Global Acute Myocardial Infarction Perspectives. Beyond Door-to-Balloon Interventions.

Sameer Mehta, Jennifer C. Kostela, Estefania Oliveros, Camilo Pena, Rebecca Rowen, Kevin Treto, Ana Isabel Flores, Salomon Cohen, Tracy Zhang

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

The goal in ST-elevation myocardial infarction (STEMI) intervention is achieving a door-to-balloon time of less than 90 minutes. Challenges in North America and Europe include patient education and implementing legislative mandates for STEMI guidelines. Globally, hurdles for primary percutaneous coronary intervention include limitations of access and financial constraints to providing STEMI care to vast populations. Adherence to North American and European guidelines globally remains an unrealistic goal given the unique cultural, demographic, and fiscal dynamics in poorer countries. The authors propose a four-phased population-based strategy for global acute myocardial infarction development and a pharmacoinvasive approach to STEMI care based on socioeconomic characteristics.

Original languageEnglish
Pages (from-to)479-484
Number of pages6
JournalInterventional Cardiology Clinics
Volume1
Issue number4
DOIs
StatePublished - Oct 2012
Externally publishedYes

Keywords

  • Acute myocardial infarction
  • Global AMI care
  • PPCI
  • STEMI

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