What is the scheme?
The Kennel Club Heart Scheme assesses Cavalier King Charles Spaniels for mitral valve disease and other potentially significant heart diseases.
The scheme advises owners if their dog is affected by heart disease and gives guidance to breeders on how to lower the risk of producing affected puppies. A number of approved cardiologists (vets specially trained in heart conditions) have been appointed to carry out heart grading on dogs.
What are heart murmurs and what is mitral valve disease?
A heart murmur is an unusual sound made by the heart during its cycle of beating and can be a sign of heart disease. Mitral valve disease (MVD) is a type of heart disease that is caused by one of the valves in the heart leaking. This leaking valve can get worse over time and can cause the heart to become enlarged and less effective.
Getting your dog assessed
At what age should my dog first be assessed?
How much will it cost?
How do I book an assessment
Please see below for a list of regional cardiologists or email ourHealth (The Kennel Club) team for details of group sessions. Please note that in most cases your local vet will not be able to assess your dog for this scheme.
|Location area||Name and email|
|East Midlands||Sarah Smith and Ruth Willis|
|North Wales & North West||Rachel James|
|North West||Emily Dutton|
|Northern Ireland||Julie Hamilton-Elliott|
|Northern Ireland||Julie Kavanagh|
|Scotland/Cumbria/North West||Hannah Stephenson|
|South Wales||David Dickenson|
|West Midlands (Solihull)||Chris Linney|
|West Midlands||Simon Swift|
|West Midlands||Fabio Sarcinella|
|West Midlands||Siddarth Sudunagunta|
|Yorkshire & North East||S L Roberts|
What do I need to bring to the assessment?
What happens during the assessment?
Your cardiologist will use two non-invasive techniques to check your dog’s heart. The cardiologist will begin by using a stethoscope to listen to your dog’s heart for signs of a heart murmur. They will use their findings to give your dog a murmur grade. After this they will carry out an echocardiogram to scan your dog’s heart valves and give a mitral valve prolapse grade. The cardiologist will also record other measurements on the scan which may be used for research purposes, but these will not be recorded on your test certificate.
The cardiologist will discuss your dog’s grading and will record the findings on an official form. You will receive a copy of the form. The assessor will keep a copy for their records and The Kennel Club will be informed of the result for online publication.
How often should my dog be assessed?
What does my mitral murmur grade mean?
Your dog is assigned two grades. The first is a mitral murmur grade of 0, 1, 2 or 3+ which is based on standard protocols for grading mitral murmurs. A murmur is graded in relation to the intensity of the other heart sounds; the louder the murmur, the higher the grade. This grading is exactly the same as the ones used in other auscultation (stethoscope examination) schemes. If your dog has a murmur which is not considered to be due to mitral valve disease, then it will be noted separately to the mitral murmur grade in the comments box (e.g. innocent murmurs, murmurs of congenital heart disease).
What does my MVP grade mean?
The second grade is based on the degree of mitral valve prolapse (MVP) seen on the heart scan. MVP is ‘ballooning’ of the mitral valve secondary to a structural abnormality of the valve. This can happen before the dog has a murmur. The degree of prolapse will be measured and a grade will be given based on a standard protocol, with more significant prolapse resulting in a higher MVP grade.
Age and breeding advice
As mitral valve disease develops as a dog ages, dogs might develop a murmur or mitral valve prolapse as they get older. The ‘traffic light’ system therefore takes into account the age of the dog. A dog with higher murmur and/or prolapse grades as a young dog would be considered more of a concern than an older dog with the same grades.
The breeding advice based on this scheme varies depending on the two grades that your dog receives, and also the age they are tested.
These dogs have the lowest risk of developing clinical MVD and the lowest risk of passing the condition on to any offspring.
These dogs have a higher risk of developing and/or passing on the condition to offspring. Only amber dogs that are in excellent health, and have good results from other screening schemes, may be used cautiously for breeding, and only with a mate categorised as green, preferably at 4 years of age or older.
These dogs have the greatest risk of passing the condition to offspring and so should not be used for breeding.
Please note that dogs considered by the cardiologist to have an innocent murmur (i.e. a murmur that is not related to MVD or another significant heart defect) should be scored as green under the traffic light system. Dogs considered to have another significant heart defect (e.g. congenital heart defect) should be scored as red under the traffic light system. This will be clearly stated on your testing certificate. This advice is summarised in the following tables. The advice may change, however, as further research is undertaken.
The way that MVD is inherited is not fully understood and is not always entirely predictable. Using the traffic light system above can help you reduce the chances of breeding puppies affected by heart disease. However, even if used responsibly, this guidance cannot guarantee that a puppy from two “green” parents will be free from MVD.
Find another dog's results
Our Health Test Results Finder can help you find any results from our heart scheme, as well as any DNA tests and health screening schemes that we record. This tool can help you make informed decisions, whether you're a breeder trying to find a suitable healthy mate for your dog, or a puppy buyer wanting to know more about the health of a puppy's parents.
Making balanced breeding decisions
As well as considering the implications of this heart scheme, there are other equally important factors to consider when deciding whether two dogs should be mated together, such as temperament, genetic diversity, conformation, other available health test results, the general health of the dogs, etc. Your breeding decisions should always be well balanced between and take into consideration the qualities and compatibility of both the sire and dam that you are considering.
Questions and answers
What happens with my result?
At present Heart Scheme results for Cavalier King Charles Spaniels are not published, but the information should be accessible via the owner.
Can I appeal my dog’s grade?
Correspondence address and contact information
Health Results Appeal
Breeder Services Dept.
The Kennel Club
1-5 Clarges Street