PMID- 25443602
OWN - NLM
STAT- MEDLINE
DCOM- 20160930
LR  - 20181113
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 66
IP  - 5
DP  - 2014 Sep-Oct
TI  - Effect of a government scheme on reperfusion trends in a tertiary care centre in 
      South India.
PG  - 503-5
LID - S0019-4832(14)00254-5 [pii]
LID - 10.1016/j.ihj.2014.08.001 [doi]
AB  - AIMS: Coronary artery disease is the leading cause of mortality and morbidity in 
      our country, of which ST elevation myocardial infarction (STEMI) accounts for the 
      major part of health spending. We sought to study the effect of induction of 
      government health insurance scheme on the trends of reperfusion in patients of 
      acute STEMI. METHODS AND RESULTS: 1133 patients presenting with acute STEMI 
      enrolled. 1079 (95.1%) received some form of reperfusion therapy. Primary PCI was 
      used in 60.6% of patients as the primary reperfusion modality, a six fold 
      increase as compared to previous years. Government health insurance accounted for 
      the one third of all. 34.5% patients underwent pharmacological reperfusion, most 
      commonly with streptokinase. 4.9% patients of STEMI did not receive any form of 
      reperfusion therapy in contrast to 14% during previous years. CONCLUSION: 
      Introduction of government health insurance along with increased awareness has 
      resulted in dramatic changes in the management of STEMI patients.
CI  - Copyright (c) 2014 Cardiological Society of India. Published by Elsevier B.V. All 
      rights reserved.
FAU - George, Paul V
AU  - George PV
AD  - Professor, Department of Cardiology, Christian Medical College Hospital, Vellore 
      632004, Tamil Nadu, India.
FAU - Hooda, Amit
AU  - Hooda A
AD  - Assistant Professor, Department of Cardiology, Christian Medical College 
      Hospital, Vellore 632004, Tamil Nadu, India. Electronic address: 
      amithooda@rediffmail.com.
FAU - Pati, Purinder K
AU  - Pati PK
AD  - Professor, Department of Cardiology, Christian Medical College Hospital, Vellore 
      632004, Tamil Nadu, India.
FAU - Varghese, Lijo
AU  - Varghese L
AD  - Assistant Professor, Department of Cardiology, Christian Medical College 
      Hospital, Vellore 632004, Tamil Nadu, India.
FAU - Lahiri, Anandroop
AU  - Lahiri A
AD  - Senior Registrar, Department of Cardiology, Christian Medical College Hospital, 
      Vellore 632004, Tamil Nadu, India.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20140828
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Comorbidity
MH  - Female
MH  - *Government Programs
MH  - Humans
MH  - India
MH  - *Insurance, Health
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/*economics/*therapy
MH  - Myocardial Reperfusion/*economics/*methods
MH  - Retrospective Studies
MH  - Tertiary Care Centers
PMC - PMC4223206
OTO - NOTNLM
OT  - Government health insurance
OT  - Reperfusion
OT  - STEMI
EDAT- 2014/12/03 06:00
MHDA- 2016/10/01 06:00
PMCR- 2014/09/01
CRDT- 2014/12/03 06:00
PHST- 2014/05/11 00:00 [received]
PHST- 2014/06/18 00:00 [revised]
PHST- 2014/08/11 00:00 [accepted]
PHST- 2014/12/03 06:00 [entrez]
PHST- 2014/12/03 06:00 [pubmed]
PHST- 2016/10/01 06:00 [medline]
PHST- 2014/09/01 00:00 [pmc-release]
AID - S0019-4832(14)00254-5 [pii]
AID - 10.1016/j.ihj.2014.08.001 [doi]
PST - ppublish
SO  - Indian Heart J. 2014 Sep-Oct;66(5):503-5. doi: 10.1016/j.ihj.2014.08.001. Epub 
      2014 Aug 28.