Wiser Choices in Acute Myocardial Infarction

Mayo Clinic

Status: Completed

Conditions: Acute Myocardial Infarction

Treatments: Other: Usual Care; Other: AMI Choice Decision Aid

Study type: Interventional

Funder types: Other

Identifiers

NCT00888537

09-000748

Details and patient eligibility

About

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.

Enrollment: 107 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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107 participants in 2 patient groups

Decision Aid

Experimental group

Description:

Patients in this arm will discuss medications to help the heart heal after a heart attack with the clinician and the help of the acute myocardial infarction (AMI) Choice Decision Aid.

Treatment:

Other: AMI Choice Decision Aid

Usual Care

Active Comparator group

Description:

Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.

Treatment:

Other: Usual Care