Abstract
The mortality of cardiac and cerebro-vascular disease has been increased in Korea rapidly. Regional cardiocerebrovascular center project was begun to decrease of the mortality of these disease on 2008. Acute myocardial infarction (AMI) and stroke are the targets of this project. The time delay from the onset to visiting hospital is one of the interrupting steps from the early reperfusion therapy in the patients with acute ST-segment elevation myocardial infarction (STEMI). Regional Cardiac Center project showed shortened door to balloon time in patient with STEMI undergoing primary PCI. Regional Cardiac Center project supports the media campaign about STEMI symptoms, early visit to emergency department, use of ambulance, and patient education. Good cooperation between regional emergency centers and regional cardiovascular center will improves survival of sudden cardiac collapse. These all activity will shorten time delay in treatment of AMI, reduce mortality rate and medical cost in the future.