Skip to content

Heart disease · Updated 2026-09-29

Mitral valve disease in dogs

The most common heart disease in dogs: a leaky valve that can lead to heart failure, especially in small breeds.

Prompt veterinary attentionDogs
Veterinary examination relevant to mitral valve disease in dogs

Visual guide to warning signs including breathing difficulty, appetite loss, vomiting, mobility change, abnormal droppings and collapse
Changes in breathing, appetite, movement, digestion or alertness can need veterinary assessment. Collapse and breathing difficulty are emergencies.

Signs to watch for

  • Heart murmur found at a check-up
  • Cough
  • Faster breathing at rest
  • Tiring on walks
  • Fainting

Causes and risk factors

Age-related thickening of the mitral valve; strongly inherited in breeds such as the Cavalier King Charles Spaniel.

How veterinarians diagnose it

Listening to the heart, chest X-rays and heart ultrasound (echocardiography).

Treatment and management

Some dogs with an enlarged heart benefit from medication before signs appear; heart failure is treated with several medications.

Prevention

Not preventable; breeding schemes with heart screening reduce risk.

Outlook

Many dogs live years with a murmur; once heart failure develops, treatment extends good-quality life.

Common questions

What are the signs of mitral valve disease in dogs?
Heart murmur found at a check-up; Cough; Faster breathing at rest; Tiring on walks; Fainting.
What causes mitral valve disease in dogs?
Age-related thickening of the mitral valve; strongly inherited in breeds such as the Cavalier King Charles Spaniel.
How is mitral valve disease in dogs diagnosed?
Listening to the heart, chest X-rays and heart ultrasound (echocardiography).
How is mitral valve disease in dogs treated?
Some dogs with an enlarged heart benefit from medication before signs appear; heart failure is treated with several medications.
Can mitral valve disease in dogs be prevented?
Not preventable; breeding schemes with heart screening reduce risk.
When should I contact a veterinarian?
Count your dog's breaths while it sleeps. Over 30 breaths a minute, repeatedly, needs a vet call.