When to visit the vet?
Non-urgent see a veterinarian within 2–3 days
If the condition worsens / symptoms persist, consult a veterinarian.
Definition
Arteriosclerosis in dogs is a condition in which the arterial walls harden and narrow, leading to restricted blood circulation. This condition can lead to a variety of health problems as it impairs blood flow to vital organs and tissues.
The most important facts at a glance
Arteriosclerosis in dogs is a rare but serious condition caused by hardening and narrowing of the arteries. It usually begins with damage to the inner endothelial layer of the arteries, leading to inflammation and the deposition of cholesterolCholesterol is a fat-like substance found in the body and is necessary for many vital functions, including building cell membranes and producing hormones. However, high cholesterol levels in the blood can increase the risk of heart disease. and other fats. These deposits, also called plaquesPlaques are deposits or accumulations of substances on the inner or outer surfaces of body tissues. In veterinary medicine, they can occur on the skin, in blood vessels, or in the brain., can block the blood vessels. Risk factors include genetic predispositionA predisposition is an innate inclination or susceptibility of an organism to certain diseases or conditions. In dogs and cats, there may be a genetic predisposition to certain conditions such as hip dysplasia or certain heart diseases., poor diet, being overweight, and diseases such as diabetes mellitus or hypothyroidism. Symptoms range from loss of appetite and weakness to respiratoryRespiratory refers to breathing or the process of breathing. Respiratory diseases affect the respiratory tract and can impair the ability to breathe effectively. distress and pain.
DiagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. is made through clinical examination, blood tests, and imaging procedures such as ultrasoundUltrasound refers to sound waves that are above the hearing threshold of the human ear. In medicine, ultrasound is used for diagnostic imaging procedures to visualize internal organs, tissues, and blood flow. or CT scans. Treatment focuses on slowing the progressionProgression refers to the advancement or worsening of a disease over time. It describes an increase in the severity or extent of the disease symptoms. of the disease and relieving symptoms. This includes dietary changes, medications to lower cholesterolCholesterol is a fat-like substance found in the body and is necessary for many vital functions, including building cell membranes and producing hormones. However, high cholesterol levels in the blood can increase the risk of heart disease. levels, and exercise. In severe cases, surgical intervention may be necessary. PreventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. is possible through a balanced diet, regular exercise, and veterinary checkups.
Research aims to better understand the genetic and environmental causes of arteriosclerosis in dogs. Scientists are also investigating new diagnostic methods and therapeutic approaches to detect and effectively treat the disease early. Genetic research could help reduce the risk of arteriosclerosis in certain dog breeds in the long term.
Causes
Arteries are blood vessels that transport oxygen-rich blood from the heart to the organs and tissues. Their walls consist of three layers: the inner endothelial layer, a middle muscular layer, and an outer connective tissue layer. Arteriosclerosis usually begins with damage to the endothelial layer, which leads to inflammation and the deposition of cholesterolCholesterol is a fat-like substance found in the body and is necessary for many vital functions, including building cell membranes and producing hormones. However, high cholesterol levels in the blood can increase the risk of heart disease. and other fats. These deposits, also called plaquesPlaques are deposits or accumulations of substances on the inner or outer surfaces of body tissues. In veterinary medicine, they can occur on the skin, in blood vessels, or in the brain., harden and narrow the arteries over time.
Arteriosclerosis is less common in dogs than in humans, but the scientific principles are similar. The disease can be triggered by genetic factors, poor nutrition, or other conditions such as diabetes mellitus or hypothyroidism. Older dogs and those with overweight are particularly at higher risk.
One of the main causes of arteriosclerosis is the accumulation of lipids. These lipids can penetrate the walls of the arteries, primarily when the endothelial layer is damaged. Inflammatory cells such as macrophages migrate into the damaged region and contribute to the formation of plaquesPlaques are deposits or accumulations of substances on the inner or outer surfaces of body tissues. In veterinary medicine, they can occur on the skin, in blood vessels, or in the brain..
Oxidative stressStress refers to the state of an organism reacting to external stimuli or demands. In veterinary medicine, stress can have physical or psychological effects on animals, impacting their health and well-being. and chronicChronic refers to a condition or disease that is long-lasting or permanent. Chronic diseases often develop slowly and can lead to persistent or recurring health problems over time. inflammation also play a role in the development of arteriosclerosis. Free radicals can cause cell damage and promote lipid peroxidation, which accelerates the formation of plaquesPlaques are deposits or accumulations of substances on the inner or outer surfaces of body tissues. In veterinary medicine, they can occur on the skin, in blood vessels, or in the brain.. Inflammatory mediators intensify this process by stimulating the migrationMigration refers to the movement or migration of cells or organisms from one place to another. In veterinary medicine, this can include the movement of parasites within the body of dogs and cats. and proliferation of smooth muscle cells in the arterial wall.
Other factors that can increase the risk of arteriosclerosis in dogs include lack of exercise, poor diet, and hormonal disorders. A diet high in saturated fats and low in antioxidants can contribute to the development of the disease. Hormones such as insulininsulin is a hormone produced by the pancreas. It regulates blood sugar levels by promoting the entry of glucose into cells. insulin deficiency or impaired insulin action are key features of diabetes mellitus. and thyroid hormones influence metabolism and can promote the development of arteriosclerosis when imbalanced.
Symptoms
The symptoms of arteriosclerosis in dogs can be subtle and difficult to recognize, especially in the early stages of the disease. In advanced cases, reduced blood supply to organs such as the heart, brain, or kidneys can lead to clinical symptoms.
A common symptom is reduced performance during walks or play. Dogs may tire more quickly or be unwilling to move. In some cases, coughing or breathing problems may occur, particularly when the coronary arteries are affected.
Other possible signs include loss of appetite, weight loss, and behavioral changes. Dogs may become more irritable or show signs of pain and discomfort. In severe cases, collapse or fainting may occur, especially during exertion.
Neurological symptoms such as disorientation, weakness, or sudden behavioral changes may occur if the blood supply to the brain is impaired. These symptoms require immediate veterinary examination.
The clinical picture is often shaped by underlying diseases (e.g., hypothyroidism, diabetes mellitus, hyperadrenocorticism, hyperlipidemiaHyperlipidemia is a condition in which there are elevated fat levels, especially cholesterol and triglycerides, in the blood. It can increase the risk of cardiovascular disease.).
Combined signs such as sudden neurologyNeurology is the branch of medicine that deals with the diagnosis and treatment of diseases of the nervous system. This includes the central nervous system (brain and spinal cord) and the peripheral nervous system. + vision problems + laboratory evidence of hyperlipidemiaHyperlipidemia is a condition in which there are elevated fat levels, especially cholesterol and triglycerides, in the blood. It can increase the risk of cardiovascular disease. and/or hypertensionHypertension, or high blood pressure, is a condition in which the blood pressure in the arteries is consistently elevated. In dogs and cats, this can lead to damage to organs such as the heart, kidneys, and eyes, and requires medical treatment. increase suspicion.
Diagnosis
The diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients. of arteriosclerosis in dogs begins with a thorough clinical examination and a detailed medical historyThe medical history is the systematic collection of a patient's medical history through questioning. It includes information about previous illnesses, treatments, allergies, and lifestyle habits.. The veterinarian will ask about symptoms, pre-existing conditions, and dietary habits. A blood testA blood test is a laboratory procedure in which blood is drawn and analyzed to obtain information about the body's health. It can include various parameters such as blood sugar, blood count, liver and kidney values. can be performed to determine cholesterolCholesterol is a fat-like substance found in the body and is necessary for many vital functions, including building cell membranes and producing hormones. However, high cholesterol levels in the blood can increase the risk of heart disease. and triglyceride levelsTriglyceride levels are a measure of the amount of triglycerides (certain fats) in your blood. Deviations from normal levels may indicate metabolic disorders or diseases. in the blood.
Imaging procedures such as ultrasoundUltrasound refers to sound waves that are above the hearing threshold of the human ear. In medicine, ultrasound is used for diagnostic imaging procedures to visualize internal organs, tissues, and blood flow., X-rayX-ray is an imaging technique that uses X-rays to create images of the inside of the body. It is often used to diagnose bone fractures, lung diseases, and other conditions., or CT scans can be used to assess the structure and function of the arteries. In some cases, angiographyangiography is an imaging technique that uses a contrast agent to visualize blood vessels. It is used in veterinary medicine to diagnose blood vessel diseases in dogs and cats. may be necessary to visualize the narrowing of the arteries.
Additionally, ECGs or echocardiograms may be performed to check heart function, especially if cardiac symptoms are present. These tests help determine the severity of the disease and rule out other potential causes.
Therapy
Treatment of arteriosclerosis in dogs aims to slow the progressionProgression refers to the advancement or worsening of a disease over time. It describes an increase in the severity or extent of the disease symptoms. of the disease, relieve symptoms, and reduce the risk of complications. A change in diet is often an important first step. A diet rich in omega-3 fatty acids, antioxidants, and fiber can help lower cholesterol levels and reduce inflammation.
Medications may be prescribed to control blood pressure, lower blood lipid levels, and prevent blood coagulationBlood coagulation is a process that helps stop Bleeding when a blood vessel is damaged. Platelets and certain proteins in the plasma form a blood clot that seals the wound.. Statins are medications commonly used to lower cholesterolCholesterol is a fat-like substance found in the body and is necessary for many vital functions, including building cell membranes and producing hormones. However, high cholesterol levels in the blood can increase the risk of heart disease. levels, while ACE inhibitors or beta blockers can help control blood pressure.
Exercise is another important factor in treatment. Regular, moderate exercise can help control weight and promote cardiovascular health. The veterinarian can recommend a special exercise program tailored to the dog’s needs.
In severe cases, surgical intervention may be necessary to remove blockages or create bypasses. However, these procedures are complex and are usually only performed in specialized clinics.
Prognosis and follow-up care
The prognosis for dogs with arteriosclerosis depends on the severity of the disease and the timing of diagnosisA diagnosis is the identification of a disease or condition by its symptoms and/or results from diagnostic tests. It is the first step in the management and treatment of patients.. Early detection and timely treatment can slow the progressionProgression refers to the advancement or worsening of a disease over time. It describes an increase in the severity or extent of the disease symptoms. of the disease and improve quality of life.
Dogs that are diagnosed and treated early can often lead a relatively normal life, especially if treatment is carried out consistently and lifestyle is adjusted. However, the prognosisThe prognosis is the prediction of the likely course and outcome of a disease based on the general state of health, the nature of the disease, and the response to treatment. It can provide information on how a disease is expected to develop. is poorer if the disease is diagnosed at an advanced stage or if serious complications occur.
Regular monitoring by the veterinarian is important to monitor the course of the disease and adjust the treatment if necessary. Owners should watch out for signs of deterioration and consult the veterinarian immediately if new symptoms occur.
Prevention
PreventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. of arteriosclerosis in dogs focuses on a healthy lifestyle and regular veterinary checkups. A balanced diet rich in healthy fats, fiber, and antioxidants can help reduce the risk. Avoid excessive amounts of saturated fats and ensure adequate supply of essential fatty acids.
Regular exercise is crucial to maintaining a healthy weight and promoting cardiovascular health. An active lifestyle can help regulate metabolism and reduce the risk of overweight and related diseases.
Regular veterinary examinations are important to monitor the dog’s overall health and respond early to potential problems. Blood tests can help monitor lipid metabolism and respond early to abnormalities.
In addition, dietary supplements containing omega-3 fatty acids and antioxidants can help reduce inflammations and support the health of blood vessels. However, these should always be administered in consultation with a veterinarian to ensure safe and effective use.
Outlook on current research
Arteriosclerosis is a condition that is rarely diagnosed in dogs, but is still being studied by veterinarians and researchers to gain a better understanding of its causes and effects. Research is currently focused on identifying the genetic and environmental factors that contribute to the development of arteriosclerosis in dogs. Scientists are studying specific breeds that may be more susceptible to arterial problems and comparing them to breeds in which the disease is less common.
Another important area of research is examining the role of diet and lifestyle in the development of arteriosclerosis. Researchers are analyzing how different diets and feeding habits can influence the risk of arterial hardening. There is evidence that high-fat diets, being overweight, and lack of exercise in dogs can increase the risk of arteriosclerosis, similar to humans.
Another significant advance in research is the development of new diagnostic methods to detect arteriosclerosis early. Work is currently underway on imaging techniques such as ultrasound technology to better visualize the condition of arteries in dogs. These technologies could enable veterinarians to detect changes in arterial structure earlier and initiate appropriate treatment measures.
Additionally, there are efforts to develop therapeutic approaches specifically tailored to dogs. These include medications that can slow or stop the progressionProgression refers to the advancement or worsening of a disease over time. It describes an increase in the severity or extent of the disease symptoms. of arterial hardening, as well as new surgical techniques for treating advanced cases. Research in this area is promising, but further studies are needed to confirm the safety and efficacy of these treatments.
Genetic research is also gaining importance as scientists investigate the role of specific genes in susceptibility to arteriosclerosis. By understanding the genetic basis of this disease, breeding programs could be developed that reduce the risk of arteriosclerosis in certain dog breeds. This type of research could help reduce the incidenceIncidence refers to the number of new cases of a disease or condition that occur within a specific time period in a specific population group. It provides information about the risk of contracting the disease. of this disease in dogs in the long term.
Overall, research shows that a multidisciplinary approach is necessary to effectively understand and treat arteriosclerosis in dogs. Collaboration between veterinarians, geneticists, nutritionists, and other experts is crucial to make progress in the preventionPrevention includes measures taken to prevent diseases or injuries. In veterinary medicine, this includes vaccinations, parasite control, and health monitoring. and treatment of this disease. Future studies will hopefully provide even deeper insights and lead to better health solutions for affected dogs.