Development of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey

McSweeney, Jean C.; O’Sullivan, Patricia; Cody, Marisue; Crane, Patricia B.

doi:10.1097/00005082-200401000-00010

Cited by 46 publications

(54 citation statements)

References 19 publications

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“…Because we enrolled only women with AMI, it is unknown how many women without diagnosed CHD experience similar prodromal symptoms. However, in a pilot study 21 of a convenience sample of 100 self-identified healthy women, 83% white and 17% black, the women reported a mean of 2.74 (SD, 4.0) prodromal symptoms, compared with 5.77 (SD, 4.8) for women with CHD, a significant difference (tϭ7.32, PϽ0.000). Healthy women had a mean prodromal score of 14.2Ϯ22, compared with 58.5Ϯ52.7 for women with CHD (tϭ20.12, PϽ0.000).…”

Section: Limitationsmentioning

confidence: 95%

“…21 Women never added symptoms, indicating that the tool was comprehensive and had content validity. To establish test-retest reliability, we resurveyed 90 women in the present study within 7 to 14 days of the initial interview.…”

Section: Measurementmentioning

confidence: 99%

“…20 The MAPMISS, a telephone-administered instrument, lists 33 prodromal and 37 acute symptoms that women previously identified in our qualitative studies. 7,13,14 Although the literature substantiates many acute symptoms on the MAPMISS, few studies have reported prodromal symptoms.…”

Section: Measurementmentioning

confidence: 99%

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Women’s Early Warning Symptoms of Acute Myocardial Infarction

et al. 2003

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Background-Data remain sparse on women's prodromal symptoms before acute myocardial infarction (AMI). This study describes prodromal and AMI symptoms in women. Methods and Results-Participants were 515 women diagnosed with AMI from 5 sites. Using the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey, we surveyed them 4 to 6 months after discharge, asking about symptoms, comorbidities, and demographic characteristics. Women were predominantly white (93%), high school educated (54.8%), and older (mean age, 66Ϯ12), with 95% (nϭ489) reporting prodromal symptoms. The most frequent prodromal symptoms experienced more than 1 month before AMI were unusual fatigue (70.7%), sleep disturbance (47.8%), and shortness of breath (42.1%). Only 29.7% reported chest discomfort, a hallmark symptom in men. The most frequent acute symptoms were shortness of breath (57.9%), weakness (54.8%), and fatigue (42.9%). Acute chest pain was absent in 43%. Women had more acute (mean, 7.3Ϯ4.8; range, 0 to 29) than prodromal (mean, 5.71Ϯ4.36; range, 0 to 25) symptoms. The average prodromal score, symptom weighted by frequency and intensity, was 58.5Ϯ52.7, whereas the average acute score, symptom weighted by intensity, was 16.5Ϯ12.1. These 2 scores were correlated (rϭ0.61, PϽ0.001). Women with more prodromal symptoms experienced more acute symptoms. After controlling for risk factors, prodromal scores accounted for 33.2% of acute symptomatology. Conclusions-Most women have prodromal symptoms before AMI. It remains unknown whether prodromal symptoms are predictive of future events.

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Section: Limitationsmentioning

confidence: 95%

Section: Measurementmentioning

confidence: 99%

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Women’s Early Warning Symptoms of Acute Myocardial Infarction

et al. 2003

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“…9 The MAPMISS assesses the presence and intensity of 37 acute MI symptoms present from onset to time of diagnosis. Validation studies for the MAPMISS have been conducted in women and have demonstrated good test-retest validity (r = 0.84).…”

Section: Data Collection Symptom Presentationmentioning

confidence: 99%

Sex Differences in Acute Coronary Syndrome Symptom Presentation in Young Patients

et al. 2013

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Little is known about whether sex differences in acute coronary syndrome (ACS) presentation exist in young patients and what factors determine absence of chest pain in ACS presentation.OBJECTIVES To evaluate sex differences in ACS presentation and to estimate associations between sex, sociodemographic, gender identity, psychosocial and clinical factors, markers of coronary disease severity, and absence of chest pain in young patients with ACS. DESIGN, SETTING, PARTICIPANTSWe conducted a prospective cohort study of 1015 patients (30% women) 55 years or younger, hospitalized for ACS and enrolled in the GENESIS PRAXY (Gender and Sex Determinants of Cardiovascular Disease: From Bench to Beyond Premature Acute Coronary Syndrome) study (January 2009-September 2012). MAIN OUTCOMES AND MEASURES The McSweeney Acute and Prodromal MyocardialInfarction Symptom Survey was administered during hospitalization. RESULTSThe median age for both sexes was 49 years. Women were more likely to have non-ST-segment elevation myocardial infarction (37.5 vs 30.7; P = .03) and present without chest pain compared with men (19.0% vs 13.7%; P = .03). Patients without chest pain reported fewer symptoms overall and no discernable pattern of non-chest pain symptoms was found. In the multivariate model, being a woman (odds ratio [OR], 1.95 [95% CI, 1.23-3.11]; P = .005) and tachycardia (OR, 2.07 [95% CI, 1.20-3.56]; P = .009) were independently associated with ACS presentation without chest pain. Patients without chest pain did not differ significantly from those with chest pain in terms of ACS type, troponin level elevation, or coronary stenosis.CONCLUSIONS AND RELEVANCE Chest pain was the most common ACS symptom in both sexes. Although women were more likely to present without chest pain than men, absence of chest pain was not associated with markers of coronary disease severity. Strategies that explicitly incorporate assessment of common non-chest pain symptoms need to be evaluated.

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“…Before initiating the first interview, the study was explained and potential participants read (or the author read to them if necessary) and signed the study and HIPAA consent forms. Demographics and risk factors were collected using relevant sections of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey (MAPMISS) (McSweeney, O'Sullivan, Cody, & Crane, 2004), which has been used with more than 500 Black women. The MAPMISS was used to describe the (self-reported) characteristics of the sample, e.g., age, height, weight, educational level, marital status, household income, and history of CHD or CHD risk factors.…”

Section: Procedures and Data Collectionmentioning

confidence: 99%

Because We Don't Take Better Care of Ourselves: Rural Black Women's Explanatory Models of Heart Disease

Evans

2010

Journal of Women & Aging

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Development of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey

Abstract: The tool is comprehensive, has high content validity, and acceptable test-retest reliability. Low kappas were related to few women having those symptoms. The symptom scores remained stable across administrations.

Cited by 46 publications

References 19 publications

Women’s Early Warning Symptoms of Acute Myocardial Infarction

Women’s Early Warning Symptoms of Acute Myocardial Infarction

Sex Differences in Acute Coronary Syndrome Symptom Presentation in Young Patients

Because We Don't Take Better Care of Ourselves: Rural Black Women's Explanatory Models of Heart Disease

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