Just over half of patients with type 2 MI seen by a cardiologist in hospital; most did not see a cardiologist for follow-up care<\/p>\n<\/h3>\n
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MONDAY, Nov. 23, 2020 (HealthDay News) — Care for patients with type 2 myocardial infarction (MI) varies substantially, according to a research letter published online Nov. 9 in Circulation: Cardiovascular Quality and Outcomes<\/em> to coincide with the American Heart Association Scientific Sessions 2020, held virtually from Nov. 13 to 17.<\/p>\n Cian P. McCarthy, M.B., B.Ch., from Massachusetts General Hospital in Boston, and colleagues used electronic medical records to identify 359 patients with type 2 MI to determine how often patients are evaluated by a cardiologist during hospitalization and the association between these evaluations and diagnostic testing and treatments.<\/p>\n The researchers found that 57.7 percent of type 2 MI patients were evaluated by a cardiologist (33.4 percent received a cardiology consultation and 24.2 percent were admitted to a cardiology service). Cardiovascular risk factors were more common among patients evaluated by a cardiologist. During the index admission, patients undergoing a cardiologist consult more commonly underwent stress testing (13.5 versus 3.3 percent; adjusted odds ratio, 4.91), transthoracic echocardiography (80.2 versus 50.7 percent; adjusted odds ratio, 4.68), and coronary angiography (21.3 versus 0 percent). All-cause mortality was similar among those who were or were not evaluated by a cardiologist (11.6 versus 9.2 percent).<\/p>\n “Our analysis raises the possibility of gaps in care for patients with type 2 MI,” the authors write.<\/p>\n Two authors disclosed financial ties to the pharmaceutical industry.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n