Coronary disease & ACS

The assessment and management of patients with type 2 myocardial infarction: an international Delphi study

Eur Heart J Qual Care Clin OutcomesPublished International e-Delphi consensus 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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