ACT NOW —
Implement the 2009 ACVIM Guidelines
American College of Veterinary Internal Medicine (ACVIM) issues new guidelines for
CHF treatment protocols1
In 2009, the ACVIM issued a consensus statement that recommended protocols for
diagnosing, treating, and managing congestive heart failure (CHF) in dogs.1
Click
here to view the ACVIM Consensus Statement
.
What are consensus statements?
"Consensus Statements of the ACVIM provide the veterinary community with up-
to-date information on the pathophysiology, diagnosis, and treatment of clinically
important animal diseases. The ACVIM Board of Regents oversees selection of
relevant topics, identification of panel members with the expertise to draft the
statements, and other aspects of assuring the integrity of the process."
"The statements are derived from evidence-based medicine whenever possible
and the panel offers interpretive comments when such evidence is inadequate or
contradictory. A draft is prepared by the panel, followed by solicitation of input by
the ACVIM membership, which may be incorporated into the statement. It is then
submitted to the Journal of Veterinary Internal Medicine, where it is edited prior to
publication. The authors are solely responsible for the content of the statements.1"
New ACVIM guidelines recommend VETMEDIN® (pimobendan) for first-line CHF
therapy1
As part of the new ACVIM guidelines, veterinary cardiologists agree that standard treatment for dogs with CHF should include VETMEDIN at the first appearance of clinical signs.1
ACVIM CHF Treatment Recommendations: Use VETMEDIN when clinical signs
appear
2009 Guidelines—Specialty of Cardiology Consensus Panel of the ACVIM1

"The ACVIM consensus panel agrees that standard treatment for dogs with Stage C
CHF should include furosemide, pimobendan, and an ACE inhibitor.”
Steve Ettinger, DVM, Dipl. ACVIM
(Cardiology, Internal Medicine)
Important safety information
VETMEDIN should not be given in case of hypertrophic cardiomyopathy, aortic stenosis, or any other clinical condition where an augmentation of cardiac output is inappropriate for functional or anatomical reasons.
The safety of VETMEDIN has not been established in dogs with asymptomatic heart disease or in heart failure caused by etiologies other than atrioventricular valvular insufficiency or dilated cardiomyopathy. The safe use of VETMEDIN has not been evaluated in dogs younger than 6 months of age, dogs with congenital heart defects, dogs with diabetes mellitus or other serious metabolic diseases, dogs used for breeding, or pregnant or lactating bitches. Use only in dogs with clinical evidence of heart failure.
Reference:
1. Atkins C, Bonagura J, Ettinger S, et al. Guidelines for the diagnosis and treatment of canine chronic valvular heart disease. J Vet Intern Med. 2009;23(6):1142–1150.