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Abstract
Of 55 million deaths globally every year, about 30% are from cardiovascular diseases.1 Of these, 40% to 50% are likely to be due to acute myocardial infarction (AMI).1 Antiplatelet therapy,2,3 thrombolytic therapy4 and angiotensin-converting enzyme inhibitors5 improve prognosis in ST-segment elevation AMI (STEMI). Primary percutaneous coronary intervention (PCI) offers benefits over thrombolytic therapy, but access to this procedure is limited.6 Advances in treatments are likely to have a greater public health and clinical impact if they are effective, safe, simple to administer, affordable, and applicable to a widely diverse spectrum of economic and health care settings.