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

Sameer Mehta, Christopher Granger, Cindy Lee Grines, Alice Jacobs, Timothy D. Henry, Ivan Rokos, Alexandra Lansky, Andreas Baumbach, Roberto Botelho, Alexandra Ferre, Isaac Yepes, Roopa Salwan, Jamshed Dalal, Jitendra Makkar, Neeraj Bhalla, Sundeep Mishra, Vinod Vijan, Shirish Hiremath

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)185-190
Number of pages6
JournalIndian heart journal
Issue number1
StatePublished - Jan 2018

Bibliographical note

Publisher Copyright:
© 2017


  • ACC/AHA guidelines
  • PPCI
  • Telemedicine


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