where pivotal trial results and new guidelines are presented. At this year's AHA/ACC meeting in New Orleans, the 2019 Guidelines on Cardiovascular Disease (CVD) Primary Prevention was presented. From a medication perspective, the largest guideline change is the elimination of aspirin for primary prevention in the majority of people. By far, though, the most resounding statement that struck me was the recognition on risk reduction. "...through lifestyle choices and modifications, nearly 80% of all cardiovascular disease can be prevented...These 2019 prevention guidelines look at the whole person and how individuals, working hand in hand with their clinicians and physicians, can manage their vulnerabilities". (John J. Warner, MD). Eat right, be active, don't smoke, maintain a healthy weight, normal BP, blood sugar, and cholesterol.  So much has changed in 30 years with all the amazing research that has been done, yet some things haven't changed one bit.