abstract: Record busting: the emergency care of patients with heart attack in England and Wales is the best in the world, according to the latest Myocardial Infarction National Audit Project (MINAP) report. The report shows that, in England, the 30-minute door-to-needle target for thrombolysis was met in 83 per cent of cases in 2005/06, compared to just 44 per cent in early 2001. In Wales, the target was met in 74 per cent of cases, up from 65 per cent in 2003/04. For copies of the report, published last month, access www.rcplondon.ac.uk/pubs/books/minap06.