We are at the beginning of a biological revolution, spurred on by the Human
Genome Project and associated studies. Within the next few years, expresse
d sequence tags (ESTs) representing all sequences expressed in humans will
be determined and their genomic positions will be defined (STSs). The disco
very of all the variants in the human genome that contribute to the genetic
diversity of the human population will result in the construction of dense
polymorphic maps. The rapid growth of the EST, STS, and single-nucleotide
polymorphism (SNP) databases, coupled with impressive technological advance
s, will surely have a dramatic effect on biomedical research. In this revie
w, we will examine the recent advances in genetics and genomics and place t
hese within the context of medical research and patient care, with an empha
sis on studies in the cardiovascular system.