Why STEMI India

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The STEMI India Protocol - evidence-based and effective

STEMI India, supported by the Indian Council of Medical Research (ICMR), conducted a year-long pilot study on 2,400 STEMI patients in Tamil Nadu to evaluate the impact of the STEMI India Protocol.
As compared to before implementation, the STEMI India model of care produced a relative mortality reduction of 19% and a relative MACE reduction of 21%.
These results and the Protocol have been published in several leading peer-reviewed journals, including:

Data-centric

Relevant patient and treatment data are collected throughout implementation of the Protocol, and real-time analytics enable better decision-making to modify the Protocol to suit local needs.

Endorsed in India and across the world

The Indian Council of Medical Research (ICMR), the Cardiological Society of India (CSI) and the Association of Physicians of India (API) have recommended that the STEMI India Model be adopted as the National STEMI Protocol.
It has also been endorsed by the following organisations:

Specially suited for LMICs

The Model is particularly suited for India, focussing on being cost-effective by using existing infrastructure more efficiently and by rigorously training personnel. It can be replicated across the country, taking each state’s unique situation into consideration.
It is cost-effective, with an estimated Rs. 4 gained per rupee spent due to the reduction in mortality alone, not considering reductions in morbidity.

Making an impact on public policy

In the 7 years since STEMI India was set up, the Protocol has slowly been recognized as a system of care that will work in India and is being implemented by the State of Gujarat. Several other State Governments are planning to adopt the Protocol in the regions surrounding government-owned cath labs, including Madhya Pradesh, Chhattisgarh, Assam, Telangana and Tamil Nadu.
Insurance packages in the state-run insurance schemes have also been modified to suit the Protocol. Recommendations have been submitted to enable full reimbursement for all procedures under the STEMI India Protocol under Ayushman Bharat (PM-JAY).

Bringing about universal access to heart-attack care

4 people die every minute of a heart attack in India. STEMI India aims to provide access to best-in-class treatment to all patients affected by this deadly disease, irrespective of socio-economic status.

Developed by cardiologists with decades’ expertise

The STEMI India Charitable Trust was set up in 2012 by Dr Thomas Alexander and Dr Ajit Mullasari.
Dr Thomas Alexander M.D., D.M., F.A.C.C. is Consultant and Interventional Cardiologist and Head of Division of Cardiology at Kovai Medical Center and Hospital (KMCH), Coimbatore. He was Lecturer in Cardiology in Christian Medical College, Vellore from 1989 to 1991 and a Fellow in Cardiology in Epworth Hospital, Melbourne from 1991 to 1993. Since 1993, he has been working at KMCH, a 900-bed tertiary-care centre. He is a fellow of the American College of Cardiology, Indian College of Cardiology and the Cardiological Society of India and is the program director for training of candidates towards Dip. NB in Cardiology conducted by the National Board of Medical Sciences.

Dr Ajit Sankardas Mullasari, MBBS, MD, DM (Cardiology) is the Director of Cardiology at the Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India. After graduating in 1983 from the Grant Medical College, University of Mumbai, he did his Master’s in Medicine and Post-Doctoral Degree in Cardiology from the same University in 1991. He completed his National Board examinations in Cardiology in the same year. He then completed a Fellowship in Interventional Cardiology from The Prince Charles Hospital, Brisbane. He was awarded a Fellowship of the Royal College of Physicians, Glasgow in 2010. He was awarded a Lifetime Achievement Award 2011 by the Dr. MGR Medical University for his contribution in Cardiology by the Governor of Tamil Nadu.