Veterinary Cardiology
The Veterinary Cardiology Department at LeadER Animal Specialty Hospital in South Florida provides advanced diagnostic evaluation of heart disease. Our animal hospital has extensive experience in treating acquired and congenital heart disease as well as pericardial disease.
The most common acquired heart diseases in dogs and cats include degenerative valvular heart disease and cardiomyopathy. The term congenital refers to developmental defects in the heart that are typically present in patients since birth. The term pericardial refers to changes in the sac, or pericardium, that surrounds the heart. Most pericardial diseases involve the formation of fluid within the pericardial sac.
Using echocardiography, x-rays, and electrocardiography (EKG) as well as fluoroscopy for intervention in cases requiring surgical management such as pacemaker implantation or balloon valvuloplasty, the veterinary cardiologist at our animal hospital in South Florida can determine the best course of therapy for your loved one.
With a wide variety of emergency vet therapies available, we can perform many different types of procedures utilizing both non-invasive and invasive techniques which help patients avoid large incisions leading to shorter recovery times.
Our animal hospital in South Florida offers a range of Veterinary Cardiology services including:
- Transthoracic and contrast-enhanced echocardiography
- Bubble studies to rule out cardiac defect, ex. shunts
- Cardiac clearances for breeders and owners
- Heartworm treatment
- Electrocardiography
- 24-hour Holter and event monitoring
- In-house telemetry monitoring
- Thoracic radiographs
- Thoracocentesis and pericardiocentesis
- Abdominocentesis
- Abdominal ultrasound
- Ultrasound guided-fine needle aspirate and true-cuts
- Atropine-response test
- Management of hospitalized cardiopulmonary patients
- Oxygen therapy
- Thoracic computed tomography
- Fluoroscopy
- PDA ligation
- Transvenuous pacemaker placement
- Balloon valvuloplasty
- Subtotal pericardectomy
- Cardiac catheterization
Special interests include:
- Arrhythmias
- Congestive heart failure
- Pulmonary disease
LeadER Cardiology FAQs
Can I bring my loved one to Dr. Schroeder for routine veterinary care?
No.Your regular veterinarian is absolutely the best person to handle routine veterinary care.This includes spay/neuter/declaw procedures, vaccinations, and diagnosis/treatment of non heart or lung-related problems (i.e. skin infections, urinary problems, etc.).Heartworm preventative and prescription diets are typically provided by your regular veterinarian as well.
Can my regular veterinarian provide follow-up care for my loved one?
Absolutely. Simple follow-up testing such as bloodwork may be performed by your regular veterinarian. Have them fax/email Dr. Schroeder the results, and we can work with your regular veterinarian to guide medical therapy, etc. More advanced follow-up testing (recheck echocardiography, sometimes x-rays) may be best performed at Dr. Schroeder’s office, and we will discuss when we need to do this.
Do I need to do anything before the appointment?
Please bring a copy of your loved one’s medical record, including any test results, x-rays, etc. If your veterinarian has indicated that they will send us the records, please verify receipt of these records prior to your appointment. Most of the time, it is not necessary for a loved one to be fasted prior to the consultation. If your loved one is taking medication for their particular condition, it is generally advised that they receive their medication in the morning like usual and bring them with you to the appointment. If you have any specific questions, please do not hesitate to call and check with our receptionists. If they are unable to answer your question, then they will check with the Cardiology nurses, Diana or Edgar.
How do I get an appointment with Dr. Schroeder?
Dr. Schroeder works on a referral basis. What this means is that your regular veterinarian must authorize us to see you and your loved one. Please contact our front desk or receptionists, and they will be happy to facilitate this process for you.
Is Dr. Schroeder available for phone or telemedicine consultations?
No. The best way to evaluate patients is with a complete physical examination, which cannot be performed over the phone. If your veterinarian has questions for Dr. Schroeder regarding a particular loved one, they are welcome to give him a call.
My loved one is being treated for congestive heart failure. Is is safe to still vaccinate my loved one, continue heartworm preventative, flea/tick medications, and vitamin or joint supplements?
Generally, yes. However, if patients have active heart failure and are sick, we generally recommend delaying vaccinations until they are doing well for at least a month or two on cardiac medications. We are obligated by law to continue vaccinating dogs and cats for rabies. Patients that are too sick for a vaccination may have their blood tested to see if they have adequate antibody titers for protection against the rabies virus. This test may be performed by your regular veterinarian, and the blood is sent to the lab at Kansas State University. Most boarding facilities require vaccination for Bordetella.
Heartworm preventative is absolutely safe and recommended for patients being treated for congestive heart failure. Mosquitoes are present in South Florida year-round, and even dogs with heart failure may be infected with heartworms.DO NOT STOP GIVING HEARTWORM PREVENTATIVE.
Flea and tick medications are generally safe for patients with congestive heart failure. Ask your regular veterinarian which preparations will work best for your loved one.
Vitamins and joint supplements are generally safe for patients with congestive heart failure. Ask your regular veterinarian which products they recommend.
What about follow-up visits for rechecks?
We will schedule rechecks as deemed necessary. If it has been more than a couple of months since your last recheck, please verify all your pertinent information (address, telephone numbers, referring veterinarian information, etc.) with the receptionist prior to your appointment. IF you arrive more than 15 minutes late for a recheck appointment, you will either need to drop-off your loved one for the day, reschedule or see one of the emergency doctors.
What if my loved one is having an emergency?
Please call the front desk and let them know the nature of your loved one’s emergency (i.e. difficulty breathing, passing out or fainting, etc.) and bring them in immediately. Your loved one will be immediately triaged and taken to the ICU if they appear unstable upon arrival. If your loved one is having labored breathing, please allow us to bring the loved one to ICU, as at least temporary placement in the oxygen cage may be necessary. An emergency veterinarian will meet with you and discuss what needs to be done. The emergency veterinarians always contact Dr. Schroeder if one of his patients comes in on emergency. If your loved one has not seen Dr. Schroeder previously, but your regular veterinarian requested that they be transferred to the Cardiology service, then the emergency veterinarian will hospitalize your loved one, and they will be evaluated by Dr. Schroeder usually the next morning. If it is during normal business hours, and Dr. Schroeder’s schedule is full, you will need to come in through emergency. This means you will be talking to an emergency doctor, who will then consult with Dr. Schroeder.
What is going to happen when I come to my appointment?
When you come in you will be greeted by the receptionists at the front desk. Give your name and your loved one’s name, and we will sign you in. If you haven’t filled out an information sheet, you will be asked to do so at that time. If this is your first appointment with Dr. Schroeder, please make every effort to arrive at least 30 minutes prior to your scheduled appointment time. This gives us time to enter all the necessary information into our system and allows Dr. Schroeder to review all pertinent medical records. IF you arrive over 30 minutes late to your initial scheduled appointment, you will need to reschedule. We try to make every effort for you to be in the examination room at the scheduled appointment time. Of course, emergencies arise and you may occasionally be asked to wait a few minutes up front. Dr. Schroeder’s new consultations typically last an hour and rechecks are one half-hour. We ask that you do not bring other loved ones with you to the appointment, as it tends to be a distraction. We also ask that you please turn your cellular phones off. Bring a light jacket, as it tends to be cold in the examination room.
Once you get into the examination room Diana or Edgar – the technicians on Dr. Schroeder’s service, will take a history, verify what current medications your loved one is receiving, give you an estimate (typically the initial consultation fee including an echocardiogram/ultrasound of the heart or recheck fee including x-rays and bloodwork) for authorization and take your loved one to the treatment area. There, we will obtain vital signs and Dr. Schroeder will perform a complete physical examination, review the pertinent medical records and perform the echocardiogram and/or other authorized tests. If your loved one has had an echocardiogram, we may have to recheck it. Echocardiography is a user-dependent test that is best evaluated in real-time (not on disc from still images and a few loops).If your loved one has had an echocardiogram performed by (not just reviewed by) a board-certified veterinary cardiologist within the last 3 months or so, Dr. Schroeder will not need to repeat it. An ultrasound examination takes approximately 10-15 minutes, x-rays usually take about 5-10 minutes, and bloodwork normally takes 20-30 minutes. Dr. Schroeder will then meet with you, discuss the results as well as your options for any further diagnostics and treatment when necessary.
You will receive typed discharge instructions that contain information about diagnostic results, any medications that are being prescribed, and when to follow-up for a recheck. These include directions for medication use, side-effects and possible drug interactions, as well as any possible symptoms to look out for. You will also receive a copy of test results for your own records (i.e. the echocardiogram report), as well as additional information about heart disease and your loved one’s specific condition.
What is the best way to get a hold of Dr. Schroeder?
If you need to leave Dr. Schroeder a message, please call the front desk and ask to be transferred to Dr. Schroeder’s voicemail. Please leave your name, your loved one’s name, your message and a number where we can reach you after 4 PM Monday through Thursday and after noon on Friday. We will make every effort to return your call that day. If it is after hours, or on a weekend, then we will return the phone call the next business day. Diana, Edgar or Dr. Schroeder himself will return your call. Please do not leave multiple messages – if your loved one is having an emergency, bring them in immediately on emergency. Dr. Schroeder sees appointments all day long and is frequently dealing with hospitalized patients. We usually don’t get to messages until later in the afternoon. You may email the hospital’s website but bear in mind Dr. Schroeder typically doesn’t receive emails until a few days later. Voicemail works the best.
Will my loved one need to be sedated for testing?
Typically not. It is very uncommon that we require sedation for simple testing including bloodwork, x-rays, echocardiography/ultrasound. Tests that do require sedation and/or anesthesia will be discussed with you in advance, and typically set-up as a drop-off. For standard x-rays or echocardiography, patients are gently restrained on their side on a special examination table. Patients that may bite are muzzled for everyone’s safety. Cats that have claws will be trimmed.
Will my regular veterinarian be kept informed?
Absolutely. It is Dr. Schroeder’s mission to keep your regular veterinarian fully informed and up to date on every case he sees. Typically, a summary letter is faxed/emailed and sent to your veterinarian the very same day as your appointment. Your regular veterinarian will be updated after every recheck and hospitalization as well. All reports on testing performed by Dr. Schroeder as well as the results of bloodwork or other laboratory testing will be provided to your veterinarian.
Veterinary Cardiology Prescriptions and Refill Requests
We will be happy to take requests for refills on prescriptions Monday-Thursday 8:00AM-5:00 PM, and Fridays 8:00AM-11:00AM. Please call the front desk, and ask to leave a message on Diana’s voicemail. Leave your name, your loved one’s name, the medication and quantity. You may also leave the request with the receptionist. Kindly allow us 48 hours to fill the prescription. Most of the time, they will be ready within 24 hours, however requests coming in on Fridays may not be ready until late Monday evening. They will be ready for you to pick up at the discharge desk, and we can call you when they are ready to be picked up. If you would like a written prescription, just let us know.Â
PLEASE, do NOT run out of medications, especially furosemide. Think ahead, and call in a request at least 1-2 weeks BEFORE you will run out. If your loved one is completely out of medication, and it is after hours, weekends or a Friday afternoon, the emergency doctors are only allowed to fill a few day’s worth of medication. We cannot promise the medications will be filled the same day, as these hours are spent dealing with emergencies.  This facility is NOT a 24 hour pharmacy.  IT IS YOUR RESPONSIBILITY TO MAKE SURE YOUR PET DOES NOT RUN OUT OF MEDICATIONS.   Â
Generally speaking, patients on heart failure medications, (i.e. furosemide, enalapril, digoxin, pimobendan, etc.) should have bloodwork at least every 6 months to monitor kidney values. You may have this bloodwork done here or with your regular veterinarian, in which case they need to fax us the results. It is ILLEGAL for us to prescribe or dispense medications for a patient that we have not seen for over 1 year. If your loved one does not need to come here yearly for a recheck for whatever reason, you must have your regular veterinarian fill their medications.Â
We can FedEx medication to your house if need be. We will need to get a credit card on file for this, and the receptionist can help you with this. Â