Classification of Heartworm Infection in Dogs

Class

Clinical Signs

Mild (class I)

No clinical signs or cough

Moderate (class II)

Cough, exercise intolerance, abnormal lung sounds

Severe (class III)

Cough, exercise intolerance, abnormal heart or lung sounds, dyspnea, hepatomegaly, syncope, ascites, death

Caval syndrome (class IV)

Hemoglobinuria, anemia, low-output heart failure