“…The overrepresentation of affected males in the feline species and in the Maine Coon breed has already been discussed. 27,28 Factors like modifier genes or hormones may have a bearing on the sexual predisposition to HCM as has been reported in humans with HCM or other heart diseases. 29,30 In conclusion, the MYBPC3-A31P mutation is highly prevalent in European Maine Coon cats and seems specific to this feline breed although potential marginal events may occur.…”