September 11, 2025

Reperfusion Therapy for ST Elevation Myocardial Infarction in Low to Middle-Income Countries. A Clinical Consensus Statement of the Association for Acute CardioVascular Care (ACVC), the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Association of Preventive Cardiology (EAPC), the ESC Working Group on Thrombosis, and the Stent - Save a Life! Initiative.

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Reperfusion therapy significantly improves outcomes in STEMI, yet less than 65% of patients in low-income regions receive it, leading to preventable deaths.
This consensus outlines three adaptable models for STEMI care: fibrinolysis, pharmaco-invasive strategy, and primary PCI, offering tailored solutions to local challenges.
The framework addresses specific obstacles faced by healthcare systems, including delays in access to PCI and the lack of necessary treatment options.
Improving STEMI care requires focusing on continuous advancements, patient education, and secondary prevention strategies to reduce complications.

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Clinical consensus offers a flexible model for improving STEMI care in low-resource regions, highlighting stratified approaches and local adaptation.

Araiza‐Garaygordobil et al. (2025) studied this question.

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Clinical consensus offers a flexible model for improving STEMI care in low-resource regions, highlighting stratified approaches and local adaptation.