The high prevalence of myxomatous mitral valve disease in cavalier King Charles spaniels reflects breeding practices that have prioritised appearance over health, and reform is urgently needed.
The MMVD crisis in cavaliers represents one of the clearest examples of how breed standards and breeding practices can cause widespread suffering. Dogs from unscreened lines often develop heart disease by age 2-3, requiring medication for years. The cost of cardiac medication can be prohibitive, meaning some affected dogs go untreated. Breeding from health-tested parents significantly reduces the risk of early-onset disease. Kennel clubs, breeders, and buyers all have roles to play in shifting incentives toward health-first breeding.