should i be blaming nature, genetics or nurture for a family of bad hearts?

was thinking about nurture, nature and genetics, my family history of bad hearts.this is commonly described as genetic, so have all my decendants always had this issue or is it at some stage that a natural occurenece has caused a genetic trait to develop and if it so wouldnt this be driven by nurture,could probably stop using genetics and nature as an excuse and focus on the positive results of nurture,just thinking

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