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eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas

Authors:

Shamit Gupta ,

Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
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Sandeep Dewan,

Department of Critical Care Medicine, Fortis Memorial Research Institute, Gurgaon, IN
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Anjali Kaushal,

Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
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Ashok Seth,

Department of Cardiovascular Medicine, Fortis Escorts Heart Institute, New Delhi, IN
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Jagat Narula,

Michael and Zena Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, US
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Amit Varma

Department of Critical Care Medicine, Fortis Escorts Heart Institute, New Delhi, IN
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Abstract

Highlights
  • Timely healthcare access poses a formidable challenge in the semiurban and rural areas of the developing world. This is particularly noticeable in emergency situations such as ST-segment elevation myocardial infarction (STEMI).
  • We explored whether a remotely monitored intensive care unit (electronic ICU [eICU]) would bridge this demand-supply gap.
  • To evaluate the efficacy of an eICU model of service and intervention for the early diagnosis of STEMI and prompt initiation of thrombolytic therapy, mortality during 12-month eICU period was compared with the mortality in the same period preceding the eICU establishment.
  • Not only initiation of thrombolytic treatment was supported remotely by eICU, but the door-to-needle time in STEMI was reduced by 85% to 26.23 min, resulting in a substantial 70% mortality benefit.
How to Cite: Gupta S, Dewan S, Kaushal A, Seth A, Narula J, Varma A. eICU Reduces Mortality in STEMI Patients in Resource-Limited Areas. Global Heart. 2014;9(4):425–7. DOI: http://doi.org/10.1016/j.gheart.2014.07.006
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Published on 01 Dec 2014.

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