The Lab Library

Cardiac

Blood markers of heart strain and heart-muscle injury.

Most heart disease is diagnosed with a stethoscope and an ultrasound, but two blood markers add real value — especially for catching silent disease and for sorting out a breathless patient.

NT-proBNP rises when the heart muscle is stretched or strained, so it flags heart disease before symptoms appear and helps answer the crucial question in a coughing or breathless pet: heart, or lungs? Cardiac troponin, released when heart-muscle cells are injured, complements it by signalling active damage.

These markers screen and triage rather than diagnose: a raised value is a prompt to image the heart with an echocardiogram, not a conclusion on its own. This matters most in cats, whose heart disease is often completely silent — no murmur, no signs — until a crisis, which is exactly where a screening blood test earns its place.

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