Discusses the strides that have been made in the identification and treatment of acute myocardial infarction (AMI) with an armament of powerful technologies and drugs. A goal of minimizing time to diagnosis and treatment of AMI patients was identified. Efforts to meet the goal were also determined and examined. Includes: rapid identification and treatment at emergency care facilities, prehospital management of AMI, public education programs, legislative considerations, present and future hospital management decisions, and more. 50 graphs, charts and tables.