Felis ISSN 2398-2950

Dietetic diet: for cardiac insufficiency

Contributor(s): Marge Chandler, Penny Watson

Introduction

Name

  • EC Directives: 93/74/EEC and 94/39/EC.
  • Feeding Stuffs Regulations 1995 (UK).

Class of drug

  • Dietetic pet food.
  • Currently there are no commercial therapeutic diets marketed for feline cardiac insufficiency in Europe or the USA.
  • Recommendation is to address nutritional properties as noted below.
It is not recommended to feed a diet for renal disease unless concurrent IRIS Stage 2 to 3 CKD is present Kidney: chronic kidney disease.

Description

Nutritional properties

  • Moderately restricted sodium. Severe sodium restriction in severe cardiac failure is likely not beneficial due to the activation of the renin angiotensin aldosterone mechanism.
  • Increased potassium:sodium ratio.
  • Increased magnesium.
  • Increased water-soluble vitamins.
  • Increased taurine Taurine and l-carnitine L-carnitine.
  • Increased omega-3 fatty acids Omega-3 fatty acids.
  • Adequate protein (not restricted unless there is concurrent IRIS Stage 2 to 4 CKD).

Uses

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Indications

Administration

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Precautions

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Freeman L M, Rush J E, Cunningham S M et al (2014) A randomized study assessing the effect of diet in cats with hypertropic cardiomyopathy. J Vet Intern Med 28(3), 847-856 PubMed.
  • Fox P R & Sturman J A (1992) Myocardial taurine concentrations in cats with cardiac disease and in healthy cats fed taurine-modified diets. Am J Vet Res 53(2), 237-241 PubMed.
  • Michell A R (1989) Physiological aspects of the requirement for sodium in mammals. Nutr Res Rev 2, 149-160.

Other sources of information

  • Tufts HeartSmart website (2016) (information on heart disease for pet owners, including nutrition, eg low sodium diets for dogs and cats, treats, omega-3 fatty acid supplements): www.tufts.edu/vet/heartsmart.
  • Freeman L M (2015) Nutritional management of heart disease. In: August's Consultations in Feline Internal Medicine. 7th edn. Little S P (ed). St. Louis, MO: Elsevier, pp 403-411.
  • Roudebush P & Keene B W (2010) Cardiovascular disease. In: Small Animal Clinical Nutrition. 5th edn. Topeka: Mark Morris Institute.

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