Abstract: . . .  mortality caused by cardiovascular disease , Sturm says. Philip Binkley, MD, MPH, FACC, agrees. In the future, genetic counseling will become a standard part of prevention and wellness strategy for cardiovascular disease , says Binkley, director of cardiovascular research for the OSU Division of Cardiovascular Medicine. Although a very detailed family history can uncover significant risk factors, the time it takes to complete such a history exceeds the amount of time generally available in the office setting. When patients are referred for genetic counseling, their physicians are better able to target appropriate clinical tests in a more cost-effective and efficient manner. Sturm explains that consultation with a genetic counselor can involve as many family members of the patient as are needed to develop an extensive medical pedigree. Often this is as many as five generations, and Sturm notes that most health insurance providers cover the process. Although science has yet to identify all of the specific genes responsible for heart disease not every susceptibility gene or polymorphism associated with coronary artery disease is yet known - genetic counseling can identify patients at increased risk, which in turn gives physicians a 'heads-up' in making specific preventive recommendations, she says. CAN GENETICS REVEAL FAMILY TIES THAT BIND OUR HEART STRINGS? In the future, genetic counseling will become a standard part of prevention and wellness strategy for cardiovascular disease . Philip Binkley, MD Page 7 OSU CARE CONNECTION PHYSICIAN TO PHYSICIAN CONSULTATION 1-800-293-5123 A-7 THE OHIO STATE UNIVERSITY MEDICAL CENTER David O'Malley, MD Specialty: Obstetrics and Gynecology Clinical Interests: Gynecologic malignan- cies, minimally invasive treatment options, developmental therapies and chemothera- pies for gynecologic tumors Residencies: Case Western Reserve University at MetroHealth Medical Center; Cleveland Clinic Foundation Fellowships: Yale University School of Medicine, New Haven, Conn.; Memorial Sloan-Kettering Cancer Center, New York City To contact any of these physicians, please call OSU Care Connection at 1-800-293-5123. Andrew Hundley, MD Specialty: Urogynecology Clinical Interests: Urogynecology, female incontinence, pelvic organ prolapse Residency: Brigham and Women's and Massachusetts General Hospitals Fellowship: University of North Carolina Hospitals, Chapel Hill new faces Jason Gilleran, MD Specialty: Urology Clinical Interests: Voiding dysfunction, . . .
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