On 29 September, the world will mark this year’s heart day, themed “Small changes can make a powerful difference”, calling on individuals, communities and organisations to share how they power their hearts to inspire millions of people around the world to be heart healthy. An article in the Daily Nation by the Director of the Cardiac Programme at the Aga Khan University Hospital, Dr Jeilan, describes initiatives such as Heart Attack Concern Kenya (Hack) which is educating the public and professionals alike on evaluating the systems of care available at the county level and to address these challenges with a protocol of “systems of care” for efficient management of heart attacks. Hack works in partnership with ambulance teams, major hospitals, including the Aga Khan University Hospital in Nairobi.