Table 14.

Summary of Management of STEMI in PCI non- capable center.

	Summary –
1.	PCI non-capable centres in India are an important component in delivery of effective STEMI care.
2.	They can be of a wide spectrum in terms of their nature ranging from small clinics with a GP, and small nursing homes with physicians to larger hospitals. On basis of management strategy they are broadly of two types −PCI non-capable centres that do an ECG and transfer and PCI non-capable centres which do an ECG, thrombolyse the patients and then consider transferring them to a PCI capable centre when feasible.
3.	They help in early diagnosis, triaging, initiating immediate pharmacotherapy and giving supportive treatment, thrombolysing (if so deemed) and transferring patients.
4.	Thrombolysis can be initiated by a Qualified Medical Person at a centre where facility of ECG, defibrillator and resuscitation measure are available.
5.	5. Occasionally they may be the sole centre offering thrombolysis and/or medical management.
6.	They need to act in tandem with other components of STEMI care for effective patient care.