17-year-old teacup Yorkie with a Grade 4 heart murmur – would you pursue treatment or focus on quality of life?
I'm looking for some honest advice from people who've been through this with very elderly dogs.
My little Yorkshire Terrier is around 16–17 years old. She was recently diagnosed with a grade 4 heart murmur. Over the last week or so, she's started coughing more frequently (a few times an hour at its worst), often ending in a little gag. Other than that, she's honestly still doing really well. She's bright, eating normally, gets excited for her walks, still enjoys long walks, and generally seems happy and like herself.
I took her to the vet today. They said they don't think she's in obvious congestive heart failure, and they couldn't hear fluid in her lungs, but they also said they can't tell exactly what's causing the murmur or the cough without a £500 chest X-ray. They mentioned it could be heart-related, but they can't be sure.
In the meantime, they've prescribed Libeo (furosemide) as a trial. They explained that if it helps, she'd then need regular blood tests (around £250) to monitor her kidneys because of the medication. They also warned she'll likely drink more, wee more, and there's a risk of dehydration.
This is where I'm really struggling.
My dog absolutely hates the vets. She gets incredibly distressed by visits, and at nearly 17 years old I don't know whether putting her through repeated appointments, blood tests and potentially more medication is really in her best interests.
Financially, it's also a significant amount of money, but my biggest concern isn't actually the cost. It's whether I'm doing all of this for her, or because I feel like I should.
I know heart disease is progressive, and I know no treatment is going to make her young again. Part of me wonders whether starting this cycle of:
- medication,
- monitoring,
- blood tests,
- adjusting medications,
- managing side effects,
is genuinely likely to improve her quality of life, or whether it's just prolonging the inevitable for a dog who has already lived an incredibly long and happy life.
I'm not anti-vet or anti-medication. If I thought something was likely to make her feel noticeably more comfortable, I'd absolutely consider it. I just don't know where the line is between treating symptoms to improve quality of life and putting a very elderly dog through increasingly intensive medical management.
Has anyone been in a similar situation with a dog of this age? If you chose treatment, do you feel it genuinely improved your dog's quality of life? Or if you chose to focus on comfort and monitor them instead, do you feel that was the right decision?
I'm not looking for someone to tell me what I want to hear—I genuinely want honest experiences from people who've been in this position.