Delivering Lifesaving Thrombolysis for Acute Myocardial Infarction in an Underserved Region of Ghana: Lessons From the First Successful Case

The management of acute coronary syndrome in northern Ghana is constrained. This is because no facility offers percutaneous coronary intervention. Thrombolysis is the only feasible reperfusion option, yet it remains significantly underutilized due to numerous barriers. In this case report, we describe the management of a 53-year-old man with ST-elevation myocardial infarction, highlighting the routine challenges faced in treating such patients in northern Ghana and identifying opportunities for improvement.