biostudies-literatureUnknown161(2)Gnanaraj JPBackground & objectives Timely reperfusion reduces mortality in ST-segment elevation myocardial infarction (STEMI). Telemedicine and social media have been shown to improve STEMI care in community settings as reported previously. We established a government-sponsored STEMI care system in the State of Tamil Nadu with a goal of enhancing guideline-directed revascularisation (GDR) in STEMI. This study aimed to improve GDR by networking non-percutaneous coronary intervention (PCI)-capable hospitals with PCI capable hospitals in a hub-and-spoke model and implementing telemedicine through social media groups. Methods Eighteen Government medical college hospitals were provided cardiac catheterisation laboratories and linked to 188 Taluk and non-PCI capable Government hospitals forming 18 STEMI clThe Indian journal of medical research125-133https://www.ebi.ac.uk/biostudies/studies/S-EPMC12010787biostudies-literatureImpact of telemedicine in STEMI care system: A five-year experience from Tamil Nadu, India.PMC12010787M A ASatish SPMohamed RBArunachalam ASJayabalan NPalani BPTamilmani MMohandoss NPEdwin RAhamed DGnanaraj JPSrinivasan KSteaphen APJagannathan RGnanamuthu SRadhakrishnan KAzhakesan MRaveendiran BBalasubramani KGanesan MJeemon PSethumadhavan RPadmnabhan PGanesan KMohanan NR AKumaresan KSundaram BMajella CMK NKannappan SKrishan SRPerumal JPerumal KfalseImpact of telemedicine in STEMI care system: A five-year experience from Tamil Nadu, India.Background & objectives Timely reperfusion reduces mortality in ST-segment elevation myocardial infarction (STEMI). Telemedicine and social media have been shown to improve STEMI care in community settings as reported previously. We established a government-sponsored STEMI care system in the State of Tamil Nadu with a goal of enhancing guideline-directed revascularisation (GDR) in STEMI. This study aimed to improve GDR by networking non-percutaneous coronary intervention (PCI)-capable hospitals with PCI capable hospitals in a hub-and-spoke model and implementing telemedicine through social media groups. Methods Eighteen Government medical college hospitals were provided cardiac catheterisation laboratories and linked to 188 Taluk and non-PCI capable Government hospitals forming 18 STEMI cl2025-01-01T00:00:00Z2025 Feb2025-07-02T03:05:05.351Z2025-07-02T03:05:05.351ZS-EPMC120107874025713910.25259/IJMR_348_24