The World Congress of Cardiology (WCC) 2006 was a joint meeting of the European Society of Cardiology (ESC) and the World Heart Federation (WHF) held in Barcelona Spain on September 2-5, 2006. The highlight scientific theme of this year's congress is cardiovascular diseases and aging. With the increase of aging population, the prevalence of many cardiovascular diseases increases exponentially, and the spectrum of our patients has changed to the elderly. It is a fact that management of older patients differs from that of younger patients and does not follow international recommendations. The WCC 2006 is the perfect opportu-nity to review in depth the grounds for this situation and examine solutions to improve it.