Telemedicine is the field which deliver interactive health services at distance by using modern equipment and telecommunications, aiming to improve patient's state of health. Telemedicine includes all areas of medical care and was determined as being economically effective and accessible for healthcare systems in densely populated geographical areas and for critical conditions. Distance consultations improve communication between medical centers and increasing patients' access to information about health. Cardiac disease is one of the leading causes of death worldwide with 1 in 3 deaths being attributed to acute coronary syndrome (ACS). It was determined that PCI (percutaneous coronary intervention) improve outcome in patients with ACS, doortoballoon time recommended for performance being less than 90 minutes. The delay in diagnosis, conditioned by late addressability, atypical clinical presentations and difficult differential diagnosis increases time for door-to-balloon. Telecardiology is a modern practice that uses telecommunications for diagnosis and treatment of cardiac pathology at distance, accelerating speed diagnosis and settling smaller area sizes of myocardial necrosis and better clinical outcomes for patients with ACS and other acute cardiovascular events. “The center for prehospital diagnosis and triage of acute myocardial infarction” in Republic of Moldova ensures the reception and decoding of the electrocardiographic routes that are transmitted at a distance and provides advisory assistance for Emergency Medical Assistance (EMA) teams, Emergency medicine departments (EMD) and specialized Emergency Reception Units (ERU), providing telemedical assistance. Telecardiological center Facilitates time management and offers therapeutic guidance, optimizing treatment through national and international guidelines, in this way reduces number of missed diagnoses and hospitalizations, which results in lower health costs. Considering all the benefits that brings telemedical technologies, there are still multiple challenges that have to be studied and overcome. Facilitation of implementation for technical programs at the national level and solving technical compatibility problems with standardization being one of the priorities. Also dissemination of experience about practices in the field and development of e-health and telemedicine policies with strengthening the legislative, normative and ethical base in the branch of health information use, along with acceptance of telemedical services by healthcare providers and patients are other provocations. In perspectives, implementation of telemedical consultation services in emergency medical assistance at the national level is one of the primary aims in healthcare system in Republic of Moldova. The other, not least important goal are creation of remote monitoring and consultation services for patients with acute coronary syndrome and other cardiac acute events, introduction of modern methods of distance education, with the use of videoconferencing technologies in professional training of medical personnel and creation of telemedical service for exceptional situations and disaster medicine along with the elaboration of standards and norms of service ethics for telemedicine.