Dilated cardiomyopathyin dogs

It is the most common heart disease in large-breed dogs. The heart enlarges and pumps less effectively, often for months before any symptoms appear.

This silent, or occult, phase is precisely when monitoring is most valuable. Here is what to understand and what you can observe from day to day.

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

58% cumulative prevalence among Dobermans in the study cohort (Wess et al., 2010).

Continuous heart monitoring

At rest and during sleep

Personalised baselines

What is normal for your dog

Alerts when patterns change

Based on their habits · Plus and Max GPS plans

Veterinary report

Export before the appointment

Biotracker:daily health monitoring

A connected collar device that continuously measures your dog's heart and respiratory rates, without skin contact or shaving, while they go about their normal life.

Alerts and the daily report are included in the Plus and Max GPS plans.

Invoxia Biotracker

Biotracker

Everyday heart health monitoring

  • Resting heart and respiratory rates
  • Atrial fibrillation (AFib) risk detection
  • Day-to-day trends, beyond a single reading
  • A report to share with your vet

From

Discover

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

If your clinic uses Biotrack, it can view charts and trends remotely. Otherwise, download a complete PDF report before the visit.

From daily readingsto your veterinary appointment

Biotracker does not make a diagnosis. It records the time between appointments and flags changes from your dog's usual patterns.

1

Measure at rest

Heart and respiratory rates, measured continuously during rest and sleep.

2

Build a personal baseline

As readings accumulate, they establish what is normal for your individual dog, rather than for their breed.

3

Flag a lasting change

Alerts respond to a sustained change from these baselines, never a generic threshold. Alerts are included in the Plus and Max GPS plans.

4

Share with your vet

Use the dedicated Biotrack platform to access all health and activity data, or download a PDF from the app.

Explore the Biotrack platform →
5

Monitor treatment response

After diagnosis and the start of treatment, Biotracker data helps your vet assess your dog's response and adjust doses if necessary.

Signs that meanit is time to see your vet

No single sign is enough for a diagnosis. Each warrants a heart examination, particularly in a dog from a predisposed breed.

Why do AFib alerts matter in DCM? Atrial fibrillation can complicate DCM and make an already weakened heart less efficient. Biotracker AFib alerts flag a risk between appointments: contact your vet without delay for ECG confirmation and, if needed, a change in care.

Breathing · Faster than usual at rest

A sleeping respiratory rate above your dog's own baseline over several days, without an apparent explanation such as heat, exercise or stress.

Stamina · New fatigue during exercise

Your dog stops earlier on walks, takes longer to recover or avoids outings they used to enjoy. The change matters more than the absolute activity level.

Urgency · Coughing, weakness or fainting

A persistent cough, loss of balance or brief loss of consciousness calls for prompt veterinary attention. These are late signs.

Causes andpredisposed breeds

Canine dilated cardiomyopathy is a disease of the heart muscle: the left ventricle enlarges, its walls become thinner and contractions weaken. A vet makes the diagnosis after ruling out other causes of myocardial dysfunction.

A largely genetic origin

In Dobermans, inheritance is described as autosomal dominant. The condition passes from one generation to the next, explaining the importance of breed and family line in an individual dog's risk.

Two ways it can appear

The disease may begin with rhythm disturbances, reduced contractility or both. Screening therefore combines a 24-hour Holter to assess electrical activity with an echocardiogram to assess heart structure.

Non-hereditary factors

Diet-associated forms have been described since 2018 and remain under investigation. A causal relationship has not been established.

Before and after diagnosis

Before: notice what changes

Your dog belongs to a predisposed breed and seems well. The occult phase can last for years without visible signs. Continuous monitoring replaces neither a Holter nor an ultrasound, but it provides a reference for what is normal for your dog.

  • Personal baselines established before anything changes
  • An objective reason to bring a screening appointment forward

After: track progression

Once a diagnosis is made and treatment begins, appointments may still be months apart. The disease continues between visits. Monitoring records those months and gives your vet real data to inform adjustments.

  • A continuous history rather than isolated readings
  • A report to send before each follow-up appointment
Vets and clinics

Monitor your cardiac patients remotely

Biotrack is Invoxia's professional platform. It brings together data from dogs in your practice wearing a Biotracker, so you can monitor patients you consider at risk between appointments.

Discover Biotrack →

Dilated cardiomyopathy:how common is it in Dobermans?

Why focus on Dobermans? This breed is particularly affected by DCM, and detailed age-based screening data is available. The study by Wess et al., involving 412 Dobermans, reported a cumulative prevalence of 58.2%. The figures below apply to this breed and cannot be generalised to all dogs.

Prevalence by age in Dobermans

Screening of 412 dogs using echocardiography and 24-hour Holter monitoring.

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

These figures come from active screening within a breed population, rather than clinical prevalence seen in consultations. The two methods are not directly comparable.

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

Dilated cardiomyopathy is the second most common heart disease in dogs and the most common in large breeds.

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

Dobermans are among the most affected breeds. Learn more about the Doberman.

Giant dog
Irish Wolfhound

Irish Wolfhounds are among the breeds most often affected.

Giant dog
Newfoundland

Newfoundlands are also among the most affected breeds.

Large dog
Boxer

In Boxers, it often presents as ventricular arrhythmias.

Giant dog
Great Dane

Great Danes are among the predisposed breeds discussed in this guide.

Medium-sized dog
Cocker Spaniel

In Cocker Spaniels, taurine deficiency may be involved.

The four stagesof the disease

Veterinary cardiologists describe progression in four stages. Much of the time is spent in the first two, when the dog can appear perfectly healthy.

1

A · At-risk dog

A predisposed breed or affected family line, with no detectable abnormalities. Monitoring starts here.

2

B · Occult phase

The heart already shows abnormalities, arrhythmias or enlargement, but the dog has no symptoms. This phase can last for years.

3

C · Heart failure

Clinical signs appear: fatigue, coughing and faster breathing. The vet starts treatment.

4

D · Refractory stage

Heart failure no longer responds to standard treatment. Hospital-based care becomes necessary.

The PROTECT study showed that starting pimobendan in the preclinical phase delayed clinical signs and prolonged survival in Dobermans. Early identification can therefore directly inform treatment decisions made by the vet.

Your dog's health,in one app.

Resting vital signs, long-term trends, alerts and veterinary reports: follow your dog's heart health on iOS and Android. Alerts and the daily report are included in the Plus and Max GPS plans.

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

A question about the disease or monitoring? Our support team can help directly.

Contact support

No. It is a progressive disease of the heart muscle. It can, however, be treated: veterinary care slows progression and improves your dog's comfort. The PROTECT study showed that treatment started in the preclinical phase delayed the onset of clinical signs in Dobermans.

For Dobermans, the European Society of Veterinary Cardiology recommends annual screening from the age of three, combining a 24-hour Holter and echocardiography. A single screening cannot rule out the disease developing later.

A lack of symptoms does not rule out disease. The occult phase means the heart is already affected even though the dog appears well, and it can last for years. This is why predisposed breeds are screened.

No. It measures vital signs and flags changes from your dog's usual patterns. Diagnosis relies on a clinical examination, echocardiography and Holter monitoring performed by a vet.

A sustained change from your dog's own trends, built from their individual readings. There is no single threshold for every dog: one seven-year-old Doberman's baseline is not another's. Alerts are included in the Plus and Max GPS plans.

Contact your vet without delay and share the Biotracker data. An AFib alert estimates risk; it does not replace a diagnosis, which requires tests including an ECG. If your dog collapses, loses consciousness or has difficulty breathing, contact an emergency veterinary service immediately.

Biotracker attaches to your dog's existing collar and measures without skin contact, shaving or electrodes. Your dog wears it continuously, including during sleep, when resting readings are most reliable.

Keep track of your dog's heart, every day

Biotracker follows your dog's heart and respiratory rates day after day and alerts you when they depart from their usual patterns. Alerts and the daily report are included in the Plus and Max GPS plans.

Biotracker is a monitoring device, not a diagnostic tool. It does not replace a clinical examination, echocardiography or Holter monitoring.