San Bernardino, California · Maltese
Heart Health in Chihuahuas: Murmurs, Diet and Vet Screening
By Yulia Sky · July 10, 2026

As a small-breed dog breeder here in California, one of the most important conversations I have with prospective families revolves around health. Since starting World Class Puppies in 2019, I've made it my mission to raise the healthiest, happiest puppies possible, focusing on Apple Head Chihuahuas from incredible European lines. A topic that often comes up, whether from clients in Los Angeles or a family I’m speaking with from San Bernardino, is heart health. The words 'heart murmur' can sound scary, but understanding what it means is the first step toward responsible ownership.
While my expertise is rooted in my beloved Chihuahuas, the principles of cardiac care apply to many toy breeds. I get just as many questions about Maltese, Yorkies, and Pomeranians. This guide is written from my direct experience as a breeder who navigates these health topics daily. I’ll walk you through what murmurs are, the importance of diet and screening, and how we ensure our puppies start their lives on the healthiest footing possible.
Why Small Breeds like Maltese Thrive in San Bernardino
Many of our client families live in the Inland Empire, and it’s no surprise that small breeds like the Maltese and Chihuahua are incredibly popular there. San Bernardino and its surrounding communities—from Redlands to Loma Linda—offer a lifestyle that's perfectly suited for a tiny companion. The warm, sunny climate means you don't have to bundle up for hours for a quick potty break, which is a huge plus for a tiny dog.
Their compact size makes them ideal for various living situations. Whether you're in a spacious house in a family-friendly neighborhood or a modern apartment Downtown, a small dog doesn't require a large yard to be happy. A daily walk, combined with plenty of indoor playtime, is enough to keep them physically and mentally stimulated. Breeds like the Maltese are particularly cherished for their affectionate nature and low-shedding coats, making them wonderful, clean additions to any home. They are adaptable, portable, and a perfect fit for the dynamic lifestyle of San Bernardino families.
Buyer's Guide: How to Choose a Healthy Small Breed Puppy
When you decide to bring a puppy home, you're choosing a new family member. Ensuring that puppy is healthy from the start is paramount. As a breeder, transparency is everything. Here is a checklist of what you should look for and what we guarantee at World Class Puppies:
- Pedigree and Parentage: Ask to see the parents' pedigree. Our puppies come from champion European bloodlines, which we've selected not just for beauty but for health and longevity.
- Parental Health Testing: Responsible breeders test their breeding dogs for genetic conditions. For Chihuahuas and other susceptible small breeds, this should include cardiac exams (for conditions like Mitral Valve Disease), patella evaluations, and genetic panels. You can read more about common health issues in teacup Chihuahuas on our blog.
- Vaccination & Deworming Schedule: A puppy should come with a complete record of all age-appropriate vaccinations and deworming treatments they have received. We provide a detailed health record that your vet can continue seamlessly.
- Age at Pickup: We never let our tiny puppies go to their new homes before they are at least 12-16 weeks old. They need this crucial time with their mother and littermates to develop social skills and physical robustness.
- Health Contract & Guarantee: A reputable breeder will always provide a written contract that outlines the puppy's health status and includes a health guarantee. Our Health Guarantee covers congenital defects, giving you peace of mind.
Breed Comparison: Maltese vs. Chihuahua
For families in San Bernardino considering a small companion, the Maltese and Chihuahua are often top contenders. While both are toy breeds, they have distinct personalities and care needs.
| Feature | Maltese | Chihuahua |
|---|---|---|
| Avg. Adult Weight | 4-7 lbs | 3-6 lbs |
| Temperament | Gentle, playful, charming | Sassy, charming, loyal, 'big dog in a small body' |
| Grooming Needs | High (daily brushing, professional grooming) | Low (smooth coat) to Moderate (long coat) |
| Exercise Needs | Low (short daily walks and playtime) | Low (short daily walks and playtime) |
| Good with Children? | Good with older, gentle children | Best with older children or adults due to their fragility |
Puppy Care Tips from a Breeder: A Focus on Heart Health
Maintaining your puppy's heart health is a lifelong commitment that starts on day one. Here are the practices I follow and recommend to all new owners.
Feeding for a Strong Heart Diet is the cornerstone of health. I feed our puppies a premium, high-calorie food formulated for small breeds. Look for foods rich in taurine and Omega-3 fatty acids, which are vital for cardiac function. We provide a small supply of the food our puppies are used to, and we give you a detailed feeding schedule. For tiny breeds prone to hypoglycemia, frequent small meals are non-negotiable.
The Vet Timeline and Screening A puppy's first vet visit should happen within 48-72 hours of coming home. This is for your peace of mind and to establish a relationship with your vet. We have a great resource on our blog, the First Vet Visit Checklist for a New Puppy, to help you prepare.
During this exam, your vet will listen to the puppy's heart. It's not uncommon to detect a low-grade 'flow murmur' in a young, growing puppy. Most of these are innocent and resolve by 6 months of age. However, any murmur must be noted. If it persists or is a higher grade, your vet may recommend an echocardiogram (an ultrasound of the heart) with a veterinary cardiologist to rule out any congenital defects like a Patent Ductus Arteriosus (PDA) or Mitral Valve Disease (MVD).
The Importance of Dental Care This is a tip many owners overlook. Poor dental health is directly linked to heart disease. Bacteria from plaque and tartar can enter the bloodstream and damage the heart valves. I cannot stress this enough: start brushing your puppy's teeth early and schedule professional cleanings as recommended by your vet. It's one of the best preventative measures you can take for their long-term health.
Travel and Delivery to San Bernardino
We are committed to a safe and stress-free transition for every puppy. For our clients in San Bernardino and the greater Inland Empire, we are happy to arrange a meeting point or discuss ground delivery options. We never ship puppies as cargo.
Our priority is a personal touch. We love to meet new families via video chat to introduce you to the puppies and answer all your questions face-to-face. If you are located further away in California or out of state, we can arrange for an in-cabin flight with a trusted puppy nanny to hand-deliver your new baby. You can learn more about my personal approach on our story page.
Frequently Asked Questions
Is a heart murmur serious in a Chihuahua puppy? Not always. Many puppies have 'innocent' or 'flow' murmurs that they outgrow by 4-6 months. However, any murmur needs to be evaluated by a vet to rule out underlying congenital issues, which is why we screen all our puppies and recommend a follow-up with your own vet.
Are Chihuahuas good apartment dogs? Yes, Chihuahuas are fantastic apartment dogs due to their tiny size and minimal exercise needs. A short walk and indoor playtime are usually sufficient. They are adaptable and can live happily in smaller spaces as long as they get enough attention and mental stimulation.
How much does a Chihuahua puppy cost? The cost of a well-bred Chihuahua puppy from a reputable breeder can vary significantly based on bloodlines, health testing, and conformation. While it's an investment, the price reflects the extensive care, veterinary screenings, and quality that goes into raising a healthy, well-socialized puppy.
What should I know before buying a Chihuahua? Before buying a Chihuahua, understand their needs for socialization, consistent training, and dental care. Be prepared for potential health issues common in tiny breeds, such as hypoglycemia and heart conditions. It's crucial to choose a breeder who is transparent about their health testing and breeding practices.
Ready to Welcome Your New Puppy?
Choosing a puppy is a decision made with the heart, and ensuring that heart is healthy is my top priority. I hope this guide has given you the confidence and knowledge to be a fantastic advocate for your tiny dog's health.
If you are ready to take the next step and see which of our puppies might be the right fit for your family, please visit our Available puppies page. For any questions, you can reach me through our Contact us page or directly by email at wcpuppies@gmail.com. I look forward to hearing from you!
Frequently asked questions
Is a heart murmur serious in a Chihuahua puppy?
Not always. Many puppies have 'innocent' or 'flow' murmurs that they outgrow by 4-6 months. However, any murmur needs to be evaluated by a vet to rule out underlying congenital issues, which is why we screen all our puppies and recommend a follow-up with your own vet.
Are Chihuahuas good apartment dogs?
Yes, Chihuahuas are fantastic apartment dogs due to their tiny size and minimal exercise needs. A short walk and indoor playtime are usually sufficient. They are adaptable and can live happily in smaller spaces as long as they get enough attention and mental stimulation.
How much does a Chihuahua puppy cost?
The cost of a well-bred Chihuahua puppy from a reputable breeder can vary significantly based on bloodlines, health testing, and conformation. While it's an investment, the price reflects the extensive care, veterinary screenings, and quality that goes into raising a healthy, well-socialized puppy.
What should I know before buying a Chihuahua?
Before buying a Chihuahua, understand their needs for socialization, consistent training, and dental care. Be prepared for potential health issues common in tiny breeds, such as hypoglycemia and heart conditions. It's crucial to choose a breeder who is transparent about their health testing and breeding practices.
Ready to meet your new puppy?
See currently available teacup puppies or reach out to join our waitlist.