Trends in the Use of Moderate-Intensity to High-Intensity Statin and Nonstatin Lipid-Lowering Therapy: Turning Off the Faucet Is Much More Valuable Than Mopping Up the Floor

During the American College of Cardiology (ACC) 2015 Presidential Convocation Speech, Kim Allan Williams, MD, urged his fellow members to focus on prevention of cardiovascular disease, referencing a cartoon with “two doctors, stethoscopes dangling, feverishly mopping up the bathroom floor, while the sink in the corner continues to overflow.”¹ In that same speech, he reinforced the need “to utilize our registry data like the National Cardiovascular Data Registry (NCDR) to find gaps in care and improve patient outcomes.”¹ In this issue of JAMA Cardiology, Pokharel and colleagues² highlight a significant care gap that warrants urgent intervention.