title: Framework for a National STEMI Program: consensus document developed by STEMI INDIA, Cardiological Society of India and Association Physicians of India.
abstract: The health care burden of ST elevation myocardial infarction (STEMI) in India is enormous. Yet, many patients with STEMI can seldom avail timely and evidence based reperfusion treatments. This gap in care is a result of financial barriers, limited healthcare infrastructure, poor knowledge and accessibility of acute medical services for a majority of the population. Addressing some of these issues, STEMI India, a not-for-profit organization, Cardiological Society of India (CSI) and Association Physicians of India (API) have developed a protocol of "systems of care" for efficient management of STEMI, with integrated networks of facilities. Leveraging newly-developed ambulance and emergency medical services, incorporating recent state insurance schemes for vulnerable populations to broaden access, and combining innovative, "state-of-the-art" information technology platforms with existing hospital infrastructure, are the crucial aspects of this system. A pilot program was successfully employed in the state of Tamilnadu. The purpose of this article is to describe the framework and methods associated with this programme with an aim to improve delivery of reperfusion therapy for STEMI in India. This programme can serve as model STEMI systems of care for other low-and-middle income countries.
authors.affiliation: Senior Consultant and Interventional Cardiologist, STEMI INDIA Writing Group, India. Electronic address: tomalex41@gmail.com.
authors.forename: Thomas
authors.initials: T
authors.lastname: Alexander
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Ajit S
authors.initials: AS
authors.lastname: Mullasari
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Zuzana
authors.initials: Z
authors.lastname: Kaifoszova
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Umesh N
authors.initials: UN
authors.lastname: Khot
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Brahmajee
authors.initials: B
authors.lastname: Nallamothu
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Rao G V
authors.initials: RG
authors.lastname: Ramana
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Meenakshi
authors.initials: M
authors.lastname: Sharma
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Kala
authors.initials: K
authors.lastname: Subramaniam
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Veerasekar
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Suma M
authors.initials: SM
authors.lastname: Victor
authors.affiliation: STEMI INDIA Writing Group, India.
authors.forename: Kiran
authors.initials: K
authors.lastname: Chand
authors.affiliation: Cardiological Society of India (CSI), India.
authors.forename: P K
authors.initials: PK
authors.lastname: Deb
authors.affiliation: Cardiological Society of India (CSI), India.
authors.forename: K
authors.initials: K
authors.lastname: Venugopal
authors.affiliation: Cardiological Society of India (CSI), India.
authors.forename: H K
authors.initials: HK
authors.lastname: Chopra
authors.affiliation: Cardiological Society of India (CSI), India.
authors.forename: Santanu
authors.initials: S
authors.lastname: Guha
authors.affiliation: Association of Physicians of India (API), India.
authors.forename: Amal Kumar
authors.initials: AK
authors.lastname: Banerjee
authors.affiliation: Association of Physicians of India (API), India.
authors.forename: A Muruganathan
authors.initials: AM
authors.lastname: Armugam
authors.affiliation: Association of Physicians of India (API), India.
authors.forename: Manotosh
authors.initials: M
authors.lastname: Panja
authors.affiliation: Association of Physicians of India (API), India.
authors.forename: Gurpreet Singh
authors.initials: GS
authors.lastname: Wander
mesh_terms: D002309:Cardiology; D004632:Emergency Medical Services / Q000458:organization & administration*; D006801:Humans; D007194:India; D015425:Myocardial Reperfusion / Q000379:methods*; D000072657:ST Elevation Myocardial Infarction / Q000628:therapy*; D012955:Societies, Medical
keywords: Framework for a national strategy; STEMI reperfusion; Systems of care