How are treatment decisions for myocardial infarction made in the presence of advanced kidney disease? A qualitative study in the UK.

ABSTRACT:

Objectives

To understand why patients with chronic kidney disease (CKD) may not be treated according to international guidelines for myocardial infarction (MI).

Design

Multicentre qualitative interview study. Interviews were analysed using reflexive thematic analysis approach as outlined by Braun and Clarke to generate themes associated with MI treatment decision-making for, and by, patients with CKD.

Setting

Four National Health Service hospital centres in the UK (February 2022 to July 2024).

Participants

A purposive sample of 46 participants (patients and clinicians). Clinicians (n=32) were senior doctors-in-training or consultants in cardiology, nephrology, acute or emergency care or cardiac surgery. Patient participants (n=14) had CKD, defined as an estimat

SUBMITTER: Scott J 

PROVIDER: S-EPMC12542582 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature