From June 1 to 3, 2022, Lausanne held the spring congress of the Swiss Society of General Internal Medicine: "Changes and Opportunities". In this article, chief residents in internal medicine from the CHUV summarize presentations they attended. In this overview, we choose to focus on cardiovascular health, as it a central topic in general and internal medicine. Cardiovascular prevention becomes more personalized by using a step-by-step approach. The benefits of statin treatment in persons over 70 years old is still controversial. Ortho-static hypotension in hypertensive patients should not hold back antihypertensive therapy, but it should favor a combined pharmacological and non-pharmacological approach. Finally, screening for fibrosis in non-alcoholic fatty liver disease in high-risk cardiovascular patients should now part be part of a systematic ambulatory process.