In the past 27 years Heart Niagara Inc. (HNI) has accumulated a wealth of experience and knowledge related to cardiovascular disease and its risk factors in the Niagara Region. Sharing this knowledge is important to help create a focus for the public and health professionals in the Niagara Region to improve the Region's cardiovascular health status. The Institute of Clinical Evaluative Sciences published the Cardiovascular Health and Services in Ontario Atlas in 1999. In the Atlas the Niagara Region is shown to have higher than the Ontario average rate of CVD and its risk factors. The Atlas also shows that Niagara residents have a difficult time accessing the more intensive procedures for CVD such as angiogram, angioplasty and bypass surgery.