Cardiovascular disease is the number one cause of morbidity and mortality in the United States. Total costs approximate $555 billion dollars per year.1 This staggering amount obscures the suffering of individuals and their families. During the last decade, delineation of the pathogenesis and contributing risk factors of this disease has been elucidated.2 Furthermore, effective, inexpensive treatment is readily available.3 Atherosclerotic cardiovascular disease is both preventable at low cost and with minimal patient lifestyle change.