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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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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
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cited_by cdi_FETCH-LOGICAL-c517t-eb3c6de7ad1924d67edda5e1c8288d7107ba089607edc3e43ae097972ce66273
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container_end_page 190
container_issue 1
container_start_page 185
container_title Indian heart journal
container_volume 70
creator 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
description 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.
doi_str_mv 10.1016/j.ihj.2017.06.020
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source ScienceDirect (Online service); PubMed Central
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
title Confronting system barriers for ST- elevation MI in low and middle income countries with a focus on India
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