PREDICT-CVD is an opportunistic cardiovascular risk assessment and management programme. This study compared the cardiovascular disease risk factor status and risk management of Mäori with non-Mäori using data from over 20,000 PREDICT-CVD assessments carried out between 2002 and 2006. The population assessed comprised 1,450 (7%) Mäori and 19,164 non-Mäori (93%). At assessment, Mäori were an average of 3 years younger than non-Mäori. Compared to non-Mäori, Mäori patients had higher rates of cardio- vascular risk factors including smoking and diabetes. Blood pressure and TC/HDL levels were also higher in Mäori patients. Mäori with a history of CVD were more likely to receive medications including anticoagulants, blood pressure-lowering and lipid-lowering drugs. However revascularisation procedures were 50% less likely to be received by Mäori compared to non-Mäori with a history of ischaemic heart disease.