Coronary disease & ACSCross-sectional study
Clinician and Patient Perspectives on Cardiac Rehabilitation for Type 1 vs Type 2 Myocardial Infarction
- cross-sectional study
- survey
Authors' conclusion
Clinicians self-reported lower CR referral frequency after type 2 MI than after type 1 MI, with lower perceived benefit and barriers related to CR eligibility and referral process familiarity. Most patients with type 2 MI perceive CR as beneficial and report hypothetical willingness to participate if referred.
Study context
- Population
- Clinicians across Mass General Brigham and type 2 myocardial infarction (MI) inpatients at a single academic centerclinicians 118 · type 2 MI inpatients 50
- Exposure
- perceptions of cardiac rehabilitation (CR) after type 1 vs type 2 MI
Main finding
As reported in the abstract
Clinicians self-reporting "always" or "often" referring patients
Paired difference
−50.0 percentage points
95% CI −59.4 to −40.2
P < 0.001
By group
type 2 MI vs type 1 MI
paired difference −50.0 percentage points (95% CI −59.4 to −40.2); P < 0.001
Observational data: associations, not effects.
Further findings
| Outcome | type 2 MI | type 1 MI | paired difference (percentage points) (95% CI) | P value | |
|---|---|---|---|---|---|
| Clinicians perceiving CR as beneficial | 69.1% | 98.2% | −29.1 (−38.2 to −21.4) | P < 0.001 | |
| Clinicians rating CR as safe | 92.7% | 99.1% | −6.4 (−12.6 to −2.8) | P = 0.02 | |
| −40−20020Difference, percentage points (linear scale) |
Perceptions among patients with type 2 MI
- perceived CR as beneficial
- 90%
- believed CR would improve safety returning to activity
- 80%
- would likely attend if referred
- 82%
Survey response
- clinicians completing survey from invitations
- 118 clinicians from 2,250 invitations
Original publication
Clinician and Patient Perspectives on Cardiac Rehabilitation for Type 1 vs Type 2 Myocardial Infarction. JACC Adv. Published 22 September 2026. doi:10.1016/j.jacadv.2026.103230
Summarised from the published abstract; every number is checked against it