Conduction. In the structure of mortality from coronary heart disease, a significant proportion is acute myocardial infarction. Moreover, the consequences of a heart attack are a prerequisite for other forms of coronary heart disease, leading to death. Therefore, one of the promising ways to combat it is to improve specialized medical care specifically for patients with acute coronary syndrome. Goal. To evaluate the role of the regional vascular center of a particular region in the provision of specialized medical care for acute coronary syndrome. Materials and methods. The source of information was statistical forms № 12, № 14 and the database of the medical information system “MedOS”. The retrospective study covered the period from 2013 to 2022, using a continuous method and included 8143 hospitalizations. Results. The overall level of registered patients diagnosed with I20-I25 is steadily growing, which means that the need for surgical treatments for this pathology is also increasing. The number of patients receiving care with acute coronary syndrome and myocardial infarction at the regional vascular center is growing year by year. The maximum growth rate was noted in 2022, amounting to 136,2%. The age range of those treated varied from 22 to 97 years, males predominated by 1,7 times. The outcome of hospitalization in 91% of cases was assessed as «improved», and the mortality rate was 7,5%. The maximum total seasonality index is observed in April (121,8). The average length of stay was 10,1±4,8 days. Balloon angioplasty with stenting was performed in 51% of cases. Discussion. The data from the study indicate that almost ¾ of the patients admitted to the hospital underwent therapeutic and diagnostic operations on the coronary arteries. It should also be noted that the number of stentings is steadily increasing from year to year. Conclusion. Against the backdrop of increasing rates of overall morbidity, the role of the regional vascular center in the fight against acute cardiovascular pathology is increasing. Modern equipment allows for timely diagnosis and treatment of acute coronary syndrome using minimally invasive methods, saving thousands of lives every year.