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URINE AND PARASITE TESTING

Heartworm Testing

Blood-based testing used to detect or assess heartworm infection, interpreted according to species, exposure history and preventive use.

Illustration of a dog with a heartworm education diagram
OWNER VISUAL GUIDEHeartworm screening and microfilaria testing answer related but different clinical questions. This educational illustration is not a diagnostic image.

THE SHORT VERSION

Testing helps answer a clinical question.

Heartworm testing commonly includes an antigen blood test in dogs; additional testing may look for circulating immature worms or use imaging when clinically indicated. Cats require a different, more cautious diagnostic approach.

01 · OVERVIEW

What is this test?

Heartworm testing commonly includes an antigen blood test in dogs; additional testing may look for circulating immature worms or use imaging when clinically indicated. Cats require a different, more cautious diagnostic approach.

02 · WHAT IT EVALUATES

What information can it provide?

  • Antigen testing commonly identifies proteins associated with mature female heartworms in dogs.
  • Microfilaria testing looks for circulating immature stages and can add diagnostic information.
  • Feline antigen and antibody testing have different strengths and limitations.
  • Chest imaging or other studies may help when symptoms or test results suggest cardiopulmonary disease.
03 · WHY VETERINARIANS ORDER IT

When might your veterinarian recommend it?

  • Screen dogs according to veterinary and American Heartworm Society recommendations.
  • Investigate missed preventive doses, uncertain history, cough, exercise intolerance or concerning exposure.
  • Evaluate cats with respiratory signs, unexplained vomiting or other compatible concerns.
04 · PREPARING FOR TESTING

What can owners do before the visit?

  • Provide the date of the last preventive dose and any missed or delayed doses.
  • Tell the clinic about travel, previous heartworm infection and current symptoms.
  • Do not restart, stop or double medication without veterinary guidance.
Print a veterinary visit question sheet →
05 · IMPORTANT LIMITATIONS

What can this test not tell you by itself?

  • A recent infection may not be detectable immediately because worms require time to mature.
  • A negative result does not always exclude disease, especially in cats.
  • Heartworm testing does not replace consistent veterinary-recommended prevention.

Do not change medication, interpret an abnormal number as a diagnosis or delay urgent treatment without direction from your veterinary team.

06 · TALK WITH YOUR VETERINARIAN

Useful questions for your appointment

  • Should antigen and microfilaria testing both be considered?
  • How does a missed dose change testing or follow-up timing?
  • Does my animal need species-specific prevention or additional imaging?

Sources behind this guide

American Animal Hospital Association clinical guidelinesLife-stage assessment, preventive care and diagnosis guidance for veterinary teams.Companion Animal Parasite Council general guidelinesFecal examination methods, parasite testing and risk-based screening recommendations.Cornell University College of Veterinary Medicine feline health resourcesUniversity-reviewed explanations of feline disease, diagnostics and owner observations.