Confronting system barriers for ST- elevation MI in low and middle income countries with a focus on India

Our previous research found seven specific factors that cause system delays in ST-elevation Myocardial infarction management in developing countries. These delays, in conjunction with a lack of organized STEMI systems of care, result in inefficient processes to treat AMI in developing countries. In our present opinion paper, we have specifically explored the three most pertinent causes that afflict the seven specific factors responsible for system delays. In doing so, we incorporated a unique strategy of global STEMI expertise. With this methodology, the recommendations were provided by expert Indian cardiologist and final guidelines were drafted after comprehensive discussions by the entire group of submitting authors. We expect these recommendations to be utilitarian in improving STEMI care in developing countries.

Keywords

STEMI, ACC/AHA guidelines, PPCI, Telemedicine

Citation

Mehta Sameer, Granger Christopher, Grines Cindy Lee, Jacobs Alice, Henry Timothy D., Rokos Ivan, Lansky Alexandra, Baumbach Andreas, Botelho Roberto, Ferre Alexandra, Yepes Isaac, Salwan Roopa, Dalal Jamshed, Makkar Jitendra, Bhalla Neeraj, Mishra Sundeep, Vijan Vinod, Hiremath Shirish. Confronting system barriers for ST- elevation MI in low and middle income countries with a focus on India. Indian Heart Journal. 2018 Jan; 70(1): 185-190

URI

https://imsear.searo.who.int/handle/123456789/191762

Collections

Indian Heart Journal

Full item page