Heart Despite considerable progress in reducing the worldwide burden of cardiovascular disease, efforts have mostly concentrated on the of evident disease rather than the prevention of occurrences. There is a huge chance to shift the focus away from intervention and toward prevention of cardiovascular disease. Long-established services such as cholesterol, diabetes, hypertension, and general cardiology clinics are giving way to the burgeoning specialty of "preventive cardiology." Because previous advances are endangered by the rising tide of obesity and diabetes, it is incumbent on the cardiology community to engage in cardiovascular prevention . Now is the time to create a specialised preventive cardiology specialist to educate the next generation of professionals. The goal of this American College of Cardiology Council Perspective is to clarify what it means to be a cardiologist. We have seen tremendous decreases in morbidity and mortality from cardiovascular disease (CVD) during the last four decades. Despite this, cardiovascular disease continues to be the top cause of death in both men and women around the world. What is less well known is that at least half of the progress made in improving CVD outcomes has been due to increased access to procedural interventions and technological advancements that allow patients to live with and cope with advanced atherosclerotic cardiovascular disease (ASCVD) and heart failure rather than preventing the disease in the first place . Despite the fact that avoiding earlier