Coronary interventions

How to set up regional STEMI networks: a "Stent - Save a life!" initiative

EuroIntervention 2022;17:1313-1317. DOI: 10.4244/EIJ-D-21-00694

Alfonsina Candiello
Alfonsina Candiello1, MD; Thomas Alexander2, MD; Rhena Delport3, MSc, PhD; Gabor G. Toth4, MD, PhD; Paul Ong5, MD; Adriaan Snyders6, MD; Jorge A. Belardi1, MD; Michael K.Y. Lee7, MD; Helder Pereira8, MD; Awad Mohamed9, MD, MSc; Jorge Mayol10, MD; Jan J. Piek11, MD, PhD; William Wijns12, MD, PhD; Andreas Baumbach13, MD, PhD; Christoph Naber14, MD, PhD
1. Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina; 2. Kovai Medical Center, Coimbatore, India; 3. Department of Family Medicine, School of Medicine, University of Pretoria, Pretoria, South Africa; 4. University Heart Center Graz, Division of Cardiology, Department of Medicine, Medical University Graz, Graz, Austria; 5. Tan Tock Seng Hospital, Singapore, Singapore; 6. Wilgers Hospital, Pretoria, Gauteng, South Africa; 7. Division of Cardiology, Queen Elizabeth Hospital, Kowloon, Hong Kong, China; 8. Hospital Garcia de Orta, Almada, Portugal; 9. Department of Medicine, University of Khartoum, Khartoum, Sudan; 10. Centro Cardiológico Americano, Montevideo, Uruguay; 11. Amsterdam UMC, University of Amsterdam, Heart Center, Department of Clinical and Experimental Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam, the Netherlands; 12. The Lambe Institute for Translational Medicine and CÚRAM, National University of Ireland Galway, Galway, Ireland; 13. Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom; 14. Klinikum Wilhelmshaven, Wilhelmshaven, Germany

Clinical guidelines recommend the development of ST-elevation myocardial infarction (STEMI) networks at community, regional and/or national level to ideally offer primary coronary angioplasty, or at least the best available STEMI care to all patients. However, there is a discrepancy between this clinical recommendation and daily practice, with no coordinated care for STEMI patients in many regions of the world. While this can be a consequence of lack of resources, in reality it is more frequently a lack of organisational power. In this paper, the Stent - Save a Life! Initiative (www.stentsavealife.com) proposes a practical methodology to set up a STEMI network effectively in any region of the world with existing resources, and to develop the STEMI network continuously once it has been established.

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