PMID- 26432748 OWN - NLM STAT- MEDLINE DCOM- 20161213 LR - 20231111 IS - 2213-3763 (Electronic) IS - 0019-4832 (Print) IS - 0019-4832 (Linking) VI - 67 IP - 5 DP - 2015 Sep-Oct TI - Framework for a National STEMI Program: consensus document developed by STEMI INDIA, Cardiological Society of India and Association Physicians of India. PG - 497-502 LID - S0019-4832(15)00159-5 [pii] LID - 10.1016/j.ihj.2015.05.017 [doi] AB - 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. CI - Copyright (c) 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved. FAU - Alexander, Thomas AU - Alexander T AD - Senior Consultant and Interventional Cardiologist, STEMI INDIA Writing Group, India. Electronic address: tomalex41@gmail.com. FAU - Mullasari, Ajit S AU - Mullasari AS AD - STEMI INDIA Writing Group, India. FAU - Kaifoszova, Zuzana AU - Kaifoszova Z AD - STEMI INDIA Writing Group, India. FAU - Khot, Umesh N AU - Khot UN AD - STEMI INDIA Writing Group, India. FAU - Nallamothu, Brahmajee AU - Nallamothu B AD - STEMI INDIA Writing Group, India. FAU - Ramana, Rao G V AU - Ramana RG AD - STEMI INDIA Writing Group, India. FAU - Sharma, Meenakshi AU - Sharma M AD - STEMI INDIA Writing Group, India. FAU - Subramaniam, Kala AU - Subramaniam K AD - STEMI INDIA Writing Group, India. FAU - Veerasekar, Ganesh AU - Veerasekar G AD - STEMI INDIA Writing Group, India. FAU - Victor, Suma M AU - Victor SM AD - STEMI INDIA Writing Group, India. FAU - Chand, Kiran AU - Chand K AD - STEMI INDIA Writing Group, India. FAU - Deb, P K AU - Deb PK AD - Cardiological Society of India (CSI), India. FAU - Venugopal, K AU - Venugopal K AD - Cardiological Society of India (CSI), India. FAU - Chopra, H K AU - Chopra HK AD - Cardiological Society of India (CSI), India. FAU - Guha, Santanu AU - Guha S AD - Cardiological Society of India (CSI), India. FAU - Banerjee, Amal Kumar AU - Banerjee AK AD - Association of Physicians of India (API), India. FAU - Armugam, A Muruganathan AU - Armugam AM AD - Association of Physicians of India (API), India. FAU - Panja, Manotosh AU - Panja M AD - Association of Physicians of India (API), India. FAU - Wander, Gurpreet Singh AU - Wander GS AD - Association of Physicians of India (API), India. LA - eng PT - Consensus Development Conference PT - Journal Article DEP - 20150812 PL - India TA - Indian Heart J JT - Indian heart journal JID - 0374675 SB - IM MH - *Cardiology MH - Emergency Medical Services/*organization & administration MH - Humans MH - India MH - Myocardial Reperfusion/*methods MH - ST Elevation Myocardial Infarction/*therapy MH - *Societies, Medical PMC - PMC4593854 OTO - NOTNLM OT - Framework for a national strategy OT - STEMI reperfusion OT - Systems of care EDAT- 2015/10/04 06:00 MHDA- 2016/12/15 06:00 PMCR- 2016/09/01 CRDT- 2015/10/04 06:00 PHST- 2015/05/25 00:00 [received] PHST- 2015/05/25 00:00 [accepted] PHST- 2015/10/04 06:00 [entrez] PHST- 2015/10/04 06:00 [pubmed] PHST- 2016/12/15 06:00 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - S0019-4832(15)00159-5 [pii] AID - 10.1016/j.ihj.2015.05.017 [doi] PST - ppublish SO - Indian Heart J. 2015 Sep-Oct;67(5):497-502. doi: 10.1016/j.ihj.2015.05.017. Epub 2015 Aug 12.