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Wiser Choices in Acute Myocardial Infarction

This study has been completed.
Information provided by (Responsible Party):
Nilay D. Shah, Mayo Clinic Identifier:
First received: April 24, 2009
Last updated: March 18, 2016
Last verified: March 2016
Patients who are hospitalized because of a heart attack are prescribed a number of medicines to help the heart heal. The investigators will examine different ways in which clinicians share information about those treatment options with patients and the impact that this can have on patients' choices and health.

Condition Intervention
Acute Myocardial Infarction
Other: AMI Choice Decision Aid
Other: Usual Care

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Participant, Investigator)
Primary Purpose: Treatment
Official Title: Wiser Choices in Acute Myocardial Infarction

Resource links provided by NLM:

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Increases adherence to cardiac medications with proven benefits [ Time Frame: 6 months ]
  • Reduces patients' decisional conflict (increase patient decisional quality) [ Time Frame: During hospital stay ]
  • Decreases rehospitalization rates and death [ Time Frame: 5 weeks and 6 months ]
  • Increase patient knowledge of medication to help the heart heal [ Time Frame: During hospital stay ]

Enrollment: 107
Study Start Date: March 2009
Study Completion Date: June 2011
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Decision Aid
Patients in this arm will discuss medications to help the heart heal after a heart attack with the clinician and the help of the acute myocardial infarction (AMI) Choice Decision Aid.
Other: AMI Choice Decision Aid
The decision aid describes the risk of dying in the first six months following a heart attack without and with taking a bundle of medications to help the heart heal.
Active Comparator: Usual Care
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.
Other: Usual Care
Patients and clinicians in this arm will discuss medications to help the heart heal after a heart attack in their usual manner.


Ages Eligible for Study:   18 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Between the ages of 18 and 90
  • Hospitalized at Saint Marys Hospital
  • A primary diagnosis of AMI,
  • Have heart rate, blood pressure, troponin and creatinine measurements,
  • There is an intention to offer treatment medications
  • Are able and willing to provide informed consent

Exclusion Criteria:

  • Have not had a myocardial infarction
  • Have significant cognitive, visual impairment,
  • Non-English speaker
  • Have a Do Not Intubate/Do Not Resuscitate (DNI/DNR) status
  • Will be discharged to a nursing home
  • AMI is not the presumptive diagnosis
  Contacts and Locations
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Please refer to this study by its identifier: NCT00888537

United States, Minnesota
Saint Marys Hospital, Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
Principal Investigator: Henry Ting, MD Mayo Clinic
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Nilay D. Shah, MD, Mayo Clinic Identifier: NCT00888537     History of Changes
Other Study ID Numbers: 09-000748
Study First Received: April 24, 2009
Last Updated: March 18, 2016

Keywords provided by Mayo Clinic:
Decision aid
Heart attack
myocardial infarction

Additional relevant MeSH terms:
Myocardial Infarction
Pathologic Processes
Myocardial Ischemia
Heart Diseases
Cardiovascular Diseases
Vascular Diseases processed this record on May 25, 2017