito biting an infected dog is the source of transmission into cats because there are so many fewer infected cats and because cats often have a sterile infection, which means the worms infecting the cat don't produce the eggs that could be transmitted via a mosquito to another animal.
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