Understanding the Burden of Myocardial Infarction and Patient Preferences for Treatment: A Real-World Study Assessing
M Cecilia Bahit1,2, Serge Korjian3, Gerald Chi3
1INECO Neurociencias, Rosario, Argentina.
Insights
Myocardial infarction (MI) significantly burdens patients, impacting emotional well-being, finances, and daily life. Understanding these patient experiences is crucial for improving post-MI care and support.
Area of Science:
- Cardiology
- Patient-Reported Outcomes
- Public Health
Background:
- Myocardial infarction (MI) is a leading cause of recurrent cardiovascular events and significant disease burden.
- Patient perspectives on the post-MI experience are vital for comprehensive care.
Purpose of the Study:
- To assess patient perspectives on the burden of disease and treatment in the first year following myocardial infarction (MI).
Main Methods:
- An online questionnaire was administered to 151 patients who experienced an MI within the prior year.
- Data collection occurred between October 30, 2022, and December 30, 2022, via the Carenity patient platform in the US.
Main Results:
- 44% of patients reported post-MI complications, including depression (23%), recurrent MI (7%), and stroke (7%).
- Medication regimen complexity was a major treatment burden; 42% found remembering to take medications tedious.
- MI negatively impacted patients' emotional well-being, physical health, finances (74%), and employment (33%).
Conclusions:
- Myocardial infarction imposes a substantial burden on patients' lives.
- Understanding patient experiences is essential for developing patient-centered care strategies post-MI.
Purpose:
Myocardial infarction (MI) remains to be associated with a high risk of recurrent cardiovascular events and disease burden. This study assessed patient perspectives on the burden of disease and treatment in the first year post-MI.
Methods:
Data were collected via a self-administered online questionnaire posted on the Carenity patient platform in the United States (10/30/2022-12/30/2022). Only patients who had an MI in the prior year were eligible for inclusion.
Results:
A total of 151 patients completed the survey. The majority were men (69%), median age was 50 years, and 38% had an MI within the previous 90 days. Overall, post-MI complications were reported in 44% of the patients, including depression (23%), recurrent MI (7%), and stroke (7%). Follow-up care was provided by general/clinical cardiologists (67%), interventional cardiologists (38%), and general healthcare providers (59%). Most patients (80%) reported involvement in treatment decisions. The number of prescribed medications was considered the main contributor to post-MI treatment burden; approximately 42% of the patients found it tedious remembering to take their medications. The most commonly quoted post-MI treatment goal was recurrent MI risk reduction. Additionally, 73% of the patients considered improving quality of life to be a key goal. Overall, the patients' emotional well-being, physical well-being, and personal life were particularly impacted by MI. "Stress/anxiety/fear" was the most frequently reported emotion immediately post-MI, and one-third conveyed MI's negative impact on their employment status. MI impacted household finances in 74% of patients, with 38% losing income.
Conclusions:
MI places a substantial burden on patients. Understanding patient experiences post-MI may enhance patient-centered care.
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