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Systems of care for ST-elevation myocardial infarction in India
  1. Thomas Alexander1,
  2. Sameer Mehta2,
  3. Ajit Mullasari3,
  4. Brahmajee K Nallamothu4
  1. 1Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India
  2. 2University of Miami, Miami, Florida, USA
  3. 3Madras Medical Mission, Chennai, Tamil Nadu, India
  4. 4University of Michigan Medical School, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Thomas Alexander, Kovai Medical Centre and Hospital,P.B.3209, Avanashi Road,Coimbatore, 641014, India; tomalex41{at} Dr Brahmajee K Nallamothu, University of Michigan, Cardiovascular Center, SPC 5869, Ann Arbor, MI 48109-5869, USA; bnallamo{at}


The prevalence of coronary artery disease and ST-elevation myocardial infarction (STEMI) are increasing in India. Although recent publications have focused on improving preventive measures in developing countries, less attention has been placed on the acute management of STEMI. Recent policy changes in India have provided new opportunities to address existing barriers but require greater investment and support in the coming years.

  • Coronary artery disease
  • coronary intervention (PCI)
  • delivery of care
  • interventional cardiology
  • lipids
  • non-coronary intervention
  • public health

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  • Competing interests None.

  • Ethics approval Ethics approval was received from the Hospital Ethics Committee of the Kovai Medical Center.

  • Provenance and peer review Not commissioned; externally peer reviewed.