The 24^th anniversary of World Heart Day approaches we are reminded how predominant cardiovascular disease is worldwide and how large the impact is in terms of death and disability.

At infill, over the last two decades, we have worked extensively on many different aspects of various cardiovascular conditions: hypertension, stroke prevention due to atrial fibrillation, STEMI, and heart failure (both reduced and preserved ejection fraction). No matter the specific sub-specialty in cardiac care, there is a common thread among all the experts we have had the pleasure to work with – they are highly motivated, compassionate health care professionals seeking to make the lives of their patients better through prevention and effective therapies.

Many of them are working hard in their countries to improve access to and speed of care. And in each country, we have learned over the years, their needs are vastly different. For some, it is about routing ambulances to the hospital best equipped to treat the patient rather than the one that brings in most revenue for the ambulance. For others, it’s finding ways to treat faster and minimise transfer times (whether they are due to distance or traffic). And for others still, it is about access (to technology, diagnostic tools and medication) and awareness (both public and professional).

There is no one-size-fits-all plan for comprehensive cardiovascular care around the world. There are too many factors involved. What works for one region may not be appropriate in another. And so, it is very fitting that World Heart Federation is calling for participants in this year’s World Heart Day campaign to demand leaders around the world prioritise heart health – however that may look where they live.