Understanding Life Expectancy in Dogs with a Heart Murmur
A heart murmur in dogs often signifies an underlying heart condition such as myxomatous mitral valve disease (MMVD) or dilated cardiomyopathy (DCM). Though hearing your pet has a heart murmur can be alarming, modern veterinary medicine offers effective ways to manage this diagnosis—including extending your pet’s life substantially with medications like Vetmedin.
What Is a Heart Murmur?
A heart murmur is an abnormal sound caused by turbulent blood flow in the heart, often indicative of a structural problem. In dogs, murmurs are commonly associated with MMVD, a progressive disease where the mitral valve deteriorates, or DCM, where the heart enlarges and weakens.
Stages of Heart Disease
- Stage B1: Murmur with no enlargement of the heart.
- Stage B2: Murmur with evidence of heart enlargement but no outward symptoms.
- Stage C: Symptoms of heart failure emerge, such as coughing, lethargy, and difficulty breathing.
- Stage D: Advanced heart failure, often not responsive to standard treatment.
Factors Affecting Life Expectancy
The life expectancy of a dog with a heart murmur depends on multiple variables:
- Underlying condition: MMVD generally progresses more slowly than DCM.
- Stage at diagnosis: Early intervention in Stage B2 vastly improves outcomes.
- Breed and size: Small breeds often live longer post-diagnosis than larger breeds.
- Treatment adherence: Medications like Vetmedin can delay symptom onset and improve survival when taken as prescribed.
Vetmedin’s Role in Extending Life
Vetmedin (pimobendan) belongs to a class of medications called inodilators. It strengthens heart contractions and dilates blood vessels, improving blood flow and reducing heart strain. For dogs with Stage B2 MMVD or symptomatic CHF (heart failure), studies have shown Vetmedin:
- Delays progression to congestive heart failure.
- Extends the symptom-free period.
- Improves overall quality of life and survival time.
How Long Can a Dog Live with a Heart Murmur?
While there is no single answer, estimates include:
- Untreated MMVD: May progress to CHF in 1–2 years post-diagnosis.
- Treated with Vetmedin: May extend life by 9–15 months or more after onset of symptoms.
- Dogs treated in B2 stage: May delay CHF by over a year and live multiple years longer.
Managing Quality of Life
Dogs with heart murmurs can lead active, fulfilling lives with proper care. Key strategies include:
- Regular vet visits: Monitor heart size and function via x-rays, echocardiograms, and blood pressure checks.
- Adhering to medication schedules: Even partial non-compliance can impact effectiveness.
- Monitoring symptoms at home: Record changes in behavior or breathing patterns.
- Supporting nutrition and weight management: Excess weight strains the heart.
Breeds Prone to MMVD and DCM
According to studies, certain breeds are more susceptible:
- MMVD: Cavalier King Charles Spaniels, Dachshunds, Yorkshire Terriers.
- DCM: Doberman Pinschers, Great Danes, Boxers.
When to Talk to Your Vet
Any changes in energy level, appetite, breathing, or coughing should prompt a visit to your veterinarian. Early intervention is essential. If your dog is diagnosed with Stage B2 MMVD or early CHF, starting Vetmedin can be life-extending.
Final Thoughts
Though a heart murmur often signals a chronic condition, proactive care—including the timely use of medications like Vetmedin—can significantly improve both life expectancy and quality of life. With close veterinary supervision and consistent home care, your dog can enjoy many more happy, active years.





