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Question:

My 15yo old cat is being recommended for an echocardiogram + several other tests after lab work. Is this the best/standard recommendation based on the results, or is this an aggressive option?

I'm really looking for some advice here because I'm feeling pretty overwhelmed. I have a 15-year-old cat, Muffin, who is basically my little shadow. We recently took her for a routine check-up, and her vet suggested some lab work. I just got a call saying her heart enzymes were elevated, and now they're recommending an echocardiogram along with some other tests. This vet has always been thorough, which I appreciate, but I'm wondering if this is the standard procedure or if they might be going a bit overboard. It’s been a rough year, and I’m trying to make the best decision for Muffin without putting her through unnecessary stress (and okay, my savings are taking a hit too). If anyone has gone through something similar or has any insight, please share your experiences. I really need some guidance on whether this is just a cautious approach or if we should be considering all this. Thank you.

Answer:

Hi there! It's completely understandable to feel concerned about your cat undergoing additional tests, especially at 15 years old. Let’s break it down a bit. The recommendation for an echocardiogram often follows lab work that suggests potential heart concerns, such as abnormal heart rhythms or heart murmurs detected during a physical exam. An echocardiogram provides a detailed look at your cat’s heart, helping to identify issues like heart disease or structural abnormalities that lab results alone can't fully explain.



This approach is quite standard, particularly in older cats, as they are more susceptible to heart conditions. Testing can help target treatment more effectively and prevent complications. It might feel like an aggressive step, but the aim is to get a clear picture of what’s going on and ensure the best care.



At home, keep an eye on your cat’s breathing, energy levels, and appetite. If you notice significant changes, such as labored breathing or weakness, these could be red flags indicating the need for urgent medical attention.



I recommend booking a video consult with us on Dial A Vet to discuss your cat's specific situation in more detail. We can walk you through the test results and help you understand what this might mean for your furry friend’s health.

Answered by

Louise - Senior Veterinary Nurse, Dial A Vet

June 22, 2025

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The "Ask a Vet" forum on Dial A Vet offers general information and helpful tips on pet health, but it's not a substitute for professional veterinary care. The advice here doesn't create a veterinarian-client-patient relationship, and our vets can't diagnose or treat your pet remotely. For emergencies or specific medical concerns, always contact your local veterinarian immediately. Your pet's health is unique, and decisions should only be made after consulting with a qualified professional. By using this forum, you acknowledge these limitations and agree to seek in-person veterinary advice for all your pet's health needs. View our content guidelines.
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