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C. Heart Muscle Contraction
1. Taurine
- > 40% of the pool of amino acids in the heart
- Regulating calcium flows in and out of cells
- Main source from meats
2. L- carnitine
- only essential when body unable to synthesis enough
- supplementation may provide benefits by improving myocardial energy production
D. Electrolyte Balance
1. Sodium
Restricted to reduce fluid accumulation
Due to activation of RAA system and caused sodium and water reabsorption
2.Magnesium
Important for cardiac muscle contractility
3. Potassium
Adapted optimally because hyper- hypokalemia depends on drugs

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B. Preserve Renal Function
1. Moderate Phosphorus Content (0.55% DM)
- Low phosphorus diet (0.44%DM) had 75% survival in dogs
- High phosphorus diet (1.44%DM) had 33% survival only

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A. Maintain on Vascular Function
1. Polyphenols

- Major anti-oxidant

Found in : vegetable resources
- Flavanols (category of Polyphenols)
stimulate Nitric Oxide:
> Relaxes narrowed blood vessels
> Increase oxygen and blood flow
- Grapes, Green Tea
- RC Cardiac Dry using decafinated green tea extract

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> Endocardiosis
Mitral valve insufficiency causes passing blood abnormally from the ventricle to the left atrium in each cardiac cycle

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> Dilated Cardiomyopathy

- Thinning of ventricular walls
- Right ventricular dilatation
- Decreased of blood flow ejected
- Left ventricle dilated
- Thinning of intraventricular septum
Breed predisposed:
1. Boxer
2. Golden Retriever
3. Rottweiler
4. Great Dane

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1. Coughing 2. Gagging 3. Shortness of breath or difficulty breathing 4. Inability to sleep comfortably through night 5. Fainting or seizure (syncope) 6. Weight loss 7. Abdominal distension 8. Weakness 9. Exercise intolerance