13/07/2026
Meet Pancake. 🥞❤️
At just 2 years old, Pancake came to us struggling to breathe. She was open-mouth panting, breathing 84 times per minute at rest. When we listened to her heart, we heard a gallop rhythm—something that made us very concerned.
Our first goal was simply to help her breathe and keep her as calm as possible. We moved her into a dark, quiet room... or at least as quiet as we could with a clinic full of barking dogs that day. (Sorry, Pancake. 😿) Once she had settled, we carefully performed chest X-rays and a 2D echocardiogram.
The findings suggested left-sided congestive heart failure. There was fluid around her lungs, and her heart looked very similar to what we might see in a cat with advanced hypertrophic cardiomyopathy (HCM).
Over the next 48 hours, we treated her heart failure, monitored her closely, and hoped she would respond. Thankfully, she did. Her breathing became more comfortable, and she was eventually well enough to continue her recovery at home.
From there, Pancake's parents became a huge part of her care. They trusted our recommendations, gave her medications consistently, kept us updated, and brought her back for her follow-up visits. That kind of commitment makes a real difference.
A few weeks later, Pancake came back looking much more like herself. She was brighter, calmer, and no longer panting. Her repeat X-rays showed that the fluid around her lungs had resolved. Even more encouraging, her repeat echocardiogram showed that her left atrium had become much smaller than it was during her first visit.
Because of how she responded, our current working diagnosis is Transient Myocardial Thickening (TMT), possibly related to inflammation, rather than permanent heart disease.
Cases like Pancake's are a good reminder that medicine doesn't always give us all the answers on day one. Sometimes the picture becomes clearer with treatment, time, and careful follow-up.
We're grateful that Pancake's family trusted us to care for her, and even more grateful that she's back to doing the things a young cat should be doing.
Keep being your sweet little self, Pancake. ❤️