Dog Heart Disease: Your Top 12 Questions Answered

Heart disease affects roughly 1 in 10 dogs — and in certain breeds, that number climbs significantly higher. Dogwood’s cardiology team answers the questions we hear most.

Q  What are the most common types of heart disease in dogs?

The two most common are Myxomatous Mitral Valve Disease (MMVD) — a degenerative valve condition most common in Cavalier King Charles Spaniels, Dachshunds, and Shih Tzus — and Dilated Cardiomyopathy (DCM), which primarily affects Dobermans, Great Danes, and Boxers. Both can progress to congestive heart failure if untreated.

Q  My vet said my dog has a heart murmur. Should I be worried?

Not necessarily. Murmurs are graded 1–6 by intensity. Low-grade murmurs in older small breeds are often stable for years. An echocardiogram at Dogwood can assess whether the murmur is affecting heart function and whether treatment is needed.

Q  What are the warning signs of heart disease in dogs?

Early signs: persistent cough (especially at night), reduced exercise tolerance, labored breathing, occasional fainting. Advanced: distended abdomen, rapid resting breathing, blue-tinged gums. Any of these warrant urgent evaluation.

Q  What is congestive heart failure (CHF) in dogs?

CHF occurs when the heart can no longer pump effectively, causing fluid to accumulate in the lungs (left-sided) or abdomen (right-sided). It is serious but manageable — many dogs live comfortably for months to years after diagnosis with the right medications and monitoring.

Q  What tests does Dogwood’s cardiologist perform?

A full cardiac workup includes: thorough auscultation, chest X-rays, echocardiogram (real-time heart ultrasound), ECG (heart rhythm), blood pressure measurement, and bloodwork. Cardiac biomarker testing (proBNP) can identify dogs at elevated risk before symptoms appear.

Q  Can heart disease in dogs be treated?

Most forms cannot be cured but are very manageable. Pimobendan, diuretics, and ACE inhibitors slow disease progression and extend quality life. Some dogs begin medications before developing symptoms — early intervention on echocardiographic findings is proven to delay heart failure.

Q  How often should my dog see a cardiologist?

Early murmur: echocardiogram recheck every 6–12 months. On cardiac medications: recheck every 3–6 months. Our team creates a personalized monitoring plan for each patient.

Q  Which dog breeds are most at risk?

MMVD: Cavalier King Charles Spaniels, Dachshunds, Poodles, Cocker Spaniels. DCM: Doberman Pinschers, Great Danes, Boxers, Irish Wolfhounds. We recommend cardiac screening for at-risk breeds before symptoms appear.

Q  Should I track my dog’s resting respiratory rate?

Yes — absolutely. A normal resting rate in dogs is under 30 breaths per minute. Download a free app and check weekly if your dog has known heart disease. A rate above 30 may signal early fluid accumulation — call us immediately.

Q  Is it an emergency if my dog is breathing very fast at rest?

Yes. A resting respiratory rate above 30 breaths/minute in a dog with known heart disease may signal acute congestive heart failure. Come directly to Dogwood — we are open 24/7.

Q  Will my dog need surgery for heart disease?

Surgery is rarely needed for the most common forms of canine heart disease, which are managed medically. Some structural abnormalities — like pulmonic stenosis — can be treated with balloon valvuloplasty. Our cardiology team discusses all options specific to your dog’s diagnosis.

Q  How do I get a referral to Dogwood’s cardiologist?

Your primary vet can refer through our online portal, or contact us directly: (404) 609-1234 or info@dogwood.vet. Dr. Johnathan Goodwin leads our cardiology service in Marietta, GA.