These researchers examined trends in ischaemic heart disease (IHD) events by ethnicity among all New Zealand residents aged 35–84 years during the period 2006–2015. A total of 145,929 people in this cohort experienced ≥1 IHD hospitalisation and/or and IHD death between 2006 and 2015. There was a steady decline in the number of people who experienced IHD events. However, while IHD mortality rates declined by 3.1–5.4% per year for most groups, the decline was only 1.3% per year among Pacific women. IHD hospitalisation rates declined significantly by 3.6–8.8% per year in all groups. Māori and Pacific people were over-represented for IHD mortality rates; Indians were overrepresented for IHD hospitalisations. Indians also had the highest ratio of hospitalisations to deaths. For every person who died from IHD in 2014/15, 7–8 Indians compared with only 3–4 Māori or Pacific people were hospitalised with IHD.