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

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Mehta, S; Granger, C; Grines, CL; Jacobs, A; Henry, TD; Rokos, I; Lansky, A; Baumbach, A; Botelho, R; Ferre, A; Yepes, I; Salwan, R; Dalal, J; Makkar, J; Bhalla, N; Mishra, S; Vijan, V; Hiremath, S

Published Date

  • 2018

Published In

Volume / Issue

  • 70 / 1

Start / End Page

  • 185 - 190

PubMed ID

  • 29455776

Pubmed Central ID

  • PMC5903067

Electronic International Standard Serial Number (EISSN)

  • 2213-3763

Digital Object Identifier (DOI)

  • 10.1016/j.ihj.2017.06.020


  • eng

Conference Location

  • India