[HSF] genes

[Tea Acuff]

Ben, 
 
It is an interesting thought that running everything through a gene matrix will resort our classifications of thought and thereby action. Notice the proposed sequence here.?. 
 
This is particularly interesting if you think about the fact that we don't even bother to sort out many (the majority?) of poor ventricles by "viability/reversibility" before we make clinical decisions, the data favoring such coming from the 1980's. We prefer the simpler and supposedly stronger population (EBM) approximation: worse ventricles benefit the most from revascularization (or MVR, lopressor, pacing, or whatever flavor). We now have even better methods to measure reversibility such as cardiac MR (imagine me mentioning that point) that we don't use. 
 
What I would suspect is much more likely to happen is, surprise, what has happened in the past three decades. Instead of cardiac specialists drinking deeply from different lakes of knowledge, what will happen is that CAB surgeons, valve surgeons, endovascular docs, EP, transplant, heart failure, lipid specialists and rehab cardiologists all stay in their separate lakes bringing bottled water over from one of the neighbors to create academic variety. We will just add another lake, the cardiac geneticist, who will add ala carte genetic therapy... the new final answer. Categorical thinking forever!
 
tea