Since 2011 the reform of urgent cardiology aid in Lugansk region was started. Two zones of delivery of patients with acute coronary syndromes were defined: first – distance of 70 km from patient to cath lab, delivery time 120 min, the second – distance over 70 km, delivery time over 120 minutes. During first 9 months of 2012, 119 emergency coronary angiography studies were conducted, in 104 cases mechanical revascularization was performed, including 99 stents implantations. Overall mortality in this group was 0.8 % (1 patient). The time interval from onset of symptoms to primary PCI was: 2 hours – 12 patients, 2–12 hours – 92 patients, 12–24 hours – 15 patients. During first 9 months of 2012, the coverage of reperfusion therapy in patients with STEMI increased to 46 %, mortality due to the acute myocardial infarction in clinics decreased from 10.2 to 8.1 %.