– 12 year old MN Min Poodle x  with CVD and atrial fib (diagnosed via cardiologist on ECG)

– currently on furosemide TID, an ace-inhibitor, pimobendin and diltiazem

– despite increasing the dose of furosemide, cough persists

– recent chest rads and some of the echo below

– echo consistent with CVD, severe LAE, mild LV dilation, no pulmonary hypertension

– a recheck ECG shows that atrial fib is persisting despite meds HR around 200 at time of the exam

– recent bloodwork shows no abnormalities

– 12 year old MN Min Poodle x  with CVD and atrial fib (diagnosed via cardiologist on ECG)

– currently on furosemide TID, an ace-inhibitor, pimobendin and diltiazem

– despite increasing the dose of furosemide, cough persists

– recent chest rads and some of the echo below

– echo consistent with CVD, severe LAE, mild LV dilation, no pulmonary hypertension

– a recheck ECG shows that atrial fib is persisting despite meds HR around 200 at time of the exam

– recent bloodwork shows no abnormalities

– TFAST performed on the lungs did no produce lung rockets (very few noted)

I am looking for some advice on how to manage the cough. The heart is very large and appears to be pressing on the main stem bronchus. Also there looks like there may be some evidence of small airway disease on chest rads. The lungs do not look that “wet” to me. Would you add hycodan? spironlactone? Any other suggestions greatly appreciated.