The assessment and management of patients with type 2 myocardial infarction: an international Delphi study
Authors' conclusion
Consensus was obtained across a number of domains for the assessment and management of patients with type 2 myocardial infarction.
Study context
- Population
- Experts in type 2 MI; assessment and management of type 2 MI
- Participants
- 68 experts
- Outcome
- Consensus on statements (≥70% agreement on a 5-point Likert scale)
Methodological details3 rounds, experts identified through systematic review, consensus defined a priori as ≥70% agreement on a 5-point Likert scale, Response rate 56% (38/68), 54% (37/68) and 72% (49/68) in rounds 1, 2 and 3
- 3 rounds
- Experts identified through systematic review
- Consensus defined a priori as ≥70% agreement on a 5-point Likert scale
- Response rate 56% (38/68), 54% (37/68) and 72% (49/68) in rounds 1, 2 and 3
Recommendations
As reported in the abstract
Consensus on statements
- Unique statements generated after round 1, across 6 domains
- 67
- Overall consensus
- 64% (43/67)
- Diagnosis of type 2 MI
- 42% (5/12)
- Risk stratification
- 75% (3/4)
- Assessment of CAD and cardiac function
- 50% (9/18)
- Specialty management
- 60% (6/10)
- Treatment and secondary prevention
- 100% (9/9)
- Communication and rehabilitation
- 79% (11/15)
Original publication
The assessment and management of patients with type 2 myocardial infarction: an international Delphi study. Eur Heart J Qual Care Clin Outcomes. Published 4 September 2025. doi:10. 1093/ ehjqcco/ qcaf069
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