Abstract
Mitral valve disease, MVD, occurs chiefly in small breed dogs. In large breeds this is an uncommon condition. Clinical findings and progression of the disease may be somewhat different in larger compared to smaller breeds. More rapid progression may occur due to factors which are mentioned in the article. Thoracic radiographs taken either conscious or under sedation are recommended in symptomatic dogs. A blood test to measure Pro BNP is available but its limitations should be recognised. Echocardiography is more useful in large breeds, mainly to differentiate from DCM. Therapy is highlighted. Pulmonary hypertension, a complication in a significant number of dogs with MVD, is discussed and its treatment outlined.
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