I recently saw a 14 year old Havanese with Mitral and Tricuspid endocardiosis that was in congestive

heart failure.

I did an EKG and Boots also had Atrial Fibrillation.

I had been treating Boots with Enalapril, Furosemide and Pimobendan.

Because it was the end of the day I referred Boots to the local Blue Pearl for hospitalazation and

management of his CHF and Atrial Fibrillation.

They kept Boots on the triple therapy for CHF and added Diltiazem.

I have a couple of questions for you would be cardiologists:

I recently saw a 14 year old Havanese with Mitral and Tricuspid endocardiosis that was in congestive

heart failure.

I did an EKG and Boots also had Atrial Fibrillation.

I had been treating Boots with Enalapril, Furosemide and Pimobendan.

Because it was the end of the day I referred Boots to the local Blue Pearl for hospitalazation and

management of his CHF and Atrial Fibrillation.

They kept Boots on the triple therapy for CHF and added Diltiazem.

I have a couple of questions for you would be cardiologists:

1. Is diltiazem safe to use when a dog is in CHF?

2. Could I use Digoxin if needed and would I have to stop the Pimobendan?

My local Blue Pearl does a good job for me and I have no complaints- this case just made me consider my options

Thanks