Mzee Ngunga, Interventional Cardiologist and Head of Cardiac Care Unit at the Aga Khan University Hospital (AKUH) in Nairobi, writes that heart attacks in Kenya are worrying. Studies show that 25% of medical admissions are due to cardiovascular disease with heart attack, stroke and heart failure contributing to the majority. The emphasis is to work with the government, ambulance services and medical societies to increase access to timely life-saving treatment. The AKUH has been granted the Clinical Care Programme Certification by the Joint Commission International, making it a Centre of Excellence in the management of heart attacks. To receive this certification, AKUH developed systems and care pathways to allow easy implementation of protocols in the treatment of heart attack patients.