Just as your own primary care physician will sometimes recommend that you see a cardiology specialist for heart related issues, your veterinarian may recommend a referral to a veterinary cardiologist for your pet.  Cardiology focuses on the treatment of diseases involving the heart, the great blood vessels of the body and the lungs.

Veterinarians who are board-certified in cardiology receive their certification after completing a minimum of 3 years in a residency program and passing the certification examination from the American College or Veterinary Internal Medicine (ACVIM). The ACVIM is sanctioned and supported by the American Veterinary Medical  Association (AVMA).

The  residency program for an cardiology specialist candidate includes training and supervision by board certified specialists on a variety of diagnostic imaging techniques such as echocardiography, as well on the treatment and management of conditions such as congestive heart failure, cardiac arrhythmias, valvular damage and congenital defects.

Our board-certified cardiologist will work closely with your primary care veterinarian to treat your pet. We may perform complex diagnostics on a difficult case, create a comprehensive treatment plan, develop a plan for long term care, or even offer a second opinion when needed.   A team approach is the best way to optimize care for your pet, and communication is key.  If you have concerns, talk to your family veterinarian to see if your pet is a candidate for cardiology specialty medicine

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What are the symptoms of heart disease in dogs?

Did you know dogs get heart disease too, and about 10% of all dogs have some type of heart disease?  Learn more...



Does your cat have a heart murmur?

Heart disease isn’t a problem that only affects people,  cats can have heart problems too!  Learn more...


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Do you own a Doberman Pinscher, Boxer, Great Dane, Irish Wolfhound, Cocker Spaniel, Newfoundland or St. Bernard?

If you do, your pet is at risk for developing a heart muscle disease called cardiomyopathy.  Learn more... 

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Meet our board certified cardiologist


Dr. Jennifer Myers graduated from the Western College of Veterinary Medicine in Saskatchewan, Canada, in 2008. She then completed a one year small animal rotating internship at Garden State Veterinary Specialists and a one year cardiology internship at Animal Surgical and Emergency Center.  In 2010 she began a combined cardiology residency and masters degree at Colorado State  University.  She lives in Raleigh and has a small mixed breed dog named Bruce.

Cardiology Services


 Cardiac physical examinations
An   examination of your pet with a particular focus on factors that indicate cardiac  health such as the color of the oral mucous membranes, capillary refill  time, resting heart rate, cardiac rhythm, cardiac and pulmonary  auscultation, resting respiratory rate and effort and pulse quality.

Thoracic radiography
Thoracic   radiographs (chest x-rays) provide information about the size and shape of the heart  and blood vessels and the  appearance of the trachea and lungs. Chest x-rays are considered to be  the best and most sensitive tool for assessing congestive heart failure.

Doppler blood pressure
Monitoring and management of the systemic blood pressure can  prevent injury to the heart and can also be helpful in controlling heart  disease in pets with pre-existing cardiovascular disease.

This   procedure refers to the removal of fluid from the sac around the heart   (pericardial effusion).  Pericardiocentesis is often an emergency  procedure. Because a large needle is directed close to the heart,  extensive experience in performing this procedure is necessary to avoid complications.

Electrocardiogram (ECG)
An   ECG is a non-invasive test that evaluates the electrical activity of your pet’s heart. This  test is appropriate for patients that have an arrhythmia (abnormal  cardiac rhythm) or cardiac conduction disturbance. It may also be  performed in patients with a history of unexplained weakness or  collapse. 

Echocardiography (Echo)
An   echocardiogram uses ultrasound to look at the heart.  Ultrasound is a painless method for imaging the body using very high pitched sound frequencies (higher than the human ear can hear).  The  ultrasound allows us to visualize the structure of the heart as well as assess its function and measure the flow of blood.  

Holter monitoring (24 hour ECG)
TVRH   is pleased to be able to offer Holter monitor services for canine and feline cardiac patients. The 24 hour ambulatory electrocardiogram (ECG),  called the “Holter monitor”, is a small, portable medical device that  records the heart’s electrical activity continuously. A Holter monitor  allows the heart rhythm to be evaluated for an extended period of time  during normal daily activities. Holter monitoring is becoming an  increasingly valuable, noninvasive tool for veterinary cardiologists to  diagnose and monitor both slow and fast heart rates, as well as to   manage various cardiomyopathies.

Often, canine and  feline patients show clinical signs suggestive of an arrhythmia that  occur only during certain activities, such as physical exertion, eating,  or even during rest. Using a Holter monitor increases the chance of  recording periodic arrhythmias associated with these symptoms.

The appropriate use of a Holter monitor can  therefore provide veterinarians with a method by which we can offer  preventative medicine for subclinical cardiac disease as well as better  manage symptomatic patients.  Please call Triangle Veterinary Referral  Hospital to speak with our Cardiology Department with any questions or  to schedule a referral.


Cardiology Video Resources

  • Cardiology Service
  • What is an Echocardiogram?