The American College of Cardiology (ACC) has issued an expert consensus decision pathway that outlines and standardizes tobacco-cessation treatment. The document is published online December 6 in the Journal of the American College of Cardiology. Doctors should take a front-line approach in delivering smoking-cessation therapy to patients who come to their clinic or who are in the hospital because they have had a cardiac event, because we know these are times that offer a teachable moment when patients are more primed and open to these discussions. In a recent study, roughly 23% received at least one smokingcessation pharmacotherapy during hospitalization, most commonly a nicotine patch.