United States

Access & coverage

Medicare/Medicaid + commercial

Fragmented: employer, Medicare, Medicaid, ACA, uninsured residual

Treatment

• Door-to-balloon / thrombolysis pathways; cardiac rehab referral
• Acute reperfusion / stroke pathway where indicated
• Long-term antiplatelets, statins, antihypertensives, ACE/ARB
• PCI/CABG or carotid interventions per guideline criteria

Prevention

• Statin and BP treatment at guideline thresholds in primary care
• Population BP / cholesterol screening through primary care
• Tobacco control and salt-reduction programs
• Secondary prevention after MI/stroke (meds + rehab)

Lifestyle

• Diet pattern (less sodium, more plants), activity, weight
• Smoking cessation and alcohol limits
• Sleep and stress management as adjuncts

What stands out here

Country emphasis: High PCI capacity but fragmented secondary prevention and prices