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

Indian Heart J. 2018 Jan-Feb;70(1):185-190. doi: 10.1016/j.ihj.2017.06.020. Epub 2017 Jul 6.

Abstract

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: ACC/AHA guidelines; PPCI; STEMI; Telemedicine.

Publication types

  • Review

MeSH terms

  • Developing Countries*
  • Electrocardiography
  • Humans
  • India / epidemiology
  • Myocardial Reperfusion / methods*
  • Poverty
  • Risk Assessment*
  • Risk Factors
  • ST Elevation Myocardial Infarction* / economics
  • ST Elevation Myocardial Infarction* / epidemiology
  • ST Elevation Myocardial Infarction* / therapy
  • Thrombolytic Therapy / methods*