Abstract-Embryonic stem (ES) cells have been established as permanent lines of undifferentiated pluripotent cells fromearly mouse embryos. ES cells provide a unique system for the genetic manipulation and the creation of knockout strains of mice through gene targeting. By cultivation in vitro as 3D aggregates called embryoid bodies, ES cells can differentiate into derivatives of all 3 primary germ layers, including cardiomyocytes. Protocols for the in vitro differentiation of ES cells into cardiomyocytes representing all specialized cell types of the heart, such as atrial-like, ventricular-like, sinus nodal-like, and Purkinje-like cells, have been established. During differentiation, cardiac-specific genes as well as proteins, receptors, and ion channels are expressed in a developmental continuum, which closely recapitulates the developmental pattern of early cardiogenesis. Exploitation of ES cell-derived cardiomyocytes has facilitated the analysis of early cardiac development and has permitted in vitro "gain-of-function" or "loss-of-function" genetic studies. Recently, human ES cell lines have been established that can be used to investigate cardiac development and the function of human heart cells and to determine the basic strategies of regenerative cell therapy. This review summarizes the current state of ES cell-derived cardiogenesis and provides an overview of how genomic strategies coupled with this in vitro differentiation system can be applied to cardiac research. Key Words: embryonic stem Ⅲ embryonic carcinoma Ⅲ embryonic germ Ⅲ in vitro differentiation Ⅲ cardiomyocytes S tem cell biology has been the subject of much recent discussion, but only the totipotent fertilized oocyte and blastomere cells of embryos at the 2-to 8-cell stage are capable of generating a fully viable organism. Stem cells from the embryo are derived from the inner cell mass (ICM), embryonic ectoderm, and primordial germ cells of the fetal genital ridge and represent pluripotent undifferentiated cells capable of proliferation, self-renewal, and the generation of large numbers of differentiated cell progeny; however, embryonic stem (ES) cells do not normally generate tissues of the trophoblast, precluding normal generation of a viable entity. 1 As development proceeds and a stem cell becomes committed to a specific lineage or decreases its proliferative potential, it is usually described as a progenitor cell. Progen-