2024 saw advancements in cardiology with novel treatments targeting Lp(a), GLP-1, and angiotensinogen, alongside developments in risk calculators and preop practices. GLP-1 drugs showed promise in weight loss and kidney disease prevention, while the impact of plastic on cardiovascular health emerged. New hypertension guidelines and the PREVENT tool's accuracy in risk prediction were highlighted, emphasizing the importance of combining advanced therapies with lifestyle changes.