INHERITED HEART
DISEASES
DILATED CARDIOMYOPATHY
• The most commonly reported inherited adult onset
canine heart disease is dilated cardiomyopathy.
• Dilated cardiomyopathy is an adult onset, primary heart
muscle disease.
• The onset of DCM results in the development of a dilated left
ventricle with decreased systolic (pumping) function.
DILATED CARDIOMYOPATHY
• Eventually, this may lead to increased pressure in the chamber above the
ventricle, the atria.
• Increased atrial pressure can result in the development of fluid in the lungs
called pulmonary edema (congestive heart failure) which may make it
difficult for the dog to breathe properly.
• Some dogs develop an abnormality in the electrical system of the heart
(arrhythmia) which results in abnormal heart beats; this may result in
sudden death.
* The development of clinical signs (heart failure, sudden death) may vary
depending on the affected breed of dogs.
DILATED CARDIOMYOPATHY Dx
• The diagnosis of DCM in affected dogs is first suspected when a
heart murmur or gallop is heard with a stethoscope by a
veterinarian.
• Murmurs and gallops are fairly nonspecific sounds
that suggest that a dog may have heart disease.
DILATED CARDIOMYOPATHY Dx
Other signs may include the development of ;
• persistent cough (Doberman Pinschers),
• increased fluid in the abdomen (Great Danes)
• and fainting episodes (Boxers, Doberman Pinschers).
Further evaluation with a cardiac ultrasound (echocardiogram,
echo) should be performed as soon as possible to confirm the
diagnosis.
DILATED CARDIOMYOPATHY Dx
Other signs may include the development of ;
• persistent cough (Doberman Pinschers),
• increased fluid in the abdomen (Great Danes)
• and fainting episodes (Boxers, Doberman Pinschers).
Further evaluation with a cardiac ultrasound (echocardiogram,
echo) should be performed as soon as possible to confirm the
diagnosis.
DILATED CARDIOMYOPATHY Dx
• Annual echocardiography and
ambulatory electrocardiography
(Holter monitoring) are believed to be
the best predictors of early DCM in
this breed.
• Criteria that are believed to be indicators
of early disease include left ventricular
size (left ventricular diastolic dimension
> 4.6 cm, systolic dimension > 3.8 cm).
• These numbers are based on average DOBERMAN PINSCHER
sized dogs and may not be valid for very
large dogs.
DILATED CARDIOMYOPATHY Dx
• Annual Holter monitoring has also
been recommended to detect
Doberman pinschers that may
develop ventricular arrhythmias
before ventricular dilation.
• Adult Doberman pinschers with
greater than 50 ventricular
premature complexes (VPCs) per
24 hours, or couplets or triplets DOBERMAN PINSCHER
are suspect for the development
of DCM