Ischaemic heart disease stands as the foremost cause of global mortality, accounting for 12% of all premature deaths. The criticality of prompt treatment for ST-segment elevation myocardial infarction (STEMI) patients is underscored by the “Golden Hour” principle, requiring intervention within 90 minutes of symptom onset. Each 30-minute delay beyond this timeframe precipitates a 50% loss of heart muscle.

Establishing an effective care system for heart attack management is imperative. While primary percutaneous coronary intervention (PCI) is the preferred treatment in affluent nations, it is underutilized in low- and middle-income countries (LMICs). Thrombolysis remains the primary reperfusion method in LMICs, often administered as a standalone therapy.

However, recent evidence advocating for the pharmaco-invasive strategy as a viable alternative presents a promising avenue. This approach, comparable in efficacy to PCI, offers a more feasible solution for the majority of patients in LMICs, potentially saving more lives.

Overcome the barriers of STEMI Management

• Mass Awareness
• Separate traffic lane for ambulance movement
• Set up PCI capable centers in every district level
• Pilot program for creating necessary manpower
• Increase health budget
• Engagement of politicians, administration, media people and professional organizations to make a national roadmap