Diagnostic Tests and Recommended Frequencies for Senior Dogs and Cats

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Download PDF of Table 1: Diagnostic Tests and Recommended Frequencies for Senior Dogs and Cats

 

Diagnostic Test Recommended Frequency
Canine Feline
Fecal testing for parasites 1–4 times/yr, depending on use of preventive products and lifestyle. 1–2 times/yr, depending on health and lifestyle factors.
Tick-borne disease Annually N/A
Heartworm Annually Detailed information on heartworm testing is available in the American Heartworm Society guidelines.1
Comprehensive CBC (including cell morphology, differentials and pathologist review if necessary) Every 6–12 mo.
Chemistry (TP, albumin, ALT, glucose, BUN, creatinine, sodium, potassium, calcium, SDMA if available) Every 6–12 mo.
Urinalysis (USG, sediment, glucose, ketones, bilirubin, protein, occult blood) Every 6–12 mo.
Imaging Imaging of a region of interest should be performed if clinically indicated. Breedspecific screening may be appropriate. Imaging of a region of interest should be performed if clinically indicated.
Electrocardiogram Perform an electrocardiogram annually in breeds with high risk of cardiac disease (e.g., boxers, Dobermans), or in other patients when clinically indicated or if an arrhythmic condition is suspected.
Urine protein:creatinine ratio If proteinuria is identified or persistent microalbuminuria is present.
Thyroxine (T4) Recommended annually. Strongly recommended annually.
Blood pressure Recommended annually. Strongly recommended annually. Recommended every 6–12 mo in healthy geriatric cats.
Retroviral testing N/A Consider based on individual patient’s risk.
NT-proBNP Annually and to be strongly considered before an anesthetic event.

1American Heartworm Society. Prevention, Diagnosis, and Management of Heartworm (Dirofilaria immitis) Infection in Cats. American Heartworm Society, 2020. Available at https://d3ft8sckhnqim2.cloudfront.net/images/pdf/2020_AHS_Feline_Guidelines_Summary_11_12.pdf?1605556516

ALT: alanine aminotransferase
BUN: blood urea nitrogen
CBC: complete blood count
N/A: not applicable
NT-proBNP: N-terminal pro B-type natriuretic peptide
SDMA: symmetric dimethylarginine assay
TP: total protein
USG: urine specific gravity


The 2023 AAHA Senior Care Guidelines for Dogs and Cats are generously supported by Boehringer Ingelheim Animal Health, CareCredit, IDEXX, and Zoetis.

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