Epidemiological trends of acute coronary syndrome (ACS) in Shimla district of hilly state of Northern India: 6 years data from the prospective HP ACS registry

Epidemiological characteristics of the ACS population in Shimla district are changing. The trends of use of reperfusion therapy in ST segment elevated myocardial infarction population has although increased but is still suboptimal, and there is a need for taking initiatives both at the system and population level to improve the reperfusion therapy.