Causes
Progressive degeneration of the valve with age. Highly predisposed breeds: Cavalier King Charles Spaniel (early onset), Poodle, Chihuahua, Yorkshire Terrier and other small breeds.
Diagnosis
Auscultation of the murmur plus echocardiography to assess the severity and the right time to start treatment.
Treatment
In the early stages it may not require treatment, only monitoring. As it progresses, medication that slows the progression and, later on, treatment of heart failure.
Prevention
Regular cardiac check-ups in predisposed breeds, especially the Cavalier King Charles Spaniel.

