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Understanding Heart Murmurs in Cats and Dogs


dog and cat sitting next to each other

As a pet owner, your pet's health is always a top priority. While regular vet visits and a balanced diet are essential, there are some conditions that can go unnoticed without a professional's touch. One such condition is a heart murmur, which can occur in both cats and dogs. Understanding what a heart murmur is, what causes it, and how it can affect your pet's health is crucial for ensuring they live a long, happy life.


What Is a Heart Murmur?

A heart murmur is an abnormal sound heard during a heartbeat, typically detected by a veterinarian using a stethoscope. In a healthy heart, blood flows smoothly through the heart's chambers and valves, producing a regular, consistent "lub-dub" sound. A murmur occurs when there is turbulent blood flow, which creates a whooshing or swishing sound. Most common in cats and dogs, the sound is caused by blood flowing in the opposite direction that it is supposed to.


How do I know my animal has a heart murmur?

Most animals do not have any symptoms of a heart murmur, which means they will be acting completely normal. As the disease get worse you may notice coughing, exercise intolerance (meaning they do not want to do as much or are more tired than usual), or increased respiratory rate.


Causes of Heart Murmurs in Cats and Dogs

Heart murmurs can be caused by various factors, ranging from benign conditions to serious health issues. The causes can generally be categorized as either congenital (present at birth) or acquired (developed later in life).

  1. Congenital Causes:

    • Valve Defects: Malformations in the heart's valves can lead to improper blood flow.

    • Septal Defects: Holes in the walls (septa) separating the heart's chambers can cause abnormal blood flow.

    • Patent Ductus Arteriosus (PDA): A condition where a blood vessel fails to close after birth, leading to a heart murmur.

  2. Acquired Causes:

    • Valvular Heart Disease: Over time, the heart's valves may thicken or become misshapen, leading to a murmur.

    • Dilated Cardiomyopathy: This disease affects the heart muscle, causing it to become enlarged or weakened. This causes the heart to become very large and the chambers of the heart to be come larger.

    • Hypertrophic Cardiomyopathy: This most common in cats with hyperthyroidism. This common condition in older cats can cause secondary heart issues, including murmurs.

    • Endocarditis: An infection of the heart valves can cause a murmur, though this is rare.


Grades of Heart Murmurs

Heart murmurs are graded on a scale of 1 to 6, with 1 being barely audible and 6 being extremely loud. The grade of a murmur can provide some insight into its potential severity, but it's not always a direct indicator of how serious the underlying condition might be.

  1. Grade I: Barely audible; often detected only in a quiet environment.

  2. Grade II: Soft, but easily heard with a stethoscope.

  3. Grade III: Moderately loud; heard consistently.

  4. Grade IV: Loud; heard on both sides of the chest.

  5. Grade V: Very loud; can be felt as a vibration through the chest wall.

  6. Grade VI: Extremely loud; heard with the stethoscope slightly off the chest.


Diagnosis and Treatment

If your vet detects a heart murmur in your cat or dog, they may recommend further tests to determine the underlying cause. These tests can include:

  • Echocardiogram: An ultrasound of the heart that provides detailed images of the heart’s structure and function.

  • Chest X-rays: Used to evaluate the size and shape of the heart and check for fluid in the lungs.

  • Electrocardiogram (ECG): Measures the electrical activity of the heart to detect irregularities.


The treatment for a heart murmur depends on the underlying cause. In some cases, particularly with benign or low-grade murmurs, no treatment may be necessary, and your vet will recommend regular monitoring. For more serious conditions, medication, dietary changes, or even surgery may be required.


Living with a Pet with a Heart Murmur

A diagnosis of a heart murmur in your pet can be concerning, but with the right care and monitoring, many pets with heart murmurs live happy, healthy lives. Regular veterinary check-ups are essential to monitor the murmur and catch any changes early. Your vet may also recommend lifestyle adjustments, such as a heart-healthy diet, maintaining a healthy weight, and avoiding excessive exercise.


Heart murmurs in cats and dogs are relatively common and can be caused by a variety of factors. While not all murmurs are serious, it's important to have any abnormal heart sounds checked out by a veterinarian. By staying informed and vigilant, you can help ensure your pet enjoys the best possible quality of life.



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