Background: Long-term use of doxorubicin (DOX) is limited by cumulative dosedependent cardiotoxicity.Objectives: Identify plasma extracellular vesicle (EV)-associated microRNAs (miRNAs) as a biomarker for cardiotoxicity in dogs by correlating changes with cardiac troponin I (cTnI) concentrations and, echocardiographic and histologic findings.Animals: Prospective study of 9 client-owned dogs diagnosed with sarcoma and receiving DOX single-agent chemotherapy (total of 5 DOX treatments). Dogs with clinically relevant metastatic disease, preexisting heart disease, or breeds predisposed to cardiomyopathy were excluded.Methods: Serum concentration of cTnI was monitored before each treatment and 1 month after the treatment completion. Echocardiography was performed before treatments 1, 3, 5, and 1 month after completion. The EV-miRNA was isolated and sequenced before treatments 1 and 3, and 1 month after completion.Results: Linear mixed model analysis for repeated measurements was used to evaluate the effect of DOX. The miR-107 (P = .03) and miR-146a (P = .02) were significantly downregulated whereas miR-502 (P = .02) was upregulated. Changes in miR-502 were significant before administration of the third chemotherapeutic dose.When stratifying miRNA expression for change in left ventricular ejection fraction, upregulation of miR-181d was noted (P = .01). Serum concentration of cTnI changed significantly but only 1 month after treatment completion, and concentrations correlated with left ventricular ejection fraction and left ventricular internal dimension in diastole.Abbreviations: cTnI, cardiac troponin I; DOX, doxorubicin; E 0 , peak myocardial velocity in early diastole; ECG, electrocardiography; EV, extracellular vesicle; EV-miRNA, extracellular vesicle-associated miRNA; FAC, fractional area change; FS, fractional shortening; IVCT, isovolumic contraction time; IVRT, isovolumic relaxation time; LA:Ao, left atrium to aorta ratio; LVEF, left ventricular ejection fraction; LVIDdN, left ventricular end-diastolic internal diameter normalized to body weight; LVIDsN, left ventricular end-systolic internal diameter normalized to body weight; miRNAs, microRNAs; S 0 , peak myocardial velocity in systole.