Two respected sources disagree, and the reason is worth knowing. Cornell lists the American Shorthair among breeds prone to heart muscle disease. The 2020 veterinary cardiology consensus does not. Both are reading the same thin evidence, because nobody has published a study measuring how common it is in this breed.
The condition in question is hypertrophic cardiomyopathy, a thickening of the heart muscle wall. It is the commonest heart disease in cats of every kind. The question here is only whether this breed carries more of it than average.
Where the two authorities land
- Cornell Feline Health CenterYes, lists the American Shorthair among ten predisposed breeds
- ACVIM 2020 consensus guidelinesNo, its list of eight does not include the breedThe eight: Maine Coon, Ragdoll, British Shorthair, Persian, Bengal, Sphynx, Norwegian Forest Cat, Birman
Neither is wrong. They are answering slightly different questions. Cornell includes breeds with any reported family history[5], while the consensus panel keeps to a narrower list tied to stronger evidence.[6] A reader who saw only one of them would think the matter was settled.
The concern traces back to cases reported decades ago. CFA, the breed’s own registry, puts it this way: “Hypertrophic cardiomyopathy was noted in some cats in the 1980s and 90s, but thanks to preventive testing and selective breeding, it has largely disappeared.”[2] Read that knowing who wrote it. No study has since measured how common the condition is in American Shorthairs, so nobody, including CFA, can point to a number.
You will find one anyway. A figure putting roughly a quarter of the breed at risk circulates across pet-care sites and insurance blogs. No published study supports it. It should not drive your breeding decisions, and neither should CFA’s reassurance.
One part of this is not in doubt, and you can act on it. There is no DNA test for this breed. The two validated feline heart gene tests screen mutations found in Maine Coons and Ragdolls, and the consensus panel says testing for them outside those breeds is not recommended.[6] A certificate citing those tests on an American Shorthair tested the wrong thing. An echocardiogram, an ultrasound scan of the heart, is the only tool that screens this breed, and no registry requires one.
So screen before you breed. The reason is not a frightening statistic. It is that the evidence base for this breed is thin. A scan is the only thing that would tell you, and nobody is going to make you do it.