ABSTRACT
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.
ABSTRACT
La placa coronaria inestable es la causa de base más común de síndromes coronarios agudos (SCA) y se puede manifestar como angina inestable, infarto sin elevación del segmento ST (SCASEST), e infarto con elevación del segmento ST (IAMCEST), pero también se puede manifestar como paro cardíaco súbito debido a taquiarritmias inducidas por isquemia. La mortalidad de los SCA ha disminuido significativamente en el curso de los últimos años, especialmente la debida a las manifestaciones más extremas de SCA, IAMCEST, y paro cardíaco. Es probable que esta tendencia continúe gracias a avances terapéuticos recientes, entre los que se incluyen nuevos agentes antiplaquetarios tales como prasugrel, ticagrelor y cangrelor.