In many aspects of STEMI patient treatment there are the clear guideline according to many scientific evidence from excellent designed and performed large randomized clinical studies. However there is still some gray zones of knowledge and scientific fields in which exist no answered questions. Case report: Male patient age 68 has been admitted to Cardiology Clinic, Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica due to typical chest pain and electrocardiography (ECG) signs

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... of STEMI anterolateral region. The patient is hospitalized in center for PPCI with time delay of 210 minute , dominantly due to no adequate organization of medical service. Immediate after the admission primary percutaneous intervention (PPCI) was performed at distal tip of venous graft for obtuse branch of LCx with drug eluting stent (DES) implantation with the minimum intrahospital time delay. Hospital course was complicated by heart failure, atrial fibrillation, and thrombus in the left ventricle. Conclusion: Timely diagnosis of STEMI and good organization of medical service at all level is the key to successful care, and the prevention of time delay in establishing diagnosis and adequate therapeutic activities remains an imperative in the treatment of patients with STEMI. STEMI, percutaneous coronary intervention, time delay, treatment Abstract Key words