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In the early stages, heartworm has no clinical signs and it may not be detectable via laboratory tests for up to six months.
Clinical signs and physical examination findings that can develop include:
- Persistent cough
- Exercise intolerance
- Dyspnea
- Abnormal lung sounds
- Hepatomegaly
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- Syncope
- Ascites
- Abnormal heart sounds
- Death
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After the prepatent period, the adult stage of the infection can be determine by detecting heartworm antigen in the blood. A less sensitive means of diagnosis is to identify microfilariae in the dog’s blood.
Radiography of the chest and electro- or echocardiography may also be helpful in making a diagnosis, and may indicate the severity of the infection.
View/print the Canine heartworm algorithm (PDF) |