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In cats, worms can usually be imaged on echocardiography. Parallel hyperechoic lines, which are an image from the heartworm cuticle, may be seen in the right heart and pulmonary arteries. High worm burdens may be associated with worms in the right heart. Echocardiography is more important in cats than dogs because of the increased difficulty of diagnosis and the high sensitivity of the test in experienced hands.
 
In cats, worms can usually be imaged on echocardiography. Parallel hyperechoic lines, which are an image from the heartworm cuticle, may be seen in the right heart and pulmonary arteries. High worm burdens may be associated with worms in the right heart. Echocardiography is more important in cats than dogs because of the increased difficulty of diagnosis and the high sensitivity of the test in experienced hands.
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Cardiac ultrasound allows the direct
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visualization of the parasites in right
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atrium and ventricle, main pulmonary
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artery and proximal tract of both its
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peripheral branches (Fig. 3).
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Specificity is virtually 100% and sensi-tivity in cats seems to be very high
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(Venco et al., 1998, 1999b) because
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the portion of caudal pulmonary arteries
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that can not be thoroughly interrogate
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because of the acoustic impedance
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of the air inflated lungs is very short
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when compared with the length of the
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adult parasite. Based on these considerations,
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cardiac ultrasonography
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should be always performed when
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heartworm infection is suspected.
    
===Electrocardiography===
 
===Electrocardiography===
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