When To Euthanize A Cat With Heart Failure? (2024)

A terminal problem, such as congestive heart failure, drastically reduces the quality of life of pets. If your cat is suffering from congestive heart failure, you need to be mentally prepared that this condition can progressively become tougher to treat.

And when that happens, you need to be prepared to take difficult end-of-life decisions for your pet.

So, when exactly is the right time to euthanize a cat suffering from congestive heart failure?

Key Takeaways

  • Cats with heart failure may have a good chance at a long life if diagnosed early and treated properly
  • The end stage of heart failure in cats is characterized by symptoms such as chronic coughing, difficulty breathing, and an inability to eat or drink
  • The life expectancy of cats with heart failure varies depending on the stage at which the condition is diagnosed
  • Before considering euthanasia, pet owners should try alternate treatments and switch to hospice care
  • The decision to euthanize a cat with heart failure is a personal one, but should be made with the guidance of a veterinarian and when the cat is no longer responding to treatments and is suffering.
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What Are The Signs Of The End Stage Of Heart Failure In Cats?

When To Euthanize A Cat With Heart Failure? (3)

Cats with an early diagnosis of heart failure have a healthy chance at a long life. They will need lifelong medications and regular visits to the vet – but they don’t need to be euthanized.

As long as the treatments are working, you don’t need to worry about taking a decision to euthanize your cat.

It is when your cat starts developing symptoms of the end stage of heart failure that you may need to switch to either hospice care or opt for euthanasia.

This is why it is important for you, as the pet owner, to be aware of what end-stage heart failure could look like in cats.

The most common symptoms and signs include:

  • Chronic cough or wheezing
  • Dyspnea – acute shortness of breath and trouble breathing
  • Increased heart rate and heart palpitations
  • Swellings caused by trapped fluids
  • Refusal to eat or drink
  • Inability to defecate or urinate or use the litter box

Other than all these symptoms, the most important sign that you may need to take end-of-life decisions for your cat is when your cat’s health stops responding to any treatment.

Must Read: When To Put Your Cat Down? The Complete Checklist

What Is The Life Expectancy Of Cats With Heart Failure?

When To Euthanize A Cat With Heart Failure? (4)

If the heart failure of your cat has been diagnosed early on, your cat has a greater chance of surviving for a substantial amount of time.

Most cats with an early diagnosis need a lifelong treatment – this includes medications, x-rays, blood tests, and constant vigil on part of the cat’s pet owner.

If you take proper care of your cat after an early diagnosis of heart failure, your cat will be able to live for close to 3 to 4 years.

However, the later the diagnosis, the worse the prognosis. This means that if your cat’s heart condition is diagnosed at a later stage, it may not be able to survive that long.

Most cats with a delayed diagnosis of heart failure can live for 12 to 18 months with proper treatment.

In the worst-case scenario, if your cat’s heart condition is diagnosed in the end stage, it may have only a couple of months to live.

Cats with end-stage heart failure can live for close to 3 months without treatment or with hospice care. With treatment, they may be able to live for around 6 to 8 months.

Interesting Read: How To Euthanize A Cat With Over-The-Counter Drugs?

When Should You Euthanize Your Cat With Heart Failure?

When To Euthanize A Cat With Heart Failure? (5)

Your decision to euthanize your cat is a personal decision. But you should not immediately jump to this decision.

It is always recommended that you first talk to your vet about your cat’s disease and prospects of recovery.

There are two things that you should do before you consider euthanizing your cat:

1 – Try Alternate Treatments

In the case of congestive heart failure, a cat needs to be undergoing treatment for its entire lifetime.

There are different medicines of different powers that your vet may prescribe depending on the condition of your cat.

When one form of treatment stops working, you should opt for another. If, for instance, your cat has started refusing to eat anything, you could try IV.

If you have the resources for it, and if your cat has even a slight chance of responding to an alternate treatment, you should discuss that with your vet.

However, note that you should not force multiple treatments on your cat if it is visibly suffering. Even the process of undergoing treatment is painful and physically and mentally exhausting.

2 – Try Hospice Care

When your cat stops responding to any treatment, you should switch to hospice care. This will involve giving painkillers that allow your cat to remain painless and pass away in peace when its time comes.

Sadly, as congestive heart failure progresses, even hospice care loses its effectiveness.

Interesting Read: Did I Put My Cat To Sleep Too Soon?

Euthanizing Your Cat With Heart Failure

The saddest part of being a pet owner is that sometimes you are put in a position where you may have to decide to end your pet’s life.

This is the case with many cat parents whose cats have end-stage heart failure. When even hospice care stops working, you need to consider euthanasia as the only alternative.

Heart failure in the final stage leads to the death of a cat. And while it may seem ideal to let a cat peacefully succumb to the illness, the death that comes with heart failure is seldom peaceful.

Also Read: Where To Euthanize A Cat For Free Or Cheap?

A cat with final-stage heart failure will experience seizures, total or partial blindness, acute shortness of breath, and tightness in its chest because of the fluid influx in its lungs before it passes away due to congestion. It won’t be an easy death for your pet.

This is why, if your cat is experiencing final-stage heart failure and if it has stopped responding to hospice care, you should consider euthanizing your cat. Euthanasia will ensure that your cat passes away in as painless a way as possible.

Interesting Read: How To Do Cat Euthanasia Yourself At Home?

Frequently Asked Questions

Should I put my cat down if he has congestive heart failure?

You might be able to take your cat home and manage its condition for a little while longer if they get better within 48 hours of receiving treatment. However, it is typically time to say goodbye if your cat has cardiac symptoms that do not get better with treatment.

Can heart failure come on suddenly in cats?

A few cardiac conditions have “peracute” or abrupt onsets. Sudden onset heart disease in cats might come as quite a shock if they haven’t had a full medical check and may not have any prior symptoms.

Why do cats with heart failure cough?

When heart failure sets in, your cat will initially start breathing more quickly before becoming breathless. As fluid begins to accumulate in the lungs, coughing may be experienced.

Interesting Read: Did My Cat Know He Was Being Put To Sleep?

Final Words

Congestive heart failure is a condition that affects cats in different stages. It is often progressive, and the end stage of this condition is painful and makes life insufferable for cats.

Cats with an early diagnosis are able to live relatively comfortably for 3 to 4 years. They will need lifetime medication and treatment, but they will survive.

However, cats with a late diagnosis often have less than a year to live. When treatments stop working and hospice care doesn’t help with the pain either, it may be time for you to euthanize your cat with heart failure.

Interesting Read: Should I Stay With My Cat When It Is Euthanized?

Must Read: How To Deal With Regret And Grief After Putting Cat To Sleep?

A Cat Owner’s Final Guide: What To Do After Cat Euthanasia?

Interesting Read: Is It Legal To Euthanize A Healthy Cat?

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References

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When To Euthanize A Cat With Heart Failure? (7)

Dr. John Davis

John Davis is a passionate cat owner and a seasoned expert in cat health. He has spent over a decade studying and caring for cats and has been a proud cat parent for as long as he can remember.

When To Euthanize A Cat With Heart Failure? (2024)

FAQs

How do I know when to euthanize my cat with heart failure? ›

Loss of appetite and drinking less. Weakness, lethargy, inactivity. Grey or blue-coloured tongue and gums. Difficulty breathing and swallowing with unusual lung sounds.

What is the final stage of heart failure in cats? ›

End-Stage Congestive Heart Failure in Cats

An increased heart rate. Confusion. Dyspnea – shortness of breath. Swellings caused by trapped excess fluids.

What is the longest a cat can live with congestive heart failure? ›

Most cats with congestive heart failure will live 6 to 12 months. If a heart condition such as hypertrophic cardiomyopathy is detected early on, treatment and management can mean a close-to-normal lifetime for your cat.

How long does the final stage of congestive heart failure last? ›

If a patient has end-stage heart failure it means they are at high risk of dying in the next 6 to 12 months. These are the common symptoms of end-stage heart failure: pain. breathlessness on minimal exertion or at rest.

What are the 4 signs your heart is quietly failing? ›

Warning signs and symptoms of heart failure include shortness of breath, chronic coughing or wheezing, swelling, fatigue, loss of appetite, and others. Heart failure means the heart has failed to pump the way it should in order to circulate oxygen-rich blood throughout the body.

Do cats with heart failure stop eating? ›

Sometimes heart issues can make cats nauseous. They may be experiencing tummy troubles that can cause appetite loss. Your cat may lose their appetite altogether.

Are cats in pain with congestive heart failure? ›

Is heart failure in cats painful? Heart failure is not believed to cause acute pain, but it can cause your cat to become very lethargic and have difficulty breathing.

Does heart failure hurt cats? ›

Weakness in the hind legs, as well as laborious breathing because of fluid buildup, can be strong indications of the presence of heart disease. Congestive heart failure in cats often results in blood clots, which can cut the blood supply to the hind legs and even cause paralysis or even a cat heart attack if untreated.

How do you know when a cat is near end of life? ›

Physical Symptoms – Certain physical symptoms can also signal that a cat is near the end of their life. Loss of appetite, weight loss, and poor coat condition are all common signs of illness in cats, as well as difficulty breathing or laboured breathing.

What medication is used for heart failure in cats? ›

The use of a diuretic can be life saving when a cat is in a crisis caused by heart failure. Drugs called ACE inhibitors may be used to treat heart failure and high blood pressure. Medications that relax and enlarge blood vessels (such as amlodipine) are also commonly used to treat high blood pressure.

Can heart failure in cats happen suddenly? ›

Some heart diseases are “peracute” or sudden onset. There may be no warning signs or pre-existing symptoms and if your cat has not had a thorough physical examination, sudden onset heart disease can be quite a shock.

What medication is used for congestive heart failure in cats? ›

ACE inhibitors (ACE stands for angiotensin-converting enzyme) and vasodilators can widen blood vessels and thus lower blood pressure. Beta-adrenergic blocking drugs (also called beta-blockers) and calcium channel blockers are also helpful in some cases of congestive heart failure.

Which are two signs of worsening heart failure? ›

Signs of Worsening Heart Failure
  • Shortness of breath.
  • Feeling dizzy or lightheaded.
  • Weight gain of three or more pounds in one day.
  • Weight gain of five pounds in one week.
  • Unusual swelling in the legs, feet, hands, or abdomen.
  • A persistent cough or chest congestion (the cough may be dry or hacking)

What do the final days of congestive heart failure look like? ›

Patients in the end stages of heart failure want to know what to expect. The symptoms of end-stage congestive heart failure include dyspnea, chronic cough or wheezing, edema, nausea or lack of appetite, a high heart rate, and confusion or impaired thinking.

What happens in the last days of heart failure? ›

In the final stages of heart failure, people feel breathless both during activity and at rest. Persistent coughing or wheezing. This may produce white or pink mucus. The cough may be worse at night or when lying down.

What does a heart failure cough sound like? ›

What does a congestive heart failure cough sound like? A cough due to congestive heart fluid often sounds “wet.” Healthcare professionals describe a wet cough as one that produces rales, or crackles, when they listen to it with a stethoscope. Crackles sound like rattling or popping.

What is the difference between heart failure and congestive heart failure? ›

Actually, heart failure, sometimes called HF, means that the heart isn't pumping as well as it should. Congestive heart failure is a type of heart failure that requires timely medical attention, although sometimes the two terms are used interchangeably.

What is the number one symptom of heart failure? ›

Typical signs of heart failure include: Breathlessness or Shortness of Breath (Dyspnea) When the heart begins to fail, blood backs up in the veins attempting to carry oxygenated blood from the lungs to the heart. As fluid pools in the lungs, it interferes with normal breathing.

How can I help my cat with heart failure? ›

There are plenty of medications veterinarians recommend to help reduce fluid buildup, improve heart function, and/or normalize heart rhythms. A low-sodium diet may also be recommended to help prevent fluid accumulation. Most cats with congestive heart failure require medications for the remainder of their lives.

Can you save a cat with congestive heart failure? ›

Is It Curable? Unfortunately, most of the damage that occurs in the heart during heart failure is usually irreversible. However, with proper treatment you may be able to temporarily correct fluid buildup in the chest, lungs, or abdomen and start your cat on medications that help slow any further damage to the heart.

When should you euthanize a cat? ›

When to Put a Dog or Cat Down: Things to Consider
  • Terminal Disease. ...
  • Uncontrolled Pain or Loss of Mobility. ...
  • Untreatable Aggression or Behavioral Disease. ...
  • More Bad Days Than Good Days.
Sep 18, 2020

What is the end stage of HCM in cats? ›

The end stage of the disease is characterized by ventricular wall thinning, decreased myocardial contractility, and marked left atrial enlargement. Intracardiac thrombi or arterial thromboemboli (ATE) and CHF are consistent findings with ES-HCM (5).

What are the first signs of heart failure in cats? ›

What are the signs of heart disease in cats?
  • poor appetite.
  • weight loss.
  • lethargy.
  • increased respiratory rate and effort.
  • sudden collapse.
  • sudden hind leg paralysis accompanied by pain due to thromboembolism (blood clots) which may be referred to as a 'saddle thrombus'
  • stunted growth (kittens)

What does Lasix do for cats? ›

Overview of Furosemide (Lasix®) for Dogs and Cats

Furosemide, commonly known as Lasix®, is used to reduce fluid accumulation and prevent further edema from forming. It is primarily used to treat heart failure and pulmonary edema in dogs and cats.

What are 4 signs your cat is suffering? ›

Behaviour signs of a cat in pain

Lethargy. Decreased interest in positive things like playing, social interaction and exploring outside. Being withdrawn and hiding away. Appearing lame and experiencing increased sensitivity to touch in specific areas of their body.

What is the last stage in a cat life cycle? ›

The Task Force has designated four age-related life stages (Table 1): the kitten stage, from birth up to 1 year; young adult, from 1 year through 6 years; mature adult, from 7 to 10 years; and senior, aged over 10 years.

Do cats know they are being put to sleep? ›

They will only feel a needle prick, but some felines may be more sensitive to this than others. If your vet injects the euthanasia drug directly from a needle and syringe, again they may react slightly to the needle prick but will not experience any pain when the drug is being injected.

Is heart medication for cats expensive? ›

General Cost to Manage This Condition

The initial workup for a cat with HCM typically costs approximately $1,000-$1,500. Once these initial diagnostics have been completed, however, the ongoing costs associated with monitoring and treatment are often relatively low.

What are the side effects of heart medication for cats? ›

Side effects include loss of appetite, vomiting, liver failure (which may be reversible if the drug is stopped) and destruction of platelets by the immune system.

Can furosemide treat CHF in cats? ›

Cats with severe CHF may require high doses of furosemide, so the dose range is considerable. As a ceiling-loop diuretic, it results in loss of chloride, sodium and potassium (with water) in the renal tubules, so pre-renal azotemia and hypokalemia may subsequently develop.

Why is heart failure silent in cats? ›

Many cats, especially those in the early stages of the disease, may only have changes in the cardiac muscle that are detected during ultrasound examination of the heart. These cats are clinically silent (or asymptomatic), although many will go on to develop signs later on.

How old do house cats live? ›

Indoor cats generally live from 12-18 years of age. Many may live to be in their early 20s. The oldest reported cat, Creme Puff lived to be an amazing 38 years old. Outdoor cats generally live shorter lives due to being more likely to be involved in traumas such as motor vehicle accidents or dog attacks.

What can a vet do for congestive heart failure? ›

As a result, treatment for chronic CHF generally involves the use of 4 medications: furosemide, pimobendan, an angiotensin-converting enzyme (ACE) inhibitor, and spironolactone. These drugs are usually continued indefinitely. Other drugs may also be required.

Why won't my cat eat with congestive heart failure? ›

Pets with heart disease can lose their appetites or become picky eaters. Many owners of pets with heart disease find that their dog or cat's overall intake of food decreases. Your pet's food preferences also may change. This might be the result of worsening heart disease or side effects of certain medications.

Can you do anything for heart failure in cats? ›

There are plenty of medications veterinarians recommend to help reduce fluid buildup, improve heart function, and/or normalize heart rhythms. A low-sodium diet may also be recommended to help prevent fluid accumulation. Most cats with congestive heart failure require medications for the remainder of their lives.

How do I know if my cat is nearing end of life? ›

Physical Symptoms – Certain physical symptoms can also signal that a cat is near the end of their life. Loss of appetite, weight loss, and poor coat condition are all common signs of illness in cats, as well as difficulty breathing or laboured breathing.

What happens right before a cat dies? ›

You will notice your cat becoming more lethargic, sedentary and refusing to move. Their weakness will be very apparent in their hind legs, and they will also sleep a great deal more than usual.

How does HCM cause sudden death in cats? ›

Because HCM results in a severely thickened and poorly functioning heart muscle, congestive heart failure, an irregular heart beat (e.g., arrhythmia) and/or life threatening blood clots (commonly called a “saddle thrombus”) can occur, making this disease the most common cause of sudden death in indoor cats.

What are the symptoms of end stage HCM? ›

A person with end stage heart failure may experience symptoms of cardiovascular disease, including :
  • difficulty breathing.
  • fatigue (lack of energy)
  • abdominal pain.
  • severe, unexplained weight loss.
  • irregular heartbeat.
  • fluid retention.

How does HCM cause sudden death? ›

It occurs in about 1 out of 100 adults with hypertrophic cardiomyopathy each year. Sudden death is often the result of ventricular tachycardia (a type of rapid heart rate) or other dangerous arrhythmias, which can be caused by hypertrophic cardiomyopathy.

What do you feed a cat with congestive heart failure? ›

Dietary recommendations focus on maintaining cats' caloric and protein intake, avoiding high sodium intake, providing omega-3 fatty acids, and monitoring for nutrient deficiencies. Anorexia is a common problem in cats with CHF, so maintaining lean body mass with adequate calorie and protein intake is important.

How do cats act at end of life? ›

They may eat less, groom themselves less, and behave differently than normal. Some cats may become irritable and growl or hiss when interacting with other animals or humans. They may also seem anxious or restless.

How do you know if your cat is crying for help? ›

Signs Of Obvious Distress

Cats are typically very stoic animals, so if your cat suddenly seems to be in distress, it is a cause for concern. Howling, crying, hiding, and otherwise acting in a way that is out of character for your pet should alert you that something may be seriously wrong.

What is the meatloaf position in a dying cat? ›

Pay particular attention if your cat settles down in a so-called meatloaf position, where her nose is on the floor and her front paws are out of her body. This position often describes a cat in pain. If your cat replaces her bread loaf position with this one, it is a time to visit your vet.

References

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