A Veterinarian’s Breakdown of Cat Heartworm

A Veterinarian’s Breakdown of Cat Heartworm

Based on an article that first appeared at

As veterinarians, we see a wide range of health concerns in our feline friends. One potential threat often overlooked by cat owners is heartworm disease. While less common in cats than dogs, heartworm infection still poses a serious health risk. Understanding the prevalence of this disease in cats, along with the importance of prevention, is crucial to keeping your furry companion safe.

Unfortunately, unlike canine heartworm disease, there is currently no approved treatment for cats. This makes prevention the absolute cornerstone of protecting your feline friend from this potentially life-threatening condition. In this article, we’re exploring the world of feline heartworm disease, its prevalence, how cats become infected, and most importantly, the preventative measures you can take to protect your cat. Let’s go!

What are Heartworms?

Heartworms, scientifically known as Dirofilaria immitis, are parasitic worms that take up residence in the heart and lungs of infected animals. These slender, foot-long worms wreak havoc on an animal’s internal systems, causing significant damage to the heart, lungs, and surrounding blood vessels.

Adult heartworms in an infected animal release microscopic larvae into the bloodstream. A feeding mosquito ingests these larvae when it bites the infected animal. Once inside a mosquito, the larvae mature over a period of time. When the infected mosquito bites another animal, like a cat, the mature larvae from the mosquito enter the mammal’s bloodstream. These larvae then travel through the body, eventually reaching the heart and lungs, where they mature into adult heartworms, perpetuating the cycle.

Cat walking outside.

How Do Cats Get Heartworms?

The heartworm lifecycle holds the key to understanding how cats become infected. Mosquitoes act as the primary transmitter, picking up immature heartworm larvae when they feast on an already-infected animal, typically a dog, fox, coyote, or another mammal that serves as a natural host.

Once inside the mosquito, the larvae mature over several weeks. When the infected mosquito bites a cat, these mature larvae make their way into the cat’s bloodstream, beginning their journey to the heart and lungs.

Where things differ for cats compared to dogs:

Cats are not a natural host for heartworms. And thanks to their predominantly indoor lifestyle, they have a lower chance of encountering infected mosquitoes. Additionally, a cat’s immune system is more adept at attacking these invaders. Often, the immature larvae die off before they can mature into adult heartworms. This is why heartworm disease is less common in cats than in dogs.

However, it’s important to remember that this doesn’t mean your indoor cat is completely safe. Mosquitoes can make their way indoors through open windows, doors, or small cracks. Plus, some cats have access to the outdoors through screened porches or occasional escapes, increasing their risk of exposure. While heartworms often don’t reach maturity in cats, they can still cause considerable damage and cause what is known as heartworm-associated respiratory disease .

Discussing your cat’s specific risk factors with your veterinarian and implementing appropriate preventative measures, which we’ll explore in the next section, is extremely important when it comes to safeguarding your feline friend against these devastating parasites.

Can All Cats Get Heartworm Disease?

Yes, all cats are susceptible to heartworm disease, but it’s significantly less common than in dogs. This is due to several factors, including a cat’s indoor lifestyle and their immune system’s ability to attack the immature larvae before they mature.

Is My Cat at Risk?

While heartworm disease is less common in cats than dogs, understanding your cat’s risk factors is crucial.

Consider these risk factors:

  1. Outdoor Access: Unsurprisingly, cats who spend time outdoors, even occasionally, are at a higher risk of being bitten by infected mosquitoes.
  2. Mosquito-Prone Areas: Living in a region with a high mosquito population increases your cat’s risk, regardless of indoor or outdoor status. Mosquitoes are skilled at finding their way indoors, especially during the warmer months.

Given these considerations, it is wise to discuss your cat’s specific risk factors with your veterinarian during their annual checkup. They will assess your cat’s overall health and risk factors to help you determine whether your feline friend needs preventative medication.

What Are the Symptoms of Heartworm Disease in Cats?

Unfortunately, heartworm disease often begins with very subtle — or even non-existent — symptoms. This makes early detection challenging.

Potential signs of heartworm disease to watch in cats for include:

  • Coughing: A persistent cough, especially after exertion, is a common sign of heartworm infection in cats.
  • Weight Loss: Unexplained weight loss, even with a seemingly normal appetite, can indicate heartworm disease.
  • Lethargy: Cats with heartworm disease may exhibit decreased activity levels and appear more tired than usual.
  • Difficulty Breathing: Labored breathing, especially during playtime or while resting, is a serious symptom that warrants immediate veterinary attention.

Cat getting heartworm medication application.What If I See a Worm in My Cat’s Feces?

While seeing a worm in your cat’s stool can be alarming, it’s not a heartworm. Heartworms reside in the heart and lungs — not the intestines. If you observe worms in your cat’s feces, schedule a visit with your veterinarian for proper diagnosis and treatment. They can identify the parasite and recommend the most effective course of action.

Why Are Annual Checkups Important?

Early detection of heartworm disease is critical for optimizing your cat’s health and well-being. Regular veterinary checkups, including physical examinations and potential diagnostic tests when necessary, are essential in identifying this condition (and many others) before it progresses. Early intervention helps manage symptoms and improves your cat’s quality of life.

How Can I Protect My Cat from Heartworm?

As mentioned above, there is currently no approved treatment for feline heartworm disease, which makes prevention crucial. Thankfully, several effective preventative medications are available.

These medications, often administered in a topical or chewable form, work by killing developing heartworm larvae before they mature into adults. Some popular options include Revolution Plus, which protects against heartworms and treats common feline parasites like fleas, intestinal worms, and ear mites. Your veterinarian will help you choose the best preventative medication for your cat based on their age, lifestyle, and overall health.

Does My Cat Need Year-Round Protection?

Year-round preventative medication is crucial, even for indoor cats. As mentioned earlier, mosquitoes can find their way indoors, and it only takes one bite to cause an infection. And while mosquitos are most prevalent during the summer, keeping your feline friend on an effective preventive throughout the year ensures the most comprehensive protection.

What Should I Know About Living with a Cat with Heartworm Disease?

Because there is no cure for heartworm disease in cats, living with a cat with this condition means managing symptoms to improve their quality of life. This may involve medications to help with coughing, difficulty breathing, or other complications associated with the infection. Your vet will develop a plan to address your cat’s symptoms and provide them with as much comfort as possible.

Are There Any Natural Remedies for Heartworms?

Unfortunately, there are no safe or effective natural remedies for heartworm disease in cats. If you suspect your cat has heartworms, consulting your veterinarian is essential. They can diagnose the disease and create a treatment plan to manage your cat’s symptoms and improve their quality of life. Following your veterinarian’s guidance and using only approved preventative medications are the best ways to safeguard your feline friend from heartworm disease.

Cat Heartworm Concluded

While heartworm disease is less common in cats than dogs, it can still pose a serious health threat to your feline companion. Understanding the risk factors, the importance of prevention, and the limitations of treatment are crucial for keeping your cat safe. Regular veterinary checkups and year-round preventative medication form the foundation of a proactive approach to protecting your cat’s health. By working together with your veterinarian, you can ensure your feline best friend enjoys a long, healthy life free from heartworm disease.

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