Acute Myocardial Infarction
Conditions
Keywords
Decision aid, Heart attack, myocardial infarction
Brief summary
Patients who are hospitalized because of a heart attack are prescribed a number of medicines to help the heart heal. The investigators will examine different ways in which clinicians share information about those treatment options with patients and the impact that this can have on patients' choices and health.
Interventions
OTHERAMI Choice Decision Aid
The decision aid describes the risk of dying in the first six months following a heart attack without and with taking a bundle of medications to help the heart heal.
OTHERUsual Care
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Between the ages of 18 and 90 * Hospitalized at Saint Marys Hospital * A primary diagnosis of AMI, * Have heart rate, blood pressure, troponin and creatinine measurements, * There is an intention to offer treatment medications * Are able and willing to provide informed consent
Exclusion criteria
* Have not had a myocardial infarction * Have significant cognitive, visual impairment, * Non-English speaker * Have a Do Not Intubate/Do Not Resuscitate (DNI/DNR) status * Will be discharged to a nursing home * AMI is not the presumptive diagnosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increases adherence to cardiac medications with proven benefits | 6 months |
| Reduces patients' decisional conflict (increase patient decisional quality) | During hospital stay |
| Decreases rehospitalization rates and death | 5 weeks and 6 months |
| Increase patient knowledge of medication to help the heart heal | During hospital stay |
Countries
United States
Outcome results
None listed