Resource and Infrastructure-Appropriate Management of ST-Segment Elevation Myocardial Infarction in Low- and Middle-Income Countries
| Autor: | Damodar Bachani, Jeroen J. Bax, Y S Chandrashekhar, Harun Argwings Otieno, K. Srinath Reddy, Jacobus Cornelius Wilhelmus Badenhorst, Nitish Naik, Ragavendra R. Baliga, R S Dhaliwal, Padhinhare P. Mohanan, Sameer Mehta, Robert Shor, Habib Gamra, Dharam J. Kumbhani, Ajit S. Mullasari, Meenakshi Sharma, Richard A. Chazal, Thomas Alexander, Roberto Botelho, Christoph Naber, Samir Alam, Mpiko Ntsekhe, Ambuj Roy, Daniel J. Piñeiro, Rabindra Nath Chakraborthy, Mustafa Redha, Erick Alexanderson, Frederik Adriaan Snyders, Dorairaj Prabhakaran, Jagat Narula, Deepak L. Bhatt, Jack Weii Chieh Tan, Prem Pais, Mohamed Jeilan, Eduardo Bossone, Salim Yusuf, David Ian Kettles, C. Michael Valentine, Sivadasanpillai Harikrishnan, B. Hadley Wilson |
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| Přispěvatelé: | Chandrashekhar, Y., Alexander, T., Mullasari, A., Kumbhani, D. J., Alam, S., Alexanderson, E., Bachani, D., Wilhelmus Badenhorst, J. C., Baliga, R., Bax, J. J., Bhatt, D. L., Bossone, E., Botelho, R., Chakraborthy, R. N., Chazal, R. A., Dhaliwal, R. S., Gamra, H., Harikrishnan, S. P., Jeilan, M., Kettles, D. I., Mehta, S., Mohanan, P. P., Kurt Naber, C., Naik, N., Ntsekhe, M., Otieno, H. A., Pais, P., Pineiro, D. J., Prabhakaran, D., Reddy, K. S., Redha, M., Roy, A., Sharma, M., Shor, R., Adriaan Snyders, F., Weii Chieh Tan, J., Valentine, C. M., Wilson, B. H., Yusuf, S., Narula, J. |
| Rok vydání: | 2020 |
| Předmět: |
Emergency Medical Services
Economic growth Telemedicine Consensus Health Personnel electrocardiography universal health care media_common.quotation_subject Best practice Population Disease LMICs Literacy LMIC Physiology (medical) Health care Humans Medicine education Developing Countries Poverty Health policy thrombolytic therapy media_common education.field_of_study business.industry percutaneous coronary intervention health policy Guideline Practice Guidelines as Topic Health Resources ST Elevation Myocardial Infarction telemedicine Cardiology and Cardiovascular Medicine business coronary artery disease |
| Zdroj: | Circulation, 141(24), 2004-2025. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | The 143 low- and middle-income countries (LMICs) of the world constitute 80% of the world’s population or roughly 5.86 billion people with much variation in geography, culture, literacy, financial resources, access to health care, insurance penetration, and healthcare regulation. Unfortunately, their burden of cardiovascular disease in general and acute ST-segment–elevation myocardial infarction (STEMI) in particular is increasing at an unprecedented rate. Compounding the problem, outcomes remain suboptimal because of a lack of awareness and a severe paucity of resources. Guideline-based treatment has dramatically improved the outcomes of STEMI in high-income countries. However, no such focused recommendations exist for LMICs, and the unique challenges in LMICs make directly implementing Western guidelines unfeasible. Thus, structured solutions tailored to their individual, local needs, and resources are a vital need. With this in mind, a multicountry collaboration of investigators interested in LMIC STEMI care have tried to create a consensus document that extracts transferable elements from Western guidelines and couples them with local realities gathered from expert experience. It outlines general operating principles for LMICs focused best practices and is intended to create the broad outlines of implementable, resource-appropriate paradigms for management of STEMI in LMICs. Although this document is focused primarily on governments and organizations involved with improvement in STEMI care in LMICs, it also provides some specific targeted information for the frontline clinicians to allow standardized care pathways and improved outcomes. |
| Databáze: | OpenAIRE |
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