Table 2– Comparison of the structure of management of ST elevated myocardial infarction (STEMI) and severe community-acquired pneumonia (CAP)

	STEMI	Severe CAP
		Current practice	Future model
First medical contact and emergency care flow	Emergency medical system	Not established	Emergency medical system
	Working diagnosis: history, clinical symptoms, 12-lead ECG	Working diagnosis: history, clinical symptoms, chest radiography	Working diagnosis: history, clinical symptoms, chest radiography
	Biomarker (troponin)	Biomarker (procalcitonin, adrenomedullin)	Biomarker (procalcitonin, adrenomedullin)
Pre-hospital and early in-hospital care	Reperfusion	Antibiotics	Antibiotics
		Oxygen and/or ventilatory support	Oxygen and/or ventilatory support
			Early goal-directed therapy
	Timescales: door-to-balloon, door-to-needle	Not established	Timescales: door-to-antibiotic, door-to-fluid resuscitation, 6-h timescale of severe sepsis
	Timescales: door-to-balloon, door-to-needle
Management of the later in-hospital course	Cardiac failure Thrombosis and embolism Intraventricular thrombus and emboli Pericarditis Late ventricular arrhythmias Post-infarction angina and ischaemia	Pneumonic: parapneumonic effusion, empyema, abscess	Pneumonic: parapneumonic effusion, empyema, abscess
Management of the later in-hospital course		Nonpneumonic: others	Nonpneumonic: others
Risk assessment	Myocardial viability Risk of arrhythmia and sudden death	Not defined	Unknown
Rehabilitation and pre-discharge advice	Psychological and socioeconomic	Not defined	Psychological and socioeconomic
	Lifestyle advice		Lifestyle advice
	Physical activity		Physical activity
Secondary prevention	Lifestyle habits: smoking, diet weight control, physical activity	Not defined	Lifestyle habits: smoking, diet, dietary supplements, weight control, physical activity
	Drugs: antiplatelet and anticoagulant treatment, statins, β-blockers, angiotensin-converting enzyme or angiotension receptor blockers, aldosterone blockade	Not defined	Unknown
	Control of atherosclerotic risk factors: blood pressure, diabetes, lipid profile, influenza vaccination	Not defined	Unknown
		Influenza vaccination	Influenza vaccination
		Pneumococcal vaccination	Pneumococcal vaccination