Over the next few years, heart disease will continue to be the leading cause of death and morbidity in the global population as a whole. "Our specialty will continue to play an essential role in the struggle to diminish the impact of these diseases on people and society and to fulfill this mission effectively will have to evolve in many aspects related to the science in which it is based, in its relations with other specialties and in its daily exercise," explains Dr. David García-Dorado, Head of the Cardiology Service of Vall d'Hebron and head of the http://bit.ly/2ryrW4H Cardiovascular Disease Research Group of the Vall d'Hebron Research Institute (VHIR). On the occasion of World Heart Day, which is celebrated on September 29th, we have asked Dr. David Garcia-Dorado where is the Cardiology specialty headed, and these have been his answers: Molecular CardiologyWe are aware of many etiological aspects of the main cardiac diseases, of the personal susceptibility to risk factors and treatments, and we do not understand the variability in the phenotypic expression of genetic diseases. To improve in these aspects, we must fully incorporate cardiology into molecular medicine.Physiopathological mechanismsCardiologists of the future should know more physiology and better understand the cellular, tissue and systemic mechanisms of the diseases they treat.Translational researchThe gap between laboratory and clinical research will have to disappear in order to generate more solid knowledge and relocate to the population in a faster and safer way.New image techniques and new more effective invasive proceduresCardiologists should use increasingly complex techniques that need a longer super-specialization.Integrated and multidisciplinary clinical approachThe elderly, pluripathological and multimedicated patients, with long histories of interventions and procedures, will require a growing clinical judgment capacity and the cooperation of different super-specialists and other specialties with increasingly larger "heart teams." Super-specialization must be compatible with sound clinical training so that this decision-making system is more effective.PreventionIt will be necessary to improve the ability to predict individual risk and act against risk factors with increasing and increasingly obvious impact, such as pollution due to traffic.QualityCardiologists will have to base our decisions increasingly on the quantification of the safety and efficacy of our interventions, but also on their accessibility, equity and cost / benefit relationship and make the treatment of patients and relatives, and the environment more human. Evolving in this direction, the cardiology specialty will be more useful to reduce suffering and increase the happiness of people, and will be better prepared to increase their influence on the administrations and governors so that societies become healthier and more just.