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The clinical signs of canine and feline heart failure are limited, but they must be distinguished from pulmonary dysfunction and also systemic problems. Heart disease often results in secondary respiratory signs (e.g., coughing or dyspnea); conversely, disease of the lung or its vasculature can result in secondary right heart disease (e.g., cor pulmonale).

Veterinary technicians are the veterinary hospital's mainstay when it comes to carefully and successfully anesthetizing critical patients. A large number of elderly canine and feline patients are affected by cardiac disease, and knowledge of how to safely monitor, anesthetize, and problem solve cardiac patients makes for a less stressful anesthesia for both the patient and technician.

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Sustained hypotension is a life threatening situation where the body's major organs (kidney, liver, brain, and heart) can experience irreversible damage from inadequate perfusion pressure. Veterinary technicians may encounter hypotension frequently when caring for emergency and critical care patients, as well as anesthetized or post operative patients who are frequently at risk of systemic hypotension.

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Cardiopulmonary interactions occur because both systems occupy space in the confined thoracic cage, because the heart pumps blood through and sucks blood from the lungs, and because the lungs hinder the flow of blood from right ventricle to left ventricle. Diseases of both systems share many signs/symptoms (e.g., cough, cyanosis, cardiomegaly, exercise intolerance) but fortunately disease of each system possesses a unique set of signs/symptoms.

Our patient population has changed fairly dramatically in the last 10 years as our medical skills have progressed and we have become capable of supporting patients with advanced disease and advancing age. Now we must hone our anesthesia skills in order to support patients that largely don't fit into the 'young, healthy' category and it is no longer appropriate to think that safe anesthesia means recovering as many patients as we anesthetize.