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If you watch late-night television, on any given night you’re bound to see at least one commercial for a heartworm prevention product. Most pet owners know that monthly heartworm prevention is important, but may not understand just how serious heartworm disease is and why preventing it is so critical.
What is Heartworm Disease?
Heartworm disease is caused by a parasite called “Dirofilaria immitis” that can be transmitted to your pet through the bite of an infected mosquito. It’s seen mostly in dogs, but cats and ferrets can also be affected.
Heartworms can cause extensive damage inside your pet’s body. These nasty worms clog blood vessels in the lungs and, once inside the heart, can cause congestive heart failure.
Heartworm disease is widespread…cases have been reported in all 50 states in the U.S., as well as numerous other countries.
Heartworm Life Cycle
Heartworms need a mosquito to complete their life cycle. The cycle plays out like this:
- A mosquito bites a heartworm-infected dog who has circulating microfilariae (microscopic baby worms) in his blood.
- The microfilariae are ingested by the mosquito, which grow inside the mosquito’s body and become larvae.
- When this mosquito then bites a healthy dog, the larvae are deposited on the dog’s skin, where they migrate through the skin and into the dog’s bloodstream.
- Once in the bloodstream, the larvae grow into adult worms (which can take up to 6 months).
- The adult worms finally make themselves at home in the blood vessels of the dog’s lungs and the right side of his heart.

Heartworm Testing
All adult dogs need to have an annual heartworm test. The heartworm screen for dogs is a simple blood test, which most veterinarians (or technicians) can perform right in the clinic. Results can be provided in as little as 24 hours.
Although in rare cases cats are able to become infected with heartworm, the worms are not able to reproduce well in cats. This causes heartworms in cats to eventually die off. Unfortunately, an accurate screening test for cats does not exist, so most veterinarians usually don’t perform an annual heartworm screen on our feline friends. If for any reason your vet suspects a heartworm infection in your cat, it can be diagnosed with a series of specialized blood tests, combined with x-rays or an echocardiogram (ultrasound of the heart).
How to Prevent Heartworm Disease
Once your dog tests negative for heartworm, you can begin giving monthly heartworm prevention as prescribed by your veterinarian. Preventive medication works by killing the worms in the larval stage.
I recommend giving heartworm preventive on the first day of each month, since that’s easy for most people to remember. Most forms are chewable and dogs seem to love the taste, so no need to do the “coat it in peanut butter and cross your fingers” trick!
Years ago, in cold weather climates (like Ohio, where I grew up), veterinarians used to recommend only giving heartworm preventive 9 months out of the year and skipping the winter months. However, mosquitos are hardy little critters, and since live mosquitos can be found even in the middle of winter, most veterinarians now recommend giving preventive year round.
If heartworm prevention is given as directed, the chance of your pet developing heartworm disease is extremely low. And BONUS! Many heartworm preventives also protect against other forms of parasites like roundworms, hookworms, and whipworms…and some even protect against fleas as well.
Heartworm disease is much easier to prevent than to treat, so always follow your veterinarian’s instructions to the letter regarding heartworm testing and prevention!
What type of heartworm prevention do you prefer for your pet? Tell us about it in the comments section below!
Camille,
You are spot on. I have always had my dogs tested and prescribed heartworm preventative medicine. Chiver our 7 month old pup is on Heartgard Plus. I had to wait for him to be old enough (I believe the Vet said 6 months old), but as soon as he was able to take it; Chiver was on it. I like Heartgard because it comes as a soft chewable treat that you give once a month.
Although some may find Heartgard cheaper online, I highly recommend paying the reasonable and customary price through a Veterinarian to ensure your pet has the real deal.
Thank you for the article on heartworm testing and prevention!!!!
Denise
Hi Denise,
Excellent choice! Heartgard Plus has a strong track record as a safe preventive that is well-tolerated by dogs of all breeds and sizes. Plus, it also protects against roundworms and hookworms, which are intestinal parasites that can be inadvertently picked up by your dog in public environments like dog parks.
Glad you enjoyed the article…the best of health to you and Chiver!
Thanks Camille. I always appreciate the feedback from you.
I am trying out Trifexis… Shiner just had her first dose last week. So far, I’m very pleased with the flea aspect of the drug. I haven’t found a single flea on her, which is better than anything else I’ve tried this year.
Hi Ann,
Please let me know how you like Trifexis long-term for Shiner! I haven’t spoken with anyone yet who has used it on their dog, so would be very interested in hearing how effective it is. I know it’s gotten a bad rap in the press for allegedly causing medical problems in some dogs, but all the research I’ve been able to find shows that they’ve been unable to definitively link Trifexis with the problems that have been reported. Please keep me posted as to how Shiner does on it and how you like it for flea control!