Door-to-needle performance in African ST-elevation myocardial infarction management: A systematic review and meta-analysis
African STEMI patients experience door-to-needle delays more than twice the guideline target, with fewer than 4 in 10 receiving timely fibrinolysis. In such settings lacking widespread PCI, implementation of standardized reperfusion protocols, optimized in-hospital workflows, and targeted quality-improvement initiatives is urgently needed to accelerate fibrinolysis, maximize myocardial salvage, and reduce adverse cardiovascular outcomes.
Authors
- P. K. R. Warrier
- Charoo Iyer
- Jason A. Moreland
- Carlson Sama (ORCID: https://orcid.org/0000-0002-6919-6537)
- Bryan Raybuck (ORCID: https://orcid.org/0000-0002-5846-5164)
- Binita Bhandari (ORCID: https://orcid.org/0000-0002-5490-043X)
- Basel Abdelazeem (ORCID: https://orcid.org/0000-0002-2919-6196)
- Muchi Ditah Chobufo (ORCID: https://orcid.org/0000-0002-4490-5480)
- Efeturi Okorigba
- Sudarshan Balla (ORCID: https://orcid.org/0000-0002-7872-3757)
- Ademola Ajibade
- Mohamad Alsaed (ORCID: https://orcid.org/0000-0003-0035-5728)
- H Qureshi
- SurinderSingh Rana
- Meshal Alsulami
Institutions
- University of Iowa (US)
- West Virginia University Hospitals (US)
- Cox Medical Center South (US)
Publication Details
- Journal
- JRSM Cardiovascular Disease
- Published
- 2025-04-01
- DOI
- https://doi.org/10.1177/20480040251396698
- Citations
- 1
- Primary Topic
- Acute Myocardial Infarction Research
- Type
- article
- Field-Weighted Citation Impact
- 1.39