We examine trends in the value of coronary heart disease (CHD) care in the United States over a fifteen-year period, finding major improvements in life expectancy from investment in CHD care for the elderly. For those with acute myocardial infarction (AMI), the value of care is good, although medical management might provide higher value than revascularization. Progress also has been made in preventing AMI. Overall, the value of our CHD spending is quite good. Despite this wise investment of resources to date, considerable opportunities remain for additional investment to improve the adoption of valuable but underused health services.