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We present our experience with a mobile coronary care unit which is effective and inexpensive. Of the 50I patients seen in the first year, we analysed the first 300 and compared them with II2 patients admitted by conventional means. We have used a coronary prognostic index to compare the two groups. The hospital mortality for those seen by the unit was 9 per cent andfor conventional admissions 22 per cent. The lower mortality for mobile coronary care unit patients was reflected in all age groups. The staffing andfinancial aspects are discussed. The approximate cost per call was £2 2o. It is concluded that mobile coronary care units have an important part to play in the reduction of the mortality from acute myocardial infarction.