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...

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Bibliographic Details
Published in:Indian heart journal 2018-01, Vol.70 (1), p.185-190
Main Authors: 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
Format: Article
Language:English
Subjects:
ACC/AHA guidelines
Developing Countries
Electrocardiography
Humans
India - epidemiology
Myocardial Reperfusion - methods
Opinion Piece
Poverty
PPCI
Risk Assessment
Risk Factors
ST Elevation Myocardial Infarction - economics
ST Elevation Myocardial Infarction - epidemiology
ST Elevation Myocardial Infarction - therapy
STEMI
Telemedicine
Thrombolytic Therapy - methods
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Summary: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.
ISSN:0019-4832
DOI:10.1016/j.ihj.2017.06.020