Dilated cardiomyopathyin dogs

In large-breed dogs, dilated cardiomyopathy is the leading heart disease. As the heart grows larger, its ability to pump weakens. Months can pass before you notice any outward signs.

Monitoring is especially useful during this symptom-free period, known as the occult phase. Learn what DCM means for your dog and which changes you can keep track of at home.

Customer photo: a Doberman in a pink sweater, at home on the bed

58% cumulative prevalence in the Dobermans studied by Wess and colleagues (2010).

Continuous heart monitoring

Readings while your dog rests or sleeps

Personalized baselines

A baseline built around your dog

Alerts when patterns change

Changes from their usual patterns · Plus and Max GPS plans

Veterinary report

Download ahead of your vet visit

Biotracker:daily health monitoring

Your dog carries on as usual while a connected collar device records heart and breathing rates. No shaving or direct skin contact is needed for ongoing measurements.

Choose Plus or Max GPS for alerts and a daily report.

Invoxia Biotracker

Biotracker

A daily view of your dog's heart health

  • Heart rate and breathing rate at rest
  • Detection of atrial fibrillation (AFib) risk
  • Trends across days instead of one-off readings
  • Shareable reports for your veterinarian

From

Explore

What everyday monitoringcan help you spot

Appointments can be months apart. Biotracker records what happens in between, so you do not have to rely on memory. The daily report is included in Plus and Max GPS plans.

Invoxia Biotracker, health monitoring on your dog's collar

true Resting heart rate

Measured during sleep, when readings are most comparable from one day to the next. Biotracker also includes an estimate of atrial fibrillation (AFib) risk.

true Respiratory rate

The measure cardiologists most often ask owners to count at home, recorded automatically.

true Sleep and activity

A dog may start moving less or sleeping differently before their owner notices a change.

true Veterinary report

Clinics using Biotrack can follow charts and trends remotely, or you can download a complete PDF report before the appointment.

From daily readingsto your veterinary appointment

Between visits, Biotracker keeps a record of your dog's measurements and highlights departures from their usual habits. It supports monitoring; it cannot provide a diagnosis.

1

Measure at rest

Resting and sleeping measurements build an ongoing record of heart and breathing rates.

2

Build a personal baseline

Each new reading helps define your dog's individual baseline, rather than relying on a breed average.

3

Flag a lasting change

A persistent departure from the personal baseline triggers an alert, rather than a universal cutoff. This feature is available with Plus and Max GPS.

4

Share with your vet

Share health and activity information through the dedicated Biotrack platform, or export a PDF directly from the app.

Explore the Biotrack platform →
5

Monitor treatment response

When treatment follows a diagnosis, your veterinarian can use Biotracker records to review how your dog responds and decide whether dosage changes are needed.

Signs that meanit is time to see your vet

These changes cannot diagnose DCM on their own. They are reasons to arrange a cardiac evaluation, especially if your dog's breed is predisposed.

How can AFib alerts help with DCM? A heart weakened by DCM can pump even less effectively if atrial fibrillation develops. AFib risk alerts from Biotracker can draw attention to this risk between vet visits. Contact your veterinarian promptly to confirm it with an ECG and review care if needed.

Breathing · Faster than usual at rest

Watch for breathing during sleep that stays above your dog's usual rate for several days, with no obvious cause such as heat, exertion or stress.

Stamina · New fatigue during exercise

Walks become shorter, recovery takes longer or your dog no longer wants outings they once enjoyed. Compare with their own past behavior rather than an absolute activity target.

Urgency · Coughing, weakness or fainting

Do not wait to seek veterinary care for a cough that persists, loss of balance or a short fainting episode. Such symptoms are late signs.

Causes andpredisposed breeds

DCM affects the muscle of a dog's heart. Its left ventricle expands, the walls thin and the pumping action becomes weaker. Before diagnosing it, a veterinarian excludes other conditions that can impair heart muscle function.

A largely genetic origin

An autosomal dominant inheritance pattern has been described in Dobermans. Passing through generations, this genetic component explains why family history and breed matter when assessing a dog's risk.

Two ways it can appear

Abnormal rhythms and weakened contractions can occur separately or together at the start of disease. A 24-hour Holter evaluates electrical activity, while an echocardiogram evaluates structure; screening uses both.

Non-hereditary factors

Researchers have reported diet-associated cases since 2018. Investigation continues, and causation has not been established.

Before and after diagnosis

Before: notice what changes

A dog from an at-risk breed may look healthy throughout years of occult disease. Regular tracking provides a picture of that dog's usual readings. It adds context but cannot take the place of Holter screening or an echocardiogram.

  • Know your dog's baseline before new changes arise
  • Have a concrete reason to schedule screening sooner

After: track progression

Treatment and diagnosis do not remove the gaps between appointments. Records collected over those weeks and months give your veterinarian evidence to review as they manage the disease and consider changes to care.

  • See the history over time, not just individual measurements
  • Share a report ahead of each follow-up visit
Vets and clinics

Monitor your cardiac patients remotely

With Invoxia's Biotrack professional platform, your practice can view data from its Biotracker-equipped dogs in one place. Follow the patients you identify as at risk throughout the period between office visits.

Discover Biotrack →

Dilated cardiomyopathy:how common is it in Dobermans?

Why highlight Dobermans? DCM affects this breed particularly often, and screening studies provide detailed figures by age. In Wess and colleagues' study of 412 Dobermans, cumulative prevalence reached 58.2%. These are breed-specific findings, not estimates for the overall dog population.

Prevalence by age in Dobermans

Researchers screened 412 dogs with echocardiograms and 24-hour Holter recordings.

AgePrevalence
1–2 years3%
2–4 years10%
4–6 years12.5%
6–8 years44%
Over 8 years44%

Active screening of a breed population produced these results. They are not clinical prevalence figures drawn from dogs seen at appointments, so those two approaches cannot be compared directly.

Sources: Wess et al., J Vet Intern Med 2010; Wess et al., J Vet Cardiol 2017; Tidholm et al., Vet J 2001; Broschk & Distl, Dtsch Tierarztl Wochenschr 2005; Summerfield et al., J Vet Intern Med 2012; Freeman et al., JAVMA 2018; Cornell University College of Veterinary Medicine.

Breedsmost often affected

Among canine heart diseases, DCM ranks second in frequency overall and first in large breeds.

A Doberman, a Newfoundland and an Irish Wolfhound on a countryside path
Large dog
Doberman

The Doberman is one of the breeds most affected. Read more about this breed's characteristics.

Giant dog
Irish Wolfhound

The Irish Wolfhound is a breed frequently affected by DCM.

Giant dog
Newfoundland

The Newfoundland also belongs to the group of breeds most often affected.

Large dog
Boxer

Ventricular arrhythmias are a frequent form of presentation in the Boxer.

Giant dog
Great Dane

The Great Dane is another predisposed breed included in this overview.

Medium-sized dog
Cocker Spaniel

Taurine deficiency can play a role in Cocker Spaniels.

The four stagesof the disease

The progression is described by veterinary cardiologists in four stages. Dogs spend much of that time in stages A and B, often looking completely healthy.

1

A · At-risk dog

Breed or family history indicates a risk, yet testing reveals no abnormalities. This is where monitoring begins.

2

B · Occult phase

Enlargement or rhythm abnormalities are present in the heart without outward symptoms. This silent stage may continue for years.

3

C · Heart failure

Fatigue, a cough or rapid breathing signals the onset of clinical symptoms. Your veterinarian initiates treatment.

4

D · Refractory stage

Standard treatment no longer controls heart failure. Care then requires hospitalization.

In Dobermans, the PROTECT study found that preclinical treatment with pimobendan postponed clinical symptoms and extended survival. Finding disease early can therefore affect the treatment a veterinarian chooses.

Your dog's health,in one app.

Use iOS or Android to view resting measurements, changes over time, health alerts and reports for your vet. Plus and Max GPS subscriptions include both alerts and the daily report.

App StoreGoogle Play
Resting vitals
Health readings in the English-language Invoxia app
Everyday activity
Activity tracking in the English-language Invoxia app
Health alerts
Health alerts in the English-language Invoxia app
Daily report
Health report in the English-language Invoxia app

Questions dog owners ask us

Need help understanding monitoring or this condition? You can also reach our support team directly.

Get in touch

DCM is progressive and cannot be cured, but treatment can slow its course and help your dog stay more comfortable. In the PROTECT trial, Dobermans given treatment before symptoms developed experienced a later onset of clinical signs. Your veterinarian directs that care.

The European Society of Veterinary Cardiology advises starting at age three for Dobermans, with an echocardiogram and 24-hour Holter repeated each year. A normal result at one visit does not exclude DCM arising in the future.

Yes, outward health does not exclude DCM. During its occult stage, the heart has abnormalities while the dog shows no symptoms, sometimes for years. Screening aims to identify this stage in predisposed breeds.

No. A veterinarian diagnoses heart disease using a physical examination, echocardiography and Holter testing. Biotracker's role is to record vital signs and highlight when your dog's established patterns change.

Alerts use trends from your own dog's readings and look for lasting departures from those patterns. A universal cutoff would not reflect individual differences, even between two seven-year-old Dobermans. Plus and Max GPS include this alert feature.

Share the readings with your veterinarian and contact them right away. An estimated AFib risk still needs diagnostic confirmation, including an ECG. Collapse, unconsciousness or trouble breathing requires immediate contact with an emergency veterinary service.

The device clips onto the collar your dog already wears. It takes readings without electrodes, skin contact or shaving, and stays on during everyday life and sleep. Sleeping provides the most reliable resting measurements.

Keep track of your dog's heart, every day

With daily heart and breathing measurements, Biotracker helps you follow your dog's patterns and notifies you about departures from them. Both the daily report and alerts are part of Plus and Max GPS.

Monitoring with Biotracker complements veterinary care. The device cannot diagnose disease or replace a clinical exam, echocardiogram or Holter recording.