Introduction. Diseases of the circulatory system remain the leading cause in the structure of mortality due to direct dependence on lifestyle, commitment to saving human health, heredity and availability of medical care The largest proportion of deaths (55%) are cases of acute coronary syndrome. The aim is to evaluate the temporal availability of specialized medical care for patients with ACS on the example of a city hospital with a cardiology department. Materials and methods. We analyzed statistical data: mortality and morbidity rates of cardiovascular diseases (CVD) in the Russian Federation and Sverdlovsk region from 2017 to 2021 based on the data of the Federal State Statistics Service, a retrospective study was conducted on the basis of the city hospital of Yekaterinburg on the basis of excerpts from primary medical documentation, the following criteria were identified and analyzed in the cards of an inpatient: time from the beginning of evacuation of the victim by an emergency medical team (EMT). Results and their discussion. The dynamics of the mortality rate from cardiovascular diseases in the Sverdlovsk region had a wavy character with an annual increase and further decrease, the peak was also observed in 2020 (746). The volume of therapy carried out at the pre-hospital stage by ambulance brigades met the requirements of Order 352-p. On the example of the city hospital, according to the data of the emergency room and cardiology department, the terms of care correspond to the standards, only the time from departure from the BSMP call address to the arrival of the inpatient department does not meet the standard by 2 minutes. After inpatient treatment only 5% were sent for follow-up treatment in the State Autonomous Establishment of So "Medical Rehabilitation Center Lake Chusovskoye". Conclusions. The ambulance crews provide medical services to patients diagnosed with ACS in full, but do not meet the standard time by 2 minutes; the city hospital of Yekaterinburg works in accordance with all regulatory documents and meets the deadlines set by the Order of February 28, 2022 N 352-p.