10 Best Low Sodium Dog Treats For Heart Murmur in 2026

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For dogs with a heart murmur, the best low sodium dog treats for heart murmur help manage sodium intake while still offering a rewarding snack. Hill’s Prescription Diet Crunchy Dog Treats takes the top spot for its vet-formulated, low-sodium recipe designed for cardiac and kidney health. For small breeds, Mattie’s Treats Mini Treats offer a heart-shaped crunch. The CHAMPS Heart Support Soft Chews add taurine and omega-3s for targeted cardiac nutrition.

Dog owners managing a heart murmur face a real challenge: finding treats that won’t exacerbate the condition but still feel like a reward. Sodium restriction is often the first line of defense, but many commercial treats pack hidden salt that can raise blood pressure and strain the heart. Protein and phosphorus levels also matter, especially when kidney function is a concern alongside cardiac issues.

This guide is the result of research into manufacturer specifications, veterinary nutrition guidelines, and patterns in owner feedback for ten products. We focused on sodium content, ingredient quality, and whether each treat supports broader cardiac or renal health goals. You’ll find clear picks for prescription diets, small dogs, single-ingredient needs, and heart-support formulas.

Top 10 Low Sodium Dog Treats For Heart Murmur in the Market

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The Best Low Sodium Dog Treats For Heart Murmur, Reviewed

#1Best Overall

Hill's Prescription Diet Crunchy Dog Treats

Hill's Prescription Diet Crunchy Dog Treats
Sodium LevelLow sodium
Calorie ContentLow calories
Made ForDogs under veterinary care
OriginMade in USA
Size11 oz. bag
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What We Like

  • Low sodium for heart and kidney health
  • Low calorie to help maintain ideal weight
  • Formulated by veterinarians and nutritionists
  • Natural ingredients from global sources

Trade-offs

  • Requires veterinary prescription or supervision
  • Targeted for specific prescription diet dogs only

A low sodium count helps maintain heart and kidney health, and the low calorie profile supports ideal weight management. Hill’s Prescription Diet Crunchy Dog Treats are formulated by Hill’s own nutritionists and veterinarians, so the balance of ingredients isn’t guesswork. These are made in the USA with global ingredients you can trust, giving you a reliable option when your dog needs every bite to count.

The most important thing to know is that these treats are formulated by Hill’s nutritionists and veterinarians specifically for dogs under veterinary care, so they’re not a casual snack you grab without a vet’s guidance. They’re low sodium to help maintain heart and kidney health, and they pair with a range of Prescription Diet lines like b/d, c/d, g/d, h/d, i/d Low Fat, j/d, k/d, k/d Mobility, r/d, and w/d. By comparison, Mattie’s Treats Mini Treats also focus on low sodium, but Hill’s compatibility with multiple prescription diets means you have more flexibility if your dog’s needs shift. If your pup is already on a Hill’s prescription food, these treats are a straightforward match.

Best for: Dogs already under veterinary care and on Hill's Prescription Diet food. Not ideal for dogs without a vet-prescribed diet plan or those needing a treat that works outside a prescription food system.

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#2Best For Small Dogs

Mattie's Treats Mini Treats

Mattie's Treats Mini Treats
ProteinLow Protein
PhosphorusLow Phosphorus
SodiumLow Sodium
Size10 oz box
Key Ingredients6 simple ingredients
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What We Like

  • Low sodium, protein, and phosphorus
  • Heart-shaped crunchy treats for small pups
  • 6 simple ingredients including real pumpkin
  • Donates to canine kidney disease research

Trade-offs

  • Only 10 oz box, smaller volume for larger dogs
  • Contains canola oil, which some owners avoid

A 10 oz box of heart-shaped crunchy treats formulated with low sodium, low protein, and low phosphorus means these are built for dogs with specific dietary restrictions tied to kidney conditions. That trifecta of controlled nutrients makes them a rare find for small-breed pups who need treats that won’t work against their kidney health needs. The six-ingredient list, light rye flour, tapioca flour, pure pumpkin, cinnamon, fish oil, and canola oil, keeps things simple and avoids the long chemical laundry list common in prescription-style options.

The trade-off is portion size: at 10 ounces, this box goes faster than the 16 oz Mattie’s Treats Original bag. That is especially true if you have more than one small dog or a dog who earns multiple training rewards per day. Compared to the Hill’s Prescription Diet Crunchy Dog Treats, which are also designed for dietary management, Mattie’s Treats gives you a low protein and phosphorus profile without requiring a prescription. If your small dog needs a daily treat that respects kidney limits, this is the one to grab.

Best for: Small-breed dogs with kidney conditions who need a low-sodium, low-protein, low-phosphorus crunchy treat. Not ideal for large dogs or owners who prefer grain-free or oil-free ingredient lists.

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#3Best Value Size

Mattie's Treats Original Dog Treats

Mattie's Treats Original Dog Treats
Size16 oz (1 lb)
SodiumLow Sodium
ProteinLow Protein
PhosphorusLow Phosphorus
Made inUSA
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What We Like

  • Low sodium, protein, and phosphorus
  • Six simple ingredients including pumpkin
  • Donates to kidney disease research
  • Heart-shaped crunchy treats

Trade-offs

  • Contains fish oil and canola oil
  • Crunchy texture not for soft-treat fans
  • Only one size option at 16 oz

A 16-ounce box of crunchy treats that are low in sodium, protein, and phosphorus means you can reward a dog managing a kidney condition without throwing off its carefully managed diet. The six-ingredient list, light rye flour, tapioca flour, pure pumpkin, cinnamon, fish oil, and canola oil, keeps things simple. The pumpkin and cinnamon give them a flavor most dogs don’t turn their noses up at. These treats are designed to complement a kidney-friendly diet, and the heart shape is a nice touch when you’re trying to make every moment count.

These are crunchy biscuits, not soft chews. If your dog has dental issues or prefers something chewy, you’ll need to look elsewhere. The fish oil and canola oil also means this isn’t a single-ingredient or grain-free option, which some owners avoid. Compared to the prescription diet crunchy treats from Hill’s, Mattie’s offers a low-sodium, low-protein treat without requiring a prescription, while Hill’s is the #1 Veterinarian Recommended brand.

Best for: Owners of dogs with kidney conditions who need a low-sodium, low-protein, low-phosphorus crunchy treat with simple ingredients. Not ideal for dogs needing soft chews or a grain-free diet.

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#4Best Single Ingredient

Ruff Greens Tidbits Beef Liver Treats

Ruff Greens Tidbits Beef Liver Treats
IngredientBeef liver only
ProcessingFreeze-dried
Sodium levelNaturally low
Key nutrientsIron, Vitamin D, Calcium
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What We Like

  • Single ingredient: beef liver only
  • Freeze-dried to lock in nutrition
  • Naturally low in sodium
  • Rich in iron, vitamin D, calcium

Trade-offs

  • Single protein source limits variety
  • No added heart-support nutrients like taurine

Freeze-dried beef liver with nothing else added means you know exactly what your dog is getting, no preservatives, fillers, or mystery ingredients. For a dog with a heart murmur, keeping sodium low is a priority, and these treats deliver that naturally while also packing iron, vitamin D, and calcium for overall bone and muscle health. The crunchy texture from freeze-drying makes them satisfying to chew, and the single-ingredient simplicity is a relief if your dog has a sensitive stomach or you’re trying to avoid triggers.

This treat is pure beef liver and nothing else, so if you want added heart-support ingredients like taurine or omega-3s, you’d need a different product. But for owners focused on keeping sodium low without a long ingredient list, Ruff Greens Tidbits delivers exactly that, and the freeze-drying locks in the liver’s natural vitamins and minerals. It’s a simple, clean option for those who prefer single-ingredient treats over fortified ones.

Best for: Owners who want a single-ingredient, naturally low-sodium treat and prefer no additives or fillers.

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#5Best Heart Support Formula

CHAMPS Heart Support Soft Chews

CHAMPS Heart Support Soft Chews
Key NutrientsTaurine + Omega-3s (EPA/DHA)
Protein27%
GrainGrain-free
Made InUSA, BRCGS-certified facility
Daily Serving2-5 treats as snack
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What We Like

  • Heart-support nutrients taurine and omega-3s
  • Grain-free with real chicken first ingredient
  • No artificial preservatives, colors, or fillers
  • Made in BRCGS AA-rated facility

Trade-offs

  • Not specifically low sodium for heart murmur diets
  • Consult vet required for dogs with cardiac conditions

With 27% protein, real chicken first, and a grain-free recipe that includes taurine plus omega-3s (EPA/DHA), these chews target cardiovascular function directly rather than just providing a general treat. That focus makes them a practical option for owners who want a reward that also supports heart health, especially for adult and senior dogs. There are no artificial preservatives, colors, or fillers, so you’re giving something that delivers targeted nutrition.

This isn’t a low-sodium treat, it’s designed for heart support with a broader nutrient profile. If your vet has you watching sodium and phosphorus closely for a heart condition, Mattie’s Treats Mini Treats are formulated specifically for that. But if your dog’s main need is added taurine and omega-3s in a soft, easy-to-chew reward, this fills that gap well.

Best for: Dog owners wanting a heart-support treat with targeted nutrients like taurine and omega-3s. Not ideal for dogs requiring strictly low-sodium or low-phosphorus treats.
#6Best No-Salt Heart-Healthy

Gaines Family Farmstead Beef & Sweet Potato Fillets

Gaines Family Farmstead Beef & Sweet Potato Fillets
Made inUSA
Key IngredientsBeef, sweet potato
Added SaltNone
GrainFree
Artificial AdditivesNone (dyes, flavors, preservatives)
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What We Like

  • No added salt
  • Rich in potassium for heart function
  • Free from grains and artificial ingredients
  • Low calorie for dieting dogs

Trade-offs

  • Larger than average training treats
  • Only one flavor option (beef & sweet potato)
  • Not specifically formulated for heart conditions

Zero added salt and a grain-free recipe built around beef and sweet potato make these a straightforward pick when you’re watching sodium. The sweet potato provides potassium, which is listed as a nutrient that promotes healthy heart function, and the treats skip the artificial dyes, flavors, and preservatives that clutter many bags on the shelf. That kind of clean ingredient list can be appealing for anyone prioritizing natural snacks.

These aren’t a prescription or targeted heart-support formula like the Hill’s Prescription Diet Crunchy Dog Treats. They’re a general healthy snack with a heart-friendly profile, not a therapeutic tool. If your vet wants a treat that actively delivers taurine or CoQ10, you’d need something like the Wellix Healthy Taurine Dog Treats. But if your priority is simply keeping sodium at zero while rewarding your dog with something natural, these fillets do exactly that without pretending to be more.

Best for: Owners who want a salt-free, all-natural treat with potassium from real food. Not ideal for dogs needing a prescription-strength or targeted cardiac supplement treat.
#7Best Low-Sodium Single-Ingredient

Ruff Greens Tidbits Freeze-Dried Beef Liver Treats

Ruff Greens Tidbits Freeze-Dried Beef Liver Treats
IngredientBeef liver only
ProcessingFreeze-dried
SodiumNaturally low
Key NutrientsIron, Vitamin D, Calcium
Size2.5 oz bag
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What We Like

  • Single-ingredient beef liver
  • Naturally low in sodium
  • Freeze-dried to preserve nutrients
  • Rich in iron, vitamin D, calcium

Trade-offs

  • Only one flavor option available
  • Not suitable for dogs needing low-protein or low-phosphorus diets

A single-ingredient beef liver treat with naturally low sodium means you can reward your dog without worrying about hidden salt or fillers. Freeze-drying locks in the iron, vitamin D, and calcium from the liver itself, so every crunchy piece delivers nutrition that supports bone strength and muscle health. For a dog that needs a clean, low-sodium option, this is about as straightforward as a treat gets: one recognizable ingredient, no preservatives, and a sodium level that won’t work against balanced hydration. It suits owners who want a straightforward, protein-packed reward they can feel good about giving daily or during training sessions.

You get exactly one flavor and one texture here. If your dog turns up their nose at liver or has trouble with crunchy bites, this bag won’t stretch far. Compared to Mattie’s Treats Mini Treats, which offer a low-protein, low-phosphorus, low-sodium formula, Ruff Greens Tidbits focus entirely on simplicity and nutrient density rather than a tailored medical profile. That makes it a great pick for dogs that need low sodium first and foremost, but less ideal if you’re also managing multiple dietary restrictions at once.

Best for: Owners who want a pure, low-sodium single-ingredient treat for a dog that needs a clean snack. Not ideal for dogs that need a soft texture or avoid liver.

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#8Best Low-Sodium Vegan Option

PETIPET Apples+Carrots Plant-Based Fruit Dog Treats

PETIPET Apples+Carrots Plant-Based Fruit Dog Treats
TypeSoft & Chewy
Key IngredientsApples, Carrots
DietaryVegan, Gluten-Free, Hypoallergenic
ProteinLow
SodiumLow
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What We Like

  • Low sodium and low protein
  • Made with real fruit ingredients
  • Vegan, gluten-free, hypoallergenic
  • Soft texture for dogs with dental issues

Trade-offs

  • Plant-based only, no animal protein
  • Not for dogs that prefer meaty flavors

The most important thing to know is that these are low-sodium, low-protein soft chews made from real apples and carrots with no animal ingredients at all. That matters if your dog needs a restricted diet, as they contain no corn, wheat, or soy. They are also gluten-free and hypoallergenic, which helps if your dog has a sensitive stomach or allergies. The soft, chewy texture is a practical bonus for senior dogs or those with missing teeth, since the product is described as best for dogs without teeth and perfect for mature dogs with dental issues.

These are entirely plant-based, so they won’t deliver the meaty flavor many dogs expect from a treat. If your dog turns up their nose at fruit and veggie snacks, you might have better luck with something like the low-sodium, low-protein Mattie’s Treats Mini Treats. Still, for owners who want a clean, vegan option that checks the low-sodium and low-protein boxes without any corn, wheat, or soy, these are a straightforward fit.

Best for: Owners of dogs with heart murmurs who want a soft, plant-based, low-sodium treat that's also hypoallergenic and easy on sensitive stomachs. Not ideal for dogs that refuse fruit-flavored treats or need a crunchy texture for dental health.
#9Best Taurine-Enriched Heart Support

PawCo Heart Health Crunchy Dog Cookies

PawCo Heart Health Crunchy Dog Cookies
Key IngredientTaurine
FlavorPeanut Butter & Apple
Weight0.6 lb
Allergen-FreeNo wheat, soy, or dairy
Made InUSA
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What We Like

  • Added taurine supports heart function
  • No wheat, soy, or dairy allergens
  • No meat meals or artificial preservatives
  • Formulated by veterinary nutritionists

Trade-offs

  • Small bag size for daily use with large breeds
  • Contains peanut butter, not safe for dogs with peanut allergies

Added taurine is the key feature here, an amino acid that supports normal cardiovascular function and energy levels, making this a targeted option for dogs needing heart support. The peanut butter and apple ingredients keep it appealing, and the formula avoids meat meals, artificial preservatives, and common allergens like wheat, soy, or dairy. That clean ingredient profile is a plus for owners who want to avoid fillers and byproducts. Formulated by veterinary nutritionists and made in the USA, it adds a layer of confidence for dogs with heart concerns.

Formulated by veterinary nutritionists, these crunchy cookies deliver 8.8 ounces of peanut butter flavor with added taurine to support normal cardiovascular function and overall vitality. The recipe avoids common allergens like wheat, soy, and dairy, making them gentle for dogs with sensitive stomachs. Owners report the clean ingredient list, no meat meals, artificial preservatives, or unnecessary additives, gives them confidence in what they’re feeding. At 0.6 pounds, the bag is lightweight enough to toss into a purse or backpack for on-the-go rewards.

Best for: Dogs needing a crunchy, taurine-enriched treat with clean ingredients and no common allergens. Not ideal for dogs with sensitive teeth or those who prefer soft chews.

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#10Best Heart Wellness Biscuit

Wellix Healthy Taurine Dog Treats

Wellix Healthy Taurine Dog Treats
Calories6.7 per piece
Key NutrientsTaurine, CoQ10, Omega-3
Protein SourceReal chicken
Weight1.21 lb
Dog SizeAll sizes and breeds
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What We Like

  • 5% taurine plus CoQ10 for heart support
  • Only 6.7 calories per treat
  • All-natural with no artificial additives
  • Snaps easily into small bites

Trade-offs

  • Contains chicken, not for dogs with poultry allergies
  • Not formulated specifically as low-sodium

At just 6.7 calories per piece and fortified with 5% taurine plus CoQ10, this biscuit targets cardiac function without piling on extra calories during training. The real chicken and pumpkin give it a flavor most dogs find hard to resist, and the crunchy texture doubles as a light teeth-scraping snack. For owners managing a heart murmur diagnosis, the taurine and CoQ10 combination is the standout feature here, both nutrients directly support steady heart function, which is exactly what you want in a daily reward.

This treat contains chicken, so it is not suitable for dogs with poultry allergies. Compared to Mattie’s Treats Mini Treats, which are explicitly low-protein and low-phosphorus, Wellix focuses more on active nutrient support with taurine and CoQ10. It is a better fit if your priority is getting taurine into every bite rather than restricting protein or phosphorus.

Best for: Dog owners wanting a low-calorie, taurine-rich training biscuit for heart wellness. Not ideal for dogs on a strict low-sodium diet or those with poultry allergies.

Product photos

How We Evaluated Low Sodium Dog Treats For Heart Murmur

Our evaluation is research-based: we analyzed product specifications from manufacturers, consulted veterinary nutrition guidelines, and reviewed patterns in owner feedback across the category. Each treat was assessed against the dietary needs common in dogs with heart murmurs, primarily sodium restriction, but also protein and phosphorus levels when relevant.

Four criteria drove our rankings. First, sodium content per treat or per serving, since that’s the primary dietary intervention for a heart murmur. Second, ingredient transparency, we looked for treats with simple, recognizable ingredients and no hidden salts or artificial preservatives. Third, targeted heart-support nutrients like taurine, omega-3s, and CoQ10, which appear in some formulas to support cardiac function directly. Fourth, consider practical fit for the dog’s existing diet, including whether a prescription is required or whether the treat complements a low-sodium diet for heart murmurs.

A research-led evaluation has honest limits. We did not conduct feeding trials or lab analysis of sodium content. Our conclusions are drawn from manufacturer data and the collective experience of owners who have managed heart murmurs in their dogs. Always consult your veterinarian before introducing new treats to a dog with a cardiac condition, especially if the dog is on a prescription diet or medication.

What To Look For In Low Sodium Dog Treats For Heart Murmur

Choosing the right treat for a dog with a heart murmur means looking past the marketing and focusing on the numbers and ingredients that matter for cardiac health.

Look for treats with 10 mg of sodium or less per piece, simple ingredient lists with no added salt, and complementary nutrients like taurine or omega-3s. Always check with your vet before introducing new treats, especially if your dog is on a prescription diet or medication.

Sodium Content Per Treat

The most critical factor is sodium per serving. A dog with a heart murmur typically needs a diet with less than 0.3% sodium on a dry matter basis, and treats should align with that limit. Check the label for “sodium per treat” or “sodium per 1-ounce serving.” Many commercial treats contain 50-100 mg per piece, which can add up fast. The best low-sodium dog treats in this guide stay under a low amount per treat, and some single-ingredient options like freeze-dried liver are naturally low in sodium without any processing tricks.

Protein and Phosphorus Balance

Heart murmurs often coincide with kidney concerns, especially in older dogs. High-protein treats can strain the kidneys, and excess phosphorus can worsen renal function. Look for treats that are moderate in protein and low in phosphorus.

Mattie’s Treats formulas are specifically designed with low protein and low phosphorus in addition to low sodium, making them a strong choice when both heart and kidney health are on the table. If your dog has no kidney issues, single-ingredient liver treats can still work, but check with your vet.

Targeted Heart-Support Nutrients

Some treats go beyond low sodium to include nutrients that directly support cardiac function. Taurine is an amino acid essential for heart muscle health, and deficiency has been linked to dilated cardiomyopathy in certain breeds. Omega-3 fatty acids reduce inflammation and support heart rhythm.

CoQ10 is an antioxidant that helps heart cells produce energy. The CHAMPS Heart Support Soft Chews and Wellix Healthy Taurine Dog Treats both add these nutrients, but they are not strictly low-sodium formulas, weigh the trade-off with your vet based on your dog’s specific needs. For broader guidance on nutrition, explore our resource on nutrition for heart health.

  • Check the sodium per treat, not just per 100g or per serving.
  • Look for a “low sodium” or “no added salt” claim on the packaging.
  • Ask your vet about target sodium limits for your dog’s specific condition.
  • Choose treats that complement your dog’s main diet, not conflict with it.
  • Rotate flavors and protein sources to avoid food sensitivities.

A good rule of thumb: if the treat has more than a moderate amount of sodium, it’s best reserved for rare occasions.

Low Sodium Dog Treats For Heart Murmur Compared

The table below compares all ten picks side by side, with their key strengths and best-use scenarios at a glance.

ProductSodium LevelMade InDietary Features
Hill's Prescription Diet Crunchy Dog TreatsLow sodiumMade in USALow calories
Mattie's Treats Mini TreatsLow SodiumN/ALow Protein, Low Phosphorus
Mattie's Treats Original Dog TreatsLow SodiumUSALow Protein, Low Phosphorus
Ruff Greens Tidbits Beef Liver TreatsNaturally lowN/ASingle-Ingredient
CHAMPS Heart Support Soft ChewsN/AUSAGrain-free
Gaines Family Farmstead Beef & Sweet Potato FilletsNoneUSAGrain-Free
Ruff Greens Tidbits Freeze-Dried Beef Liver TreatsNaturally lowN/ASingle-Ingredient
PETIPET Apples+Carrots Plant-Based Fruit Dog TreatsLowUSAVegan, Gluten-Free, Hypoallergenic
PawCo Heart Health Crunchy Dog CookiesN/AUSANo wheat, soy, or dairy
Wellix Healthy Taurine Dog TreatsN/AN/ALow Calorie

Frequently Asked Questions

What makes a dog treat low sodium for a heart murmur?

A treat is considered low sodium for heart murmur management when it contains 10 mg of sodium or less per piece. It should also align with the dog’s overall daily sodium limit, which a veterinarian should set based on the dog’s weight, condition severity, and concurrent medications. Most standard dog treats contain far more sodium, so reading labels carefully is essential.

Can I give my dog heart supplements as treats?

Some heart-support supplements, like CHAMPS Heart Support Soft Chews, are designed to be given as daily chews and can double as treats. However, they are not substitutes for a low-sodium diet. Always consult your vet before adding supplements for heart murmurs to ensure they won’t interact with medications or exceed sodium limits.

Are single-ingredient treats like beef liver safe for dogs with heart murmurs?

Single-ingredient freeze-dried beef liver treats, such as Ruff Greens Tidbits, are naturally low in sodium and can be a safe option for dogs with heart murmurs. However, they are high in protein and phosphorus, which may be a concern if kidney disease is also present. Check with your vet to see if a pure liver treat fits your dog’s overall dietary plan.

What is the difference between low-sodium treats and heart-support treats?

Low-sodium treats focus solely on restricting sodium intake, while heart-support treats add nutrients like taurine, omega-3s, or CoQ10 to support cardiac function. A heart-support treat may not necessarily be low in sodium, so you need to check the label. For a dog on a strict low-sodium diet, a plain low-sodium treat is usually safer than a heart-support formula with added ingredients.

How do I know how much sodium my dog can have daily?

Your veterinarian can calculate a safe daily sodium intake based on your dog’s weight, the severity of the heart murmur, and any medications. Never exceed the daily sodium target your vet sets, and account for treats in that total.

The Bottom Line

For dogs already under veterinary care and on a prescription diet, Hill’s Prescription Diet Crunchy Dog Treats is the best overall choice. It’s formulated by veterinarians and nutritionists to support both heart and kidney health with low sodium and low calories, making it a safe daily reward for dogs who need strict dietary management.

If your dog isn’t on a prescription food or you need a more flexible option, Mattie’s Treats Original Dog Treats offer the best value size with simple, low-sodium ingredients and a donation to kidney disease research. For small breeds, the Mini Treats version provides the same heart-healthy formula in a smaller crunch. Owners who want targeted cardiac support should look at the CHAMPS Heart Support Soft Chews. They add taurine and omega-3s in a grain-free base.

The single most important factor in choosing a treat for a dog with a heart murmur is sodium content per piece. Everything else, protein, phosphorus, added nutrients, is secondary to keeping sodium low and consistent with your vet’s recommendations. Stick with treats that list their sodium clearly, and never guess.