The aim of this paper is to present the project of telecardiology within the ASP of Cosenza, one of the largest provinces of Italy characterized by a particular orography, with difficult and inaccessible roads. The goal of this project is to manage the emergency more efficiently by reducing the time of intervention by bringing the patient not to the nearest hospital, but more importantly to the hospital more appropriately suited to better manage the cardiological emergency. This system also uses the most modern web-based interface technology protected by login and password. The project also provides the integration, supply and installation of advanced and modern central by ensuring efficient screening is carried out using monitors in all the coronary care units of the ASP of Cosenza, networking with electrocardiography of all the point of first medical contact and all the 118 emergency rescue service. By integrating all these procedures and information and making them available to any point in the hospital and territorial network, this project becomes not only a more efficient system for managing cardiac emergency but also a pathway that will guarantee increased care of patients from the onset of symptoms to discharge.