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We established a regional cooperative emergency care system of ST-elevation myocardial infarction patients based on the internet of things. In this article, the current status and problems of ST-elevation myocardial infarction patient emergency care have been studied and key influence factors are found. As the results, a shorter time from symptom onset to reperfusion is achieved with improved outcomes for patients with ST-segment elevation myocardial infarction (STEMI). Primary percutaneous coronary intervention (PCI) in patients with STEMI significantly reduces mortality and morbidity, particularly when door-to-balloon (D2B) time is < 90 min. An expedited pre-hospital diagnosis and transfer pathway was developed, with rapid reperfusion times and favorable outcomes. [ABSTRACT FROM PUBLISHER]