Explore current trends and potential solutions for chronic cardiovascular diseases in this Grand Rounds lecture by Dr. Javed Butler. Examine the worsening cardiovascular mortality rates at a population level and the increasing prevalence of risk factors. Delve into the epidemiology and outcomes of chronic cardiovascular diseases in the US, assess the level of evidence-based medicine practice, and investigate reasons behind current trends. Gain insights into potential solutions for addressing care gaps and improving patient outcomes. Learn about the importance of individual responsibility, patient-centricity, and behavior modification in cardiovascular health management. Consider the role of equity in healthcare and the impact of technological advancements like self-conscious computers on cardiovascular care.