The recent application of molecular genetic tools to inherited forms o
f cardiovascular disease has provided important insight into the molec
ular mechanisms underlying cardiac arrhythmias, cardiomyopathies, and
vascular diseases. These studies point to defects in ion channels, con
tractile proteins, structural proteins, and signaling molecules as key
players in disease pathogenesis. Genetic testing is now available for
a subset of inherited cardiovascular diseases, and new mechanism-base
d therapies may be available in the near future. This remarkable progr
ess and the implications it may have for more common forms of cardiova
scular disease are reviewed here.