“Prevention of coronary artery disease (CAD) is too important to be left with medical doctors” is a provocative, but timely statement. It has been repeatedly demonstrated that the standard of preventive cardiology needs to be improved throughout Europe. This necessitates a comprehensive CAD prevention strategy, particularly with regard to high-risk patients and secondary prevention. Who should be in charge—medical doctors or other professionals—of which aspects of these programs is not important: it is essential that it is done by a team of well-trained professionals using a patient-centered approach. Better organization of primary care settings and sections on preventive cardiology within hospitals, and incentives from health authorities and health insurance systems will contribute to a more successful implementation of evidence-based guidelines on prevention of CAD in clinical practice...