Opioid abuse disorder patients with acute MI receive less invasive treatment, Study says

The findings were-

1. The prevalence of OUD patients with AMI had doubled, from 163 to 326 cases per 100 000 admissions for AMI.
2. The OUD group underwent less cardiac catheterization (63.2% vs 72.2%; p<0.001), percutaneous coronary intervention (37.0% vs 48.5%; p<0.001) and drug eluting stent placement (32.3% vs 19.5%; p<0.001) compared to non-OUD.
3. No differences in in-hospital mortality/cardiac outcomes were noted.
4. Among the subgroup of STEMI patients (26.2% of the overall cohort), the OUD patients were less likely to receive percutaneous coronary intervention (67.9% vs 75.5%; p=0.002), drug eluting stent (31.4% vs 47.9%; p<0.001) with a significantly higher mortality (7.4% vs 4.3%), and cardiogenic shock (11.7% vs 7.9%).
5. No differences in the frequency of coronary bypass grafting was noted in AMI or its subgroups.

Hence, they concluded that "OUD patients presenting with AMI receive less invasive treatment compared to those without OUD. OUD patients presenting with STEMI have worse in-hospital outcomes with increased mortality and cardiogenic shock."