The burden of cardiovascular disease in singapore is sizeable. In 2008, coronary artery disease (CAD) accounted for 20.1% of all deaths, and resulted in 3.5% of all admissions to hospital. A global assessment of cardiovascular risk in asymptomatic people is the first step in prevention. The northern california experience has shown that it is possible to achieve a relative reduction of 24% in acute myocardial infarction, despite increasing prevalence of obesity and diabetes. In asymptomatic people, key cardiovascular risk factors to correct are smoking, hypertension, and hyperlipidemia. In the singapore setting, it has been found that in people under 45, the risk factors which tend to be under-treated are hypertension and hyperlipidemia.