Highlights

• India faces an epidemic of cardiovascular disease and ST-segment elevation myocardial infarction (STEMI) and is in need of urgent solutions.
• Implementing effective systems in resource-poor settings has distinctive challenges.
• Universal health care is critical for the success of the STEMI-India model.
• Any physician should be able to identify STEMI and deliver appropriate fibrinolysis.
• To counter the epidemic of cardiovascular disease and STEMI, a nationalized program is needed.