Pet Health

Hypertrophic Cardiomyopathy in Cats

Discover the signs, symptoms, and treatment options for hypertrophic cardiomyopathy in cats. Keep your feline friend healthy with this essential guide!
Author: Veterinary Team
Dial A Vet
Updated
June 6, 2025
|
Published
June 6, 2025
Illustration of a healthy cat heart compared to a hypertrophic cat heart showcasing thicker heart muscle walls.

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Your cat is part of your family, and noticing them acting differently can be worrying. If your vet has mentioned hypertrophic cardiomyopathy (HCM), or you’re noticing subtle signs of heart issues, it’s natural to feel concerned. Understanding this common heart condition in cats can help you make the best decisions for your furry friend.

⚠️ What to Watch For

Hypertrophic cardiomyopathy is the most common heart disease in cats. It occurs when the walls of the heart’s left ventricle thicken, which can interfere with the heart’s ability to pump blood effectively. Unfortunately, the symptoms of HCM can be subtle or even nonexistent at first, making it tricky to detect without regular vet checkups.

Here are some signs to watch for in your cat:

  • Increased breathing rate or difficulty breathing
  • Lethargy or reduced activity levels
  • Loss of appetite
  • Fainting or collapsing
  • Open-mouth breathing (especially after exercise)
  • Sudden paralysis in the hind legs (due to blood clots)

While some cats with HCM may show no symptoms at all, others may exhibit one or more of the above signs. If you notice any of these changes, it’s important to consult your veterinarian as soon as possible.

🔍 Possible Causes

The exact cause of hypertrophic cardiomyopathy in cats isn’t always clear, but genetics often play a role. Some breeds, like Maine Coons and Ragdolls, are more predisposed to HCM due to inherited genetic mutations. However, it can also occur in mixed-breed cats.

Other factors that may contribute to the development of HCM include:

  • Age: Middle-aged cats are more commonly diagnosed, though it can occur at any age.
  • Sex: Male cats tend to be diagnosed with HCM more often than females.
  • Secondary conditions: Hyperthyroidism and high blood pressure can lead to thickening of the heart walls, mimicking or contributing to HCM.

If your cat belongs to a high-risk breed or has a related health condition, regular checkups and early screening can be particularly important.

✅ What You Can Do at Home

While HCM requires veterinary diagnosis and care, there are steps you can take at home to support your cat’s heart health and overall well-being.

  • Keep your cat at a healthy weight: Obesity can put extra strain on your cat’s heart.
  • Feed a balanced, vet-recommended diet: Proper nutrition can support heart and general health.
  • Minimize stress: Stress can exacerbate heart conditions. Provide a calm, predictable environment for your cat.
  • Monitor your cat’s breathing: If you notice rapid breathing or labored breaths, contact your vet immediately.
  • Stick to regular vet checkups: Routine exams can help detect early signs of HCM or related conditions.

By focusing on these proactive measures, you can help your cat maintain the best quality of life possible, even if they’re diagnosed with HCM.

💡 When to Call a Vet

If you suspect your cat may have hypertrophic cardiomyopathy, early intervention is key. Contact your veterinarian if you notice:

  • Increased breathing rate (over 30 breaths per minute while resting)
  • Open-mouth breathing or panting
  • Sudden difficulty walking, especially in the hind legs
  • Fainting or collapsing episodes

These symptoms could indicate a serious complication of HCM, such as congestive heart failure or a blood clot. Immediate veterinary attention is crucial in these cases.

In addition to routine exams, your vet may recommend specific diagnostic tests if HCM is suspected. These tests might include chest X-rays, an echocardiogram (heart ultrasound), or blood pressure measurements. Diagnosing HCM early can help manage the condition and prevent complications.

FAQs

Q: Can hypertrophic cardiomyopathy in cats be cured?
A: HCM cannot be cured, but with proper management, many cats can live comfortable and happy lives. Medications and lifestyle adjustments can help reduce symptoms and improve heart function.

Q: Is HCM painful for cats?
A: HCM itself is not typically painful, but complications like blood clots can cause sudden and severe pain. Prompt veterinary care can help alleviate discomfort and manage symptoms effectively.

Q: How is HCM treated in cats?
A: Treatment depends on the severity of the condition. It may include medications to improve heart function, reduce fluid buildup, or prevent blood clots. Your vet will create a tailored plan for your cat’s specific needs.

Book a $49 online vet consultation at https://www.dialavet.com for fast, expert advice.

References

While every effort is made to ensure the accuracy of this content - including vet review where applicable - this article is for informational purposes only and is not a substitute for professional veterinary advice, diagnosis, or treatment. If your pet is unwell or you are concerned, please speak with a licensed veterinarian. You can book a $49 online consultation with our veterinary team  😄
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