Cat Heart – Common Heart Disorders in Cats

Cat heart

The heart is a part of the circulatory system which is responsible for transporting oxygen around the body.

Located in the chest, the heart is approximately the size of a plumb. The average heartbeat of a cat is between 120 – 220 beats per minute.

Composition and of the heart:

Cat heart

The heart is a hollow muscle composed of four chambers and three layers, the outer (epicardium); the middle (myocardium) and the inner (endocardium), and is enclosed in a sac (pericardium).

The two sides of the heart are separated by a muscular septum. The right atrium and right ventricle, and the left atrium and left ventricle. The upper chambers are the atria, the lower is the ventricle. The atria are thin-walled and serve as receiving chambers, the ventricles are thick walled and serve as pumping chambers.

Valves are located between the four chambers of the heart. These valves control blood flow, ensuring one directional flow. The right atrium receives deoxygenated blood which then flows through the tricuspid valve and enters the right ventricle. This contracts, pumping the blood through the pulmonic valve into the pulmonary artery, entering the lungs.

Blood is pumped out of the left ventricle into the aorta, passing through progressively smaller arteries until it reaches the capillary beds of the skin, muscle brain and internal organs.

Coronary arteries carry oxygenated blood to the heart, cardiac veins remove deoxygenated blood from the heart.

Heart disorders in cats:

  • Heartworm – A parasitic worm which lives in the pulmonary arteries, lungs and heart of cats.
  • Heart murmur – An abnormal sound of the heart caused by a number of conditions such as hypertrophic cardiomyopathy. Sometimes it is innocent, with no known cause.
  • Cardiomyopathies (heart muscle disease) – The most common cause of cardiovascular diseases in cats. Primary cardiomyopathies are when there is no known cause. Secondary myopathies are caused by infection, disease, or metabolic disease which affects the heart. Myopathies are classified according to their appearance such as hypertrophic, dilated, unclassified (restrictive or intermediate). The most common form is hypertrophic cardiomyopathy which is a thickening of the left ventricular wall.
  • Congenital heart disease – Due to abnormalities either inherited or which developed during fetal development, congenital heart disease is much less common in cats than it is in dogs. The most common form in cats is a ventricular septal defect and atrioventricular valve malformations.
  • Acquired heart disease – These are not present at birth but develop at some point in the cat’s lifetime. They may be primary, or secondary to diseases such as hyperthyroidism or kidney disease.

How to check your cat’s pulse/heartbeat:

  • To check the pulse, feel for the femoral artery which is located close to the surface on the inside of the thigh at the groin.
  • I  found it difficult to find the femoral artery to check the pulse, another method which I found much easier was to feel the heartbeat. To do this press against the rib cage over the heart. With the cat standing, feel the pulse just behind the elbow.
  • Either way, count the number of beats in 15 seconds and then multiply by 4 to get the total number per minute.

Check cat heartbeat

Symptoms of heart problems in cats:

Symptoms may vary depending on the heart condition, but common symptoms of heart problems include:

Diagnosing heart problems in cats:

In some cases, your cat will display no symptoms of a heart condition and it will only be picked up during a regular check up when your veterinarian listens to the heart with a stethoscope. If an abnormality is detected, he may wish to perform further tests, including;

  • ECG (electrocardiogram) – An echocardiogram is a test which takes a graphic tracing of the electrical activity of the heart. This can help your veterinarian diagnose heart disease, valvular or structural deformities
  •  or disturbances.
  • X-Ray – This shows the internal structures of the heart, to check if the heart is enlarged, check the blood vessels.
  • Ultrasound – Another test which is used to visualise the heart to help with diagnosis
  • Blood tests to check for underlying conditions such as hyperthyroidism, kidney disease, an infection which may have caused the heart problem.

Treatment of heart problems in cats:

Treatment depends on the cause and may include:

Heartworm –  Mild cases of heartworm where there are no symptoms may not be treated at all. If the cat is displaying symptoms of heart worm infection then treatment may be necessary. This is aimed at killing the worm(s). But this treatment carries the risk of a dead worm causing a pulmonary embolism.

Heart murmur – As secondary heart murmurs are caused by an underlying condition, treating the cause is necessary. Primary heart murmurs require no treatment.

Cardiomyopathies – Treatment may include diuretics, blood thinning drugs, and beta blockers.  In the case of dilated cardiomyopathy, taurine supplements will be given to cats suffering dilated cardiomyopathy.

Congenital heart disease – Most cases of congenital heart disease result in death within the first year of life. If caught early, some may be surgically treated.