The full textHeart web site (http://www.heartjnl.com) now has a Rapid Response facility, which means that letters can be “published” on eHeart within seven days of submission.

 To send a Rapid Response, please accesseHeart and then access the article to which your letter relates. In the top right hand corner of the screen there is a box that contains an invitation to send a Rapid Response (eLetters send a response to this article ). Click on this and then type in your letter or paste it from a word processor. All Rapid Responses are screened within seven days and, providing they are not obscene, libellous, or unethical, they are then posted on the web site (Rapid Responses are not edited). We will continue to publish in the paper version ofHeart (edited) letters that contribute substantially to the literature.