The paper is devoted to the review of pre-hospital trombolitic therapy system in Vladivostok city. The basic elements of introduction are "...analysis — training — standards — equipment — monitoring system — motivation — execution — analysis...". The concrete actions on each element of system, ways and variants of achievement of the purpose are described. The important links are early trombolisis with ambulance team and collaboration with special cardiologic unit of city hospital No. 1. The example of successful introduction can be served with decrease of mortality rate of the patients with STEMI in Vladivostok from 21.7% (2001-2005) up to 15.0% (2006). The necessary conditions for a successful beginning and developing of activity also are determined.