The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

How to Set Up Regional STEMI Networks: Providing Best Possible STEMI Care

DOI: 10.4244/EIJ-D-21-00694

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
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 Curam, National University of Ireland Galway, Ireland
13. Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom
14. Klimikum Wilhelmshaven, Wilhelmshaven, Germany, Germany

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Clinical guidelines recommend the development of ST- elevation  myocardial infarction (STEMI) networks at community, regional and/or national level to offer ideally 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 lacking resources, in reality, it is more frequently a lack of organizational power. In this paper, the Stent-Save a life! Initiative proposes a practical methodology to effectively set up a STEMI network in any region of the world, with existing resources, and to continuously develop the STEMI network once established.

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