title: A Case for Inclusion of Genetic Counselors in Cardiac Care.
abstract: Recent advances in genetic testing for heritable cardiac diseases have led to an increasing involvement of the genetic counselor in cardiology practice. We present a series of cases collected from a nationwide query of genetics professionals regarding issues related to cost and utilization of genetic testing. Three themes emerged across cases: (1) choosing the most appropriate genetic test, (2) choosing the best person to test, and (3) interpreting results accurately. These cases demonstrate that involvement of a genetic counselor throughout the evaluation, diagnosis, and continuing management of individuals and families with inherited cardiovascular conditions helps to promote the efficient use of healthcare dollars.
authors.affiliation: From the *Department of Internal Medicine, University of Michigan, Ann Arbor, MI; †Stanford Center for Inherited Cardiovascular Disease, Palo Alto, CA; ‡Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN; §Department of Medicine-Cardiology, University of Minnesota Physicians, Minneapolis, MN; ¶Center for Individualized Medicine, Mayo Clinic, Rochester, MN; ‖University of Wisconsin School of Medicine and Public Health, Madison, WI; **Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH; ††Yale Cardiovascular Genetics Program, Yale Cardiovascular Research Center, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT; ‡‡Division of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN; §§North Memorial, Humphrey Cancer Center, Robbinsdale, MN; ¶¶Mayo Clinic, Rochester, MN; ‖‖Department of Genetics, Yale University School of Medicine, New Haven, CT; ***Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN; and †††Section of Genetics, Rush University Medical Center, Chicago, IL.
authors.forename: Patricia
authors.initials: P
authors.lastname: Arscott
authors.forename: Colleen
authors.initials: C
authors.lastname: Caleshu
authors.forename: Katrina
authors.initials: K
authors.lastname: Kotzer
authors.forename: Sarah
authors.initials: S
authors.lastname: Kreykes
authors.forename: Teresa
authors.initials: T
authors.lastname: Kruisselbrink
authors.forename: Kate
authors.initials: K
authors.lastname: Orland
authors.forename: Christina
authors.initials: C
authors.lastname: Rigelsky
authors.forename: Emily
authors.initials: E
authors.lastname: Smith
authors.forename: Katherine
authors.initials: K
authors.lastname: Spoonamore
authors.forename: Joy
authors.initials: J
authors.lastname: Larsen Haidle
authors.forename: Monica
authors.initials: M
authors.lastname: Marvin
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Ackerman
authors.forename: Azam
authors.initials: A
authors.lastname: Hadi
authors.forename: Arya
authors.initials: A
authors.lastname: Mani
authors.forename: Steven
authors.initials: S
authors.lastname: Ommen
authors.forename: Sara
authors.initials: S
authors.lastname: Cherny
mesh_terms: D002318:Cardiovascular Diseases / Q000235:genetics*; D005817:Genetic Counseling / Q000458:organization & administration*; D005820:Genetic Testing / Q000379:methods; D006801:Humans