Pimobendan (PIMO) can cause adverse effects, such as mitral valve degeneration, in dogs;
however, it is unclear whether these effects occur in cats. Therefore, we aimed to
determine whether PIMO or benazepril produces adverse cardiac effects in healthy cats.
This was a blinded, randomized, prospective parallel study. Twelve cats were randomly
divided into two groups of six cats, namely, an angiotensin-converting-enzyme inhibitor
group that received benazepril and a PIMO group. Cats were administered their respective
treatments for 506 days, and we evaluated cardiac parameters, blood biochemistry and
glomerular filtration rates during that time. At the end of the trial, the cats were
euthanized, and histopathological examinations were performed by a pathologist who was
blinded to the treatment groups. No significant changes were observed in any of the
parameters measured in either of the groups. In particular, no significant cardiac lesions
were observed in either of the groups. In healthy cats, neither PIMO nor benazepril
appears to cause cardiac lesions, but future studies are needed to examine the effects of
PIMO in cats with heart disease.