leading to ≈16.7 million death toll per year owing to its sudden onset and short-term course. [1] Importantly, the cardiac myocyte is not renewable that later treatment will cause irreversible myocardial necrosis to induce cardiac arrest. [2] Therefore, rapid and accurate diagnosis of AMI is first and essential to life saving. In hospital, electrocardiography, [3] coronary angiography, [4] and blood assay [5] are most applied for the diagnosis of AMI. Electrocardiography enables to quickly indicate the myocardial ischemia according to the elevated or depressed ST-segment signals. [6] However, it sometimes shows no obvious change only if patients have severe clinical symptoms. Coronary angiography relied on the contrast agent in the cardiovascular to visually observe narrowed or blocked lesions of the coronary arteries. [7] Nevertheless, in order to inject the contrast agent to body, this method is invasive and time-consuming. Besides, above two techniques always require specific instruments and professional operations to only support the diagnosis in hospital. Blood assay to detect cardiac troponin I (cTnI) [8] is proved as a highly sensitive and specific measurement for accurate evaluation of disease course of AMI. Currently, there are two main principles, solid-phase chromatography immunoassay (SPCI) [9] and electrochemiluminescence (ECL), [10] to test cTnI content in blood for clinical diagnosis. The SPCI method showing a rapid result within 15 min without any support of instrument, but it can only provide a semi-quantitative judgment on the increase of cTnI concentration. Although ECL enables to further decrease the detection time to 9 min, it also demands the specific reagent and biochemical analyzer to only allow operation in hospital. Overall, a much quicker and portable detector for the quantitative test of cTnI is desired for the early or non-hospital diagnosis of AMI.The electrochemical biosensor is an advanced bioanalytical method due to its fast signal response, low-cost, and miniaturization. [11] Nowadays, its work for cTnI detection mainly adopted the principle of immune reaction as a immunosensor [12] or DNA binding as a aptasensor. [13] The former one depends on the specific combination of antibody/antigen with cTnI to establish the relation between electric signal and target Due to the short course and high mortality of acute myocardial infarction (AMI) which will cause irreversible myocardial necrosis to induce cardiac arrest, its early diagnosis within minutes is always a challenge in clinical emergency. In this work, an ultrafast and ultrasensitive aptasensor is designed to achieve quantitatively detection of cardiac troponin I (cTnI) which is proved as a highly specific and sensitive biomarker to AMI, and within only 4 min, the cTnI concentration can be accurately reported. This aptasensor is constructed via an in situ growth of the oriented Pt-polyaniline (PANI) needle-like nanoarrays providing both high electrocatalysis and abundant active sites as the signal magnifier and DNA carrier. A ta...