The burden of Non-Communicable Diseases (NCDs) is unacceptably high, contributing 63% of total deaths in India and cardiovascular diseases contribute 45% of all NCD deaths. Global NCD Action Plan and National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) are in place to prevent and control common NCDs through various approaches. It is high time and also the need of the hour to strengthen the primary healthcare system through training of Auxiliary Nurse Midwifery (ANM) and Staff nurses in basic ECG interpretation and further management. This can change the practice leading to improved knowledge, quality of care, and ultimately patient outcomes.