Treatment FAQ

how to treatment grade 5/6 murmur in dogs

by Athena Littel Published 2 years ago Updated 2 years ago
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If your dog has a heart murmur, talk to your vet about recommended activity. It's often advised to ensure your dog is getting exercise every day. However, strenuous activity is best avoided in dogs with grade five or six heart murmurs. Ensuring your dog is kept inside during hot weather is important.

Full Answer

How serious is a Grade 5 heart murmur in a dog?

Based on the grading of the murmur you can estimate how serious your dog’s condition may be. A grade 5 or 6 murmur is a significant indication of compromised cardiac functionality, meaning your dog is in a very fragile position and your full attention will be required if you hope to correct the problem.

How do vets diagnose heart murmur in dogs?

Diagnosis for Heart Murmurs in Dogs. To figure out the cause of a heart murmur, your vet may advise a variety of tests, such as: Blood tests, consisting of heartworm tests. Chest radiographs (X-rays) to examine the heart, blood vessels, and lungs. An electrocardiogram (ECG).

What causes a dog to have a systolic murmur?

Causes of Systolic Murmurs in Dogs. Most heart murmurs are systolic. The most common cause of systolic murmurs is pulmonic stenosis or subaortic stenosis, which is a narrowing of the blood vessel that causes obstruction of the blood flow.

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How serious is a Grade 5 heart murmur in dogs?

Grade V murmurs are very loud and can be heard with a stethoscope without difficulty, and can also be felt by holding a hand against the dog's chest. Grade VI murmurs, like grade V murmurs, are very loud and can be felt through the chest wall, and are the most severe of the heart murmurs.

What is a Grade 5/6 heart murmur in dogs?

Grade 5 – Very loud and can be heard even when the stethoscope is barely touching the chest. They can also be felt by holding a hand against the chest. Grade 6 – Like a grade 5, these murmurs are very loud and can be felt by touching the chest; they are also the most severe.

How can I help my dog with a heart murmur?

There is no direct treatment for heart murmurs in dogs, but the causes can often be treated, which may reduce the vibrations in the heart. Your veterinarian will find the cause of the heart murmur and then form a treatment plan. Vets give heart murmurs in dogs a grade of I to VI.

How long can a dog live with a severe heart murmur?

Many dogs live a long time after being diagnosed with a heart murmur, and some can even live years after being diagnosed with heart failure.

What medication is used to treat heart murmur in dogs?

Vetmedin is a treatment for dogs with heart disease due to both MVD and DCM. It acts in two ways: To open up the blood vessels carrying blood to and from the heart, which reduces the work your dog's heart has to do to pump blood around their body.

Is exercise good for a dog with a heart murmur?

Dogs with a heart murmur graded 4-6 need restricted physical exercise three times a week to avoid putting excessive strain on their heart. Mental exercises like puzzles and stuffable toys to lick can be given daily. Dogs with a lower grade 1-3 may be able to live a normal life.

Will my dogs heart murmur get worse?

The disease is slowly progressive in most cases and the leak will continue to worsen over months to years. If the disease becomes severe, the dog is at risk for developing congestive heart failure.

What are the side effects of a heart murmur in dogs?

If your dog has a heart murmur and you see coughing, congestion, change in breath sounds or rapid breathing, exercise intolerance, weakness or “fainting,” gray or blue gums, abdominal distention, or lethargy, you should most certainly seek medical attention.

Does a heart murmur shorten a dogs life?

The good news is that many dogs live a good, healthy life with a heart murmur, as long as they are getting the correct treatment and lifestyle changes have been made if needed. Early detection is a key success factor for a better prognosis with heart conditions.

How do you strengthen a dog's heart?

Frequent exercise: Getting your dog adequate exercise including frequent cardiac exercise, helps keep your dog or cat healthy and happy. Consider walking, running, playing, swimming, hiking, or dog-related sports such as flyball and agility.

Should I put my dog down with congestive heart failure?

If the pet has a condition like congestive heart failure, or untreatable brain cancer — a disease that will, unchecked, lead to a painful death — the recommendation may be for euthanasia sooner instead of later.

How much does an echocardiogram cost for a dog?

The average costs of an echocardiogram are between $250 and $350, but you may expect to pay even more in certain geographical areas. You should also know that this is the cost of the actual procedure and doesn't cover the veterinarian examination.

How to tell if a dog has a grade V murmur?

Grade V murmurs are very loud and can be heard with a stethoscope without difficulty, and can also be felt by holding a hand against the dog’s chest.

What tool do veterinarians use to diagnose murmurs?

Another tool veterinarians use to help diagnose the cause of the murmur is grading.

What Is a Heart Murmur?

Dog’s hearts, like ours, pump blood through their bodies. You’ve probably listened to your own heartbeat or a loved one's at some point in your life, and so you know that hearts beat regularly as they pump the blood that keeps us alive.

How Are Heart Murmurs Diagnosed?

Heart murmurs are typically diagnosed with a stethoscope. Your veterinarian will listen to your dog’s heart, and based on what he or she hears, how loud it is, and where it is coming from, will determine the type of heart murmur your dog has.

What Is the Prognosis for a Dog With a Heart Murmur?

In more serious cases, however, especially with older dogs, the prognosis may be more guarded, but just remember that catching a heart murmur is the first step toward addressing the disease.

Why do dogs have systolic murmurs?

Causes of Systolic Murmurs in Dogs. Most heart murmurs are systolic. The most common cause of systolic murmurs is pulmonic stenosis or subaortic stenosis, which is a narrowing of the blood vessel that causes obstruction of the blood flow. Other conditions that can cause systolic murmurs include:

Why do dogs have continuous murmurs?

Causes of Continuous Murmurs in Dogs. Continuous murmurs are most commonly caused by PDA, but aortic regurgitation caused by a ventricular septal defect, and aortic stenosis with aortic regurgitation, can also cause a continuous murmur.

What causes a heart murmur in dogs?

As with the flow of a river brought about by rain, melting snow, or geology, the turbulent flow of blood resulting in a heart murmur can be caused by different things.

What does a heart murmur sound like?

A heart murmur is an additional abnormal sound heard when auscultating an animal’s heart with a stethoscope. It sounds like wind between heartbeats. Is it serious?

What is grade 1 murmur?

A grade 1 murmur is heard after a long auscultation under perfect conditions, that is, in a quiet room with a cooperative patient and a good stethoscope.

Why does my dog have a heart murmur?

In older dogs with heart murmurs, degenerative mitral valve disease is also the most common cause of a new heart murmur at this age. The mitral valve thickens, making it difficult to close during a heartbeat, resulting in a leak. This valve is one of the four valves directing blood flow in the right direction through the heart, so as you might expect, its malfunction can have serious consequences.

When is a continuous heart murmur heard?

A continuous murmur is heard during most or throughout the cardiac cycle.

What causes a dog to murmur?

If you have an older, small breed dog, chances are they have acquired heart disease.

Why do animals murmur?

A heart murmur can be secondary to systemic disease, or be directly caused by acquired cardiopathy, which is a heart disease that develops during the animal’s life.

What About Heart Murmur in Cats?

This means cats are particularly good at hiding the early symptoms of heart disease.

How to diagnose a murmur?

The first step in diagnosing the murmur is to recognize its presence. This is done by the vet or cardiologist listening to the heart with a stethoscope.

What is the name of the valve that policing the path from the left atrium to the ventricle?

A valve (the mitral valve) is like a one-way swing door, policing the path from the left atrium to the ventricle. A common problem in older dogs is a myxomatous mitral valve. This is just a fancy way of saying the valve becomes stiff and thickened. When the valve affected is the mitral valve, the condition is known as mitral valve disease.

Why does my dog have a heart murmur?

One of the commonest cause of heart murmur in dogs is valve disease. For example, oxygenated blood from the lungs enters the left atrium. The atrium contracts pushing the blood into a larger chamber, the left ventricle. The latter then contracts to push blood around the body.

What is the best heart medication for dogs?

A particularly important medication is pimobendan (TM Vetmedin.) This heart medication is unusual in that it’s been clinically proven to extend life when it’s started even before the dog becomes sick. However, it’s best started at a particular stage, where the heart is enlarged but the dog isn’t showing signs of congestive heart failure.

What does it mean when a dog's heart murmurs?

The term ‘murmur’ refers to turbulent blood flow within the heart that creates an extra noise or heart sound. It’s this noise that the vet hears when listening with a stethoscope against the dog’s chest. This is described as a ‘heart murmur’.

What is the cord that holds the heart valve?

Heart valves are tethered to the heart muscle with special stretchy cords called ‘chordae tendineae’. Again, these can stretch and allow leakage. More serious still is if those chords rupture.

How to tell if a dog has a grade V murmur?

Grade V murmurs are very loud and can be heard with a stethoscope without problem, and can likewise be felt by holding a hand against the dog’s chest.

What to expect if my dog has a heart murmur?

Not all dogs with a heart condition show outward signs. However, if you have been told that your dog has a heart murmur, you should expect signs such as: Coughing. Hard or rapid breathing.

Why do dogs have heart murmurs?

In dogs, typical causes for heart murmurs consist of: Heart valve shortages or obstructions. Flaws in the heart walls. Dilated cardiomyopathy (weakening of the heart muscle walls).

What is the function of the mitral valve in dogs?

The mitral valve’s task is to enable blood to flow from the left atrium to the left ventricle but not permit blood to flow backward from the left ventricle to the left atrium. This valve degenerates as a dog’s age, and when it does, the older valve permits blood to leakage in reverse.

What is the best heart medication for dogs?

An especially important medication is pimobendan (TM Vetmedin.) This heart medication is unusual because it’s been clinically proven to extend life when it’s started even prior to the dog ends up being sick. However, it’s best started at a particular stage, where the heart is enlarged however the dog isn’t showing signs of heart disease.

What happens if a dog has a valve leak?

If the disease ends up being severe, the dog is at danger for establishing congestive heart failure. Heart disease indicates that the leak across the heart valve overwhelms the heart and fluid goes from the heart backward into the lungs (instead of from the heart forward to the body). Signs of congestive heart failure consist of cough (particularly a cough at rest), a fast breathing rate, problem breathing, fainting, weakness, sleepiness, workout intolerance, and stomach distension.

How long can a dog be on heart medication?

If heart disease exists, oral medications can be prescribed and some dogs can do well with these medications for 1-2 years.

How are murmurs graded?

Murmurs are graded by their intensity, usually on a scale of I- VI. A Grade I murmur is very soft or quiet, may only be heard intermittently, and is usually only heard in one location on the chest, while a Grade VI murmur is very loud, heard everywhere that the heart can be heard, and can be felt when a person places their hand on the chest in the area of the heart (in cardiac terminology, this is called a 'thrill').

What phase of the heart cycle do dogs murmur?

Murmurs are also characterized by the time in which they occur during the heart cycle, and by whether they are long or short. Most murmurs are also characterized by their location, or where they are the loudest. The majority of murmurs in the dog occur during systole, the phase of the heart cycle when the heart is contracting to pump blood out.

What is a heart murmur?

A heart murmur is an abnormal heart sound, usually heard by listening to the heart with a stethoscope.

What is an innocent or physiologic heart murmur?

"An innocent or physiologic heart murmur is a heart murmur that has no impact on the dog's health."

What structural heart problems cause a heart murmur?

The heart is composed of four chambers - the left atrium, the left ventricle, the right atrium, and the right ventricle. Blood flows from the right side of the heart through the pulmonary artery to the lungs where it is oxygenated, and then the oxygenated blood goes through the left side of the heart and into the aorta, where it is pumped to the rest of the body. Between each of the chambers and main blood vessels there is a valve that functions to prevent blood flowing back into the chamber as the heart pumps.

How is a heart murmur detected?

In most cases, a heart murmur is detected when your veterinarian listens to your dog’s heart with a stethoscope.

What other tests may be recommended?

Depending on what other clinical signs are present in your dog, your veterinarian will usually recommend X-rays, an electrocardiogram, or an ultrasound examination of the heart (an echocardiogram). If your veterinarian suspects that the heart murmur is secondary to another disease, blood tests or other tests might be recommended.

How loud is a heart murmur?

Heart murmurs are rated on a scale of 1-6, with 1 being barely audible with a stethoscope (NOT audible by me usually), and 6 being such a loud heart murmur one can practically hear it without a stethoscope.

How to keep a dog calm?

Having an ultrasound by a cardiologist is highly recommended. They will be able to see her heart and make sure her valves are ok, as well.

Can I give my dog meds without a vet opinion?

You might get a second vet opinion on your dosage if your dog has no symptoms but I wouldnt stop giving any meds without a vet opinion. Symptoms for my dog are most noticeable when he is sleeping, during the day he sounds almost normal other than he pants heavily with any activity.

Is a 5 heart murmur a stage 5 heart failure?

no such thing as 'stage 5' heart failure.. what you said initially was she had a 5/6 heart murmur... but that is NOT a symptom of stage 3 or worse heart failure... just that there is something wrong with her heart valves. Does NOT mean she needs any treatment whatsoever, UNLESS a cardiologist deems it necessary sans any outward symptoms (sometimes there are discoveries during an echo that lead cardiologists to initiate therapy early). Heart murmurs are rated on a scale of 1-6, with 1 being barely audible with a stethoscope (NOT audible by me usually), and 6 being such a loud heart murmur one can practically hear it without a stethoscope. Most dog's heart murmurs tend to be in the 3-4/6 range, but the degree of murmur does not necessarily correlate with the severity of the disease.

Is Lasix safe for dogs?

Lasix is ONLY recommended for stage 3 heart failure and above... does NOTHING and can be dangerous for dogs not in that stage yet (it helps draw excess fluid from the lungs... but only if there is excess fluid- aka pulmonary edema- in the lungs).

Can dogs be on Lasix?

My last dog was on lasix at times for a lung issue. . You must absolutely get bloodwork done at the start to test for kidney function with periodic tests thereafter.

Can you get a second opinion from a vet?

I would say follow your Vets advice. You can always get a second opinion, and there are Veterinary Cardiologists if you want a specialists diagnoses and opinion.

What is a Heart Murmur?

A heart murmur is an abnormal heart sound that resembles a whooshing noise when listening with a stethoscope. It occurs when there is turbulent blood flow in the heart. A heart murmur is not a disease in itself but it may indicate heart disease or another problem in the body.

How to tell if a dog has a heart murmur?

These murmurs are quiet and may occur intermittently. Grade VI murmurs are the most severe. These are very loud when listening with a stethoscope and can usually be felt by placing the hands on the dog's chest. The higher the grade of a heart murmur, the greater the blood flow turbulence in the heart.

What is the grade of intensity of a dog's heart murmur?

The heart murmur will be given a grade of intensity (from I to VI). Several diagnostic tests are needed to assess heart function and overall body health. Your vet will recommend blood chemistry, ...

What is the best way to check heart size?

Radiographs (X-rays) of the chest will be needed to look at heart size and details of the heart and lungs. Specialized heart tests may be needed next to get a closer look at the heart. Your primary veterinarian may refer you to a veterinary cardiologist for this testing.

What tests are needed to check heart function?

Several diagnostic tests are needed to assess heart function and overall body health. Your vet will recommend blood chemistry, complete blood count, and urinalysis to assess organ health and cell counts. Radiographs (X-rays) of the chest will be needed to look at heart size and details of the heart and lungs.

What is the term for inflammation of the heart?

Endocarditis (inflammation in the heart; sometimes caused by an infection)

Do puppy heart murmurs go away?

Puppies may have innocent heart murmurs that go away as they grow. If your vet detects a mild to moderate heart murmur when no other signs are present, your vet may want to simply recheck your dog periodically to monitor the murmur rather than recommending further diagnostics right away.

How to treat a dog with a heart murmur?

There is a human drug called Enalapril (sp?) that has been approved for use in veterinary medicine that can be given to dogs to maintain their blood pressure at a safe level for a dog with a murmur. You want to keep the dog as quiet as possible, which is going to be no easy task with a border collie. The more active the dog is, the more tired he is going to get. The most severe risk for a dog with a heart murmur is undergoing any kind of surgical procedure (other, of course, than one to correct the defect in the heart if it is determined to be possible) and having to be put under anesthesia. As long as they don't have to be anesthetized, many dogs with a grade 6 have lived to ripe old ages, but again, it's important to try to limit their physical activity.

What to do if my dog murmurs?

A visit to the vet is in order to have the murmur re-evaluated, and to see what medication he feels the dog should be put on. The vet can also advise what kind of exercise would be acceptable to the dog. It might be best to try to find a canine cardiologist.

How severe is a grade 6 murmur?

A grade 6 murmur is so severe that it is audible without even having to use a stethescope. Many murmurs that are mild to moderately severe will disappear as the puppy grows, so waiting for a few months to see how things go is the usual course that is taken. Often the puppy outgrows the murmur and neither surgery nor medicine is needed. It's difficult to say whether or not waiting has endangered the life of the dog, because there are still avenues of treatment that can be taken.

How to tell if a dog has a heart murmur?

It’s so distinct that it can even be detected by simply pressing a hand up against the dog’s chest.

Why does my dog have a cardiac murmur?

There are other factors that may also be responsible for your dog’s cardiac condition. For example, the abnormality could be created by obstructed or diseased valves. Diastolic murmurs occur less frequently in canines. The primary factor for this type of murmur is a malfunctioning aorta.

What is a heart murmur?

A low resting bpm (heart beats per minute) is considered healthy as it is an indication that the heart is strong and can adequately push blood through the network of arteries and veins without excessive resistance. A high resting bpm suggests that the heart is weak or there are other underlying conditions reducing an effective cardiac cycle. When an abnormality is present in the flow of blood, it makes a sound which is referred to as a murmur. This is distinctly different from the normal rhythm of the heart that you’ll hear through a stethoscope.

What is the name of the murmur that increases and decreases volume?

Crescendo-decrescendo murmurs – These murmurs increase and decrease in volume and are thought to be linked to pulmonic stenosis and aortic stenosis.

Why does my dog murmur when he is around?

You’re suddenly forced to confront the reality that your dog isn’t going to be around forever. A heart murmur can be a result of a dire heart condition, but it can also just be a mild symptom of a cardiac cycle operating in a less than optimal manner.

What is a continuous murmur?

A diastolic murmur is detected in between contractions (when the heart is at rest). A continuo us murmur takes place at either or both of these stages of a cardiac cycle.

Where is the murmur in myxomatous mitral valve?

It is often detected the most discernably at a specific spot on the left region of the chest.

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