Cardiac tests
Tests guided by symptoms
These symptoms and situations may warrant cardiac assessment. Compare them with your pet's usual behavior.
- Repeated coughing, especially at night or when excited
- A resting respiratory rate of 40 or more breaths per minute
- Reluctance to walk or tiring after little activity
- Episodes of unsteadiness or loss of consciousness
- A blue tongue or gums (cyanosis)
- Being told that a heart murmur was heard during an examination
If your pet currently has difficult breathing, blue gums, reduced consciousness or repeated fainting, go straight to the nearest 24-hour emergency veterinary hospital. Do not wait for our phone, social-media or outpatient booking response.
We select the tests after reviewing the history
Medication choice and dosage also depend on organs outside the heart. A cough needs different assessment depending on whether it comes from the heart or lungs. Each test provides different information. The tests below are not routinely performed in every patient.
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1
Comprehensive blood testing + cardiac biomarkers
“Can the other organs tolerate treatment?”
Complete blood count(CBC), serum chemistry, electrolytes and thyroid hormone (T4) establish baseline kidney, liver and electrolyte status. Many cardiac medications involve the kidneys and liver, making these values important for safe drug and dose selection. Testing can also identify anemia or thyroid disease that may mimic cardiac symptoms. Cardiac biomarkers (NT-proBNPand cTnI) measure cardiac muscle strain and injury.
What to check when canine NT-proBNP is high →
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2
Chest radiographs (X-rays)
“Are these breathing symptoms coming from the heart or lungs?”
We assess cardiac silhouette size (VHS) and lung findings. Advanced heart disease may cause pulmonary edema. Radiographs are selected when investigating coughing or breathing difficulty, or when lung assessment is needed.
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3
Echocardiography
“What is happening inside the heart?”
Real-time ultrasound evaluates valve leakage, chamber size and heart muscle contraction. These findings inform disease staging and treatment alongside other clinical information. Dr. Lee, who completed a veterinary internal medicine residency focused on cardiology, interprets Samsung R20 images and measurements together with examination and other test findings.
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4
abdominal ultrasound
“Has heart disease affected the body? Could another condition be present?”
Reduced cardiac function can cause liver congestion or abdominal fluid accumulation. Older pets also commonly have kidney, liver or adrenal disease that directly affects heart medication choices. We assess the whole body in context.
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5
Electrocardiography (ECG)
“Is the heartbeat regular?”
While ultrasound examines heart structure, ECGexamines electrical activity. ECG is selected for suspected arrhythmias, unsteadiness or fainting. If a short recording misses the episode, we may consider Holter monitoring for 24 hours to 14 days.
We first review history, examination, auscultation and previous records, then select tests for the current symptoms and purpose of the visit. We explain the items and estimated costs and proceed with your agreement. This is general information; individual diagnosis and treatment are determined with your veterinarian.