Hypertrophic cardiomyopathy hcm a type of abnormal thickening of the heart is the most common cause of heart disease in cats. Pimobendan has been shown to impart a significant survival benefit in cardiomyopathic cats who receive it as part of heart failure therapy. However use of pimobendan remains controversial in cats with hypertrophic cardiomyopathy hcm due to lack of pharmacodynamic data for pimobendan in cats with hcm and due to theoretical concerns for exacerbating left ventricular outflow tract.
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