Subvalvular aortic stenosis (SAS) is a heritable heart defect common in certain large breeds causing exercise intolerance, syncope and sudden death with significant welfare implications.
SAS causes welfare impacts ranging from exercise intolerance and syncope in moderate cases to sudden cardiac death in severe cases. Affected dogs may develop secondary arrhythmias and heart failure. Welfare priorities include screening breeding animals, providing owners with realistic prognosis information, avoiding strenuous exercise in affected dogs, and treating arrhythmias with antiarrhythmic medication.