A Race for the Base

A System of Care for Patients With ST-Segment Elevation Myocardial Infarction in India

“…The challenges to improving STEMI care in LMICs are formidable because of several nonclinical, system-level factors. The most important limitations arise from poverty, limited health care infrastructure for PCI, and poor accessibility to acute emergency medical services . We previously reported results from the Kovai Erode Pilot STEMI Study, which tested the feasibility of implementing a treatment model for STEMI in a resource-poor setting based on systems of care models currently established in Western countries .…”

Confluence of Cultural Context and Technological Innovation to Reduce Cardiovascular Disparities in India

“…2 Thus, India represents an accelerated epidemiological transition model (also observed in LMICs such as Brazil), where patients are living longer with chronic diseases. 3 In combination with hypertension and diabetes mellitus as major risk factors for the burgeoning burden of CVD, ST-segment elevation myocardial infarction (STEMI) carries a grave prognosis in India and other LMICs. 3 Moreover, CVD disproportionately affects patients in poor and rural regions in India and disparities in socioeconomic status (SES) accentuate this phenomenon.…”

“…3 In combination with hypertension and diabetes mellitus as major risk factors for the burgeoning burden of CVD, ST-segment elevation myocardial infarction (STEMI) carries a grave prognosis in India and other LMICs. 3 Moreover, CVD disproportionately affects patients in poor and rural regions in India and disparities in socioeconomic status (SES) accentuate this phenomenon. 1 Those from lower SES status less frequently receive optimal therapy, fueling adverse outcomes.…”