Positional cloning or reverse genetics is a combination of techniques
that has been extraordinarily successful in finding the genes that cau
se many inherited disorders, including some that affect the cardiovasc
ular system. This approach consists of finding a DNA marker that coseg
regates with the disorder and then using the tools of molecular biolog
y to examine systematically the DNA in the vicinity of such a marker u
ntil the gene is identified. In addition to the availability of precli
nical diagnostic tests for individuals at risk, the identification of
such genes might also provide the basis for targeted drug design. In t
he longer term, with the emerging technologies for the delivery of gen
es into cells, finding the genes that cause inherited disorders raises
the possibility of eventual therapeutic intervention.