Women's Health after a First Myocardial Infarction: A Comprehensive Perspective on Recovery Over a 4-Year Period

Wickholm, Maritha; Fridlund, Bengt

doi:10.1016/s1474-5151(02)00088-9

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…The very few longer-term studies have been limited by methodology, the use of mainly generic health status instruments (i.e. SF-12), small sample size, and did not focus on young women (≤55 years), 11, 12, 26, 30-35 thus they do not provide an adequate picture of how younger women, a previously established vulnerable population, recover over time. Third, we were able to demonstrate worse outcomes for women and had, with the male controls, the ability to determine whether there were differences in the magnitude of change over time and at baseline hospitalization for AMI.…”

Section: Discussionmentioning

confidence: 99%

“…6, 11, 12 This model allows us to examine health status patterns from baseline to 12-months post AMI. We included random effects for the intercept and the slope of time (in which the random effect of the slope of time accounts for the difference in time trend within a patient; and the random effect of the intercept accounts for the effect of the repeated measurements within a patient), respectively 6 .…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, these studies have not compared the health status patterns of young women with men during the post-AMI recovery period, which can enable clinicians to know whether the disparity with regards to mortality also extends to patients’ symptoms, function and quality of life. 11, 12 …”

Section: Introductionmentioning

confidence: 99%

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Gender Differences in the Trajectory of Recovery in Health Status Among Young Patients With Acute Myocardial Infarction

et al. 2015

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Background Despite the excess risk of mortality in young women (≤55 years) following acute myocardial infarction (AMI), little is known about young women’s health status (symptoms, functioning, quality of life) during the first year of recovery after an AMI. We examined gender differences in health status over time from baseline to 12-months post AMI. Methods and Results A total of 3,501 AMI patients (67% women) aged 18-55 years were enrolled from 103 United States/24 Spanish hospitals. Data were obtained by medical record abstraction/patient interviews at baseline hospitalization, 1- and 12-months post AMI. Health status was measured by generic [Short Form-12 (SF-12), and disease specific [Seattle angina questionnaire (SAQ)] measures. We compared health status scores at all three time points, and utilized longitudinal linear mixed effects analyses to examine the independent effect of gender, adjusting for time and selected covariates. Women had significantly lower health status scores than men at each assessment (all P-values <0.0001). Following adjustment for time and all covariates, women had SF-12 physical/mental summary scores that were −0.96 (95% CI: −1.59, −0.32) and −2.36 points lower (95% CI: −2.99, −1.72) than men, as well as worse SAQ physical limitations (−2.44 points lower; 95% CI: −3.53, −1.34), more angina (−1.03 points lower; 95% CI: −1.98, −0.07), and poorer quality of life (−3.51 points lower; 95% CI: −4.80, −2.22) than men. Conclusions Although both genders recover similarly following AMI, women have poorer scores than men on all health status measures; a difference that persisted throughout the entire year after discharge.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Gender Differences in the Trajectory of Recovery in Health Status Among Young Patients With Acute Myocardial Infarction

et al. 2015

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“…Earlier studies have shown that successful coping is difficult even a year after an MI [1–6]. Effective coping following an MI calls for knowledge of the disease and of the desired effects of treatment and medication, as well as resources, a problem-solving attitude, and a sense of personal motivation [7–17]. In order to participate in all phases of MI care, patients need to be made aware of their right to participate [18].…”

Section: Introductionmentioning

confidence: 99%

“…It is also important to make visible the patients who need the most support and counselling in order to achieve control over their disease. This might help to choose the appropriate interventions to promote the patients' adherence to health behaviour change [9–12, 14, 17] and to reduce psychological distress in order to improve long-term prognosis and quality of life [7, 8, 15–17]. …”

Section: Introductionmentioning

confidence: 99%

Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach

Salminen‐Tuomaala

Åstedt‐Kurki

Rekiaro³

et al. 2012

Nursing Research and Practice

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Background. Patients recovering from a myocardial infarction (MI) are faced with a number of serious challenges. Aim. To create a substantive theory on myocardial infarction patients' coping as a continuum. Methods. Grounded theory method was used. Data were collected by using individual interviews. The informants were 28 MI patients. Results. The core category “coping experiences—a pathway towards different coping orientations” includes 2 main categories: “positive and negative coping experiences” (4 months after MI) and “different coping orientations” (12 months after MI). Conclusion. Coping with a myocardial infarction is a long-term dynamic process of dealing with varied emotions and adjustment needs. Coping is threatened, if the patient denies the seriousness of the situation, suffers from depression and emotional exhaustion, or if there are serious problems in the interaction with family members. This study stresses the importance of recognizing the patient's depressive state of mind and the psychological aspects which affect family dynamics. A more family-centered approach involving a posthospital counseling intervention is recommended. Relevance to Clinical Practice. The results of this study can be used in nursing care practice when organizing support interventions for myocardial infarction patients.

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A systematic gender-based review of physical activity correlates in coronary heart disease patients

Jason

McGannon

Blanchard

et al. 2014

International Review of Sport and Exercise Psychology

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Women's Health after a First Myocardial Infarction: A Comprehensive Perspective on Recovery Over a 4-Year Period

Cited by 7 publications

References 28 publications

Gender Differences in the Trajectory of Recovery in Health Status Among Young Patients With Acute Myocardial Infarction

Gender Differences in the Trajectory of Recovery in Health Status Among Young Patients With Acute Myocardial Infarction

Coping Experiences: A Pathway towards Different Coping Orientations Four and Twelve Months after Myocardial Infarction—A Grounded Theory Approach

A systematic gender-based review of physical activity correlates in coronary heart disease patients

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