Two articles in this week’s JAMA Cardiology1,2 add to the growing recognition that assessing longitudinal cardiovascular health is critical for identifying populations at risk for future cardiovascular disease and informing primordial and primary prevention efforts.3 From childhood through middle and even late adulthood, maintaining good cardiovascular health pays off. Specifically, populations with more optimal and sustained cardiovascular health metrics, including blood pressure, glucose, weight, cholesterol, diet, activity, and smoking status (the American Heart Association’s [AHA’s] Life’s Simple 7, have less subclinical atherosclerotic disease early in life1 and fewer cardiovascular events as they age.2