In the latest issue of Cardiology, learn more about ACC's health systems strategy, the role of MedAxiom, and key takeaways from its Spring '19 CV Transforum. Gain knowledge about the hidden threat of cardiovascular disease in South Asians and get to know Julia Grapsa, MD, PhD, FACC, editor-in-chief of JACC: Case Reports, and her plans for this new journal and the role of FITs and Early Career professionals. Also in this issue, learn from FIT Lina Ya'qoub, MD, about left main PCI; hear from FIT Jill M. Steiner, MD, about the value of support groups for patients with adult congenital heart disease and about incorporating CPET into your practice. Don't forget to share your thoughts on where the responsibility lies when the workflow system breaks down, puts a patient at risk and what can be done using #ConvosWithKohli and #CardiologyMag on Twitter. Get the full issue at ACC.org/Cardiology.