This is the fourth national report on the 21 Better Cardiac Care measures for Aboriginal and Torres Strait Islander people, with updated data available for 14 measures. The level of access for cardiac-related health services is improving for Indigenous Australians. While the mortality rate from cardiac conditions is falling among the Indigenous population, it is still higher than among non-Indigenous Australians. The incidence of acute rheumatic fever among Indigenous Australians continues to be much higher than in non-Indigenous Australians.