Paul V George1, Amit Hooda2, Purinder K Pati1, Lijo Varghese3, Anandroop Lahiri4. 1. Professor, Department of Cardiology, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India. 2. Assistant Professor, Department of Cardiology, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India. Electronic address: amithooda@rediffmail.com. 3. Assistant Professor, Department of Cardiology, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India. 4. Senior Registrar, Department of Cardiology, Christian Medical College Hospital, Vellore 632004, Tamil Nadu, India.
Abstract
AIMS: Coronary artery disease is the leading cause of mortality and morbidity in our country, of which ST elevation myocardial infarction (STEMI) accounts for the major part of health spending. We sought to study the effect of induction of government health insurance scheme on the trends of reperfusion in patients of acute STEMI. METHODS AND RESULTS: 1133 patients presenting with acute STEMI enrolled. 1079 (95.1%) received some form of reperfusion therapy. Primary PCI was used in 60.6% of patients as the primary reperfusion modality, a six fold increase as compared to previous years. Government health insurance accounted for the one third of all. 34.5% patients underwent pharmacological reperfusion, most commonly with streptokinase. 4.9% patients of STEMI did not receive any form of reperfusion therapy in contrast to 14% during previous years. CONCLUSION: Introduction of government health insurance along with increased awareness has resulted in dramatic changes in the management of STEMI patients.
AIMS: Coronary artery disease is the leading cause of mortality and morbidity in our country, of which ST elevation myocardial infarction (STEMI) accounts for the major part of health spending. We sought to study the effect of induction of government health insurance scheme on the trends of reperfusion in patients of acute STEMI. METHODS AND RESULTS: 1133 patients presenting with acute STEMI enrolled. 1079 (95.1%) received some form of reperfusion therapy. Primary PCI was used in 60.6% of patients as the primary reperfusion modality, a six fold increase as compared to previous years. Government health insurance accounted for the one third of all. 34.5% patients underwent pharmacological reperfusion, most commonly with streptokinase. 4.9% patients of STEMI did not receive any form of reperfusion therapy in contrast to 14% during previous years. CONCLUSION: Introduction of government health insurance along with increased awareness has resulted in dramatic changes in the management of STEMI patients.
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