Heart Health

Genetic profiling for heart disease: An update

Tests that analyze millions of common DNA variants may help predict heart attacks with more precision. For now, the potential benefits are greatest for people under 50.

By , Executive Editor, Harvard Heart Letter

illustration showing gene sequencing and molecules as a way to show the concept of DNA profiling

As the leading cause of premature death in this country, cardiovascular disease is to blame for more than $150 billion in lost productivity each year. Thanks to decades of research, we know a great deal about what predisposes people to coronary artery disease, the most prevalent form of heart disease and the root cause of most heart attacks. However, doctors still can't predict heart attacks very accurately. Some people who appear prone to heart attacks never have one, while others succumb to heart disease despite having no obvious risks.

Can genetic profiling help? Perhaps, according to a 2022 scientific statement from the American Heart Association that looked at the promise and challenge of such testing. Using a small sample of blood or saliva, these tests analyze millions of common variants in your DNA to create what's known as a polygenic risk score. You can have zero, one, or two copies of any gene variant, each of which may either raise or lower your risk of coronary artery disease.

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About the Author

photo of Julie Corliss

Julie Corliss, Executive Editor, Harvard Heart Letter

Julie Corliss is the executive editor of the Harvard Heart Letter. Before working at Harvard, she was a medical writer and editor at HealthNews, a consumer newsletter affiliated with The New England Journal of Medicine. She … See Full Bio
View all posts by Julie Corliss

About the Reviewer

photo of Christopher P. Cannon, MD

Christopher P. Cannon, MD, Editor in Chief, Harvard Heart Letter; Editorial Advisory Board Member, Harvard Health Publishing

Dr. Christopher P. Cannon is editor in chief of the Harvard Heart Letter. He is a professor of medicine at Harvard Medical School, and senior physician in the Preventive Cardiology section of the Cardiovascular Division at … See Full Bio
View all posts by Christopher P. Cannon, MD

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No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

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