Patients' descriptions of angina symptoms: A qualitative study of primary care patients

British Journal of General Practice

Volumn 60, Issue 579, 2010, Pages 735-741

  Jones, Melvyn M ^a   Somerville, Claire ^b   Feder, Gene ^c   Foster, Gill ^b  

^a ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

^b QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

^c UNIVERSITY OF BRISTOL   (United Kingdom)

Author keywords

Angina pectoris; Coronary artery disease; Diagnosis; Primary health care; Qualitative research

Indexed keywords

GLYCERYL TRINITRATE;

ADULT; AGED; ANGINA PECTORIS; ARTICLE; CORONARY ARTERY DISEASE; DISEASE SEVERITY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIMARY MEDICAL CARE; QUALITATIVE RESEARCH; SEMI STRUCTURED INTERVIEW; SYMPTOM; THORAX PAIN;

ADULT; AGED; AGED, 80 AND OVER; ANGINA PECTORIS; ATTITUDE TO HEALTH; AWARENESS; CORONARY ARTERY DISEASE; FAMILY PRACTICE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; PATIENT PARTICIPATION;

EID: 78650553827     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp10X532378     Document Type: Article

References (37)

1. Chun AA, McGee SR. Bedside diagnosis of coronary artery discase: a systematic review. Am J Med 2004; 117(5): 334-343.
2. Diamond GA, Forrester JS, Analysis of probability as an aid in the clinical diagnosis of coronary-artery disease, N Engl J Med 1979; 300(24): 1350-1358.
3. Croft PR, Thomas E, Chest pain and subsequent consultation for coronary heart disease: a prospective cohort study. Br J Gen Pract 2007; 57(534): 40-44.
4. Somerville C, Featherstone K, Hemingway H, et al. Performing stable angina pectoris: an ethnographic study. Soc Sci Med 2008; 66(7): 1497-1508.
5. Hani MA, Keller H, Vandenesch J, et al. Different from what the textbooks say: how GPs diagnose coronary heart disease. Fam Pract 2007; 24(6): 622-627.
6. Sekhri N, Feder G, Junghans C, et al. How effective are rapid access chest pain clinics? Prognosis of incident angina and non-cardiac chest pain in 8762 consecutive patients. Heart 2007; 93(4): 458-463.
7. Hemingway H, Shipley M, Britton A, et al. Prognosis of angina with and without a diagnosis: 11 year follow up in the Whitehall II prospective cohort study. BMJ 2003; 327(7420): 895.
8. Kannel WB, Doyle JT, McNamara PM, et al. Precursors of sudden coronary death. Factors related to the incidence of sudden death, Circulation 1975; 51(4): 606-613.
9. Alonzo AA, Simon AB, Feinleib M. Prodromata of myocardial infarction and sudden death. Circulation 1975; 52(6): 1056-1062.
10. Kuller LE, Lilienfield AB, Fisher RU. Epidemiological study of sudden and unexpected deaths due to arteriosclerotic heart disease. Circulation 1966; 34(6): 1056-1068.
11. Owen-Smith V, Hannaford PC, Elliott AM. Increased mortality among women with Rose angina who have not presented with ischaemic heart disease. Br J Gen Pract 2003; 53(495): 784-789.
12. Ruston A, Clayton J, Calnan M, Green J. Patients' action during their cardiac event: qualitative study exploring differences and modifiable factors. BMJ 1998; 316(7137): 1060-1065.
13. Scarry E. The body in pain. New York: Oxford University Press, 1985.
14. Hofgren C, Karlson BW, Gaston Johansson F, Herlitz J, Word descriptors in suspected acute myocardial infarction: a comparison between patients with and without confirmed myocardial infarction. Heart Lung 1994; 23(5): 397-403.
15. Albarran JW, Clarke BA, Crawford J. 'It was not chest pain really, I can't explain it!' An exploratory study on the nature of symptoms experienced by women during their myocardial infarction. J Clin Nurs 2007; 16(7): 1292-1301.
16. Miller CL, Symptom reflections of women with cardiac disease and advanced practice nurses: a descriptive study. Prog Cardiovasc Nurs 2003; 18(2): 69-76.
17. Philpott S, Boynton PM, Feder G, Hemingway H. Gender differences in descriptions of angina symptoms and health problems immediately prior to angiography: the ACRE study. Soc Sci Med 2001; 52(10): 1565-1575.
18. White AK, Johnson M. Men making sense of their chest pain -niggles, doubts and denials. J Clin Nurs 2000; 9(4): 534-541.
19. Johnson PA, Lee TH, Cook EF, et al. Effect of race on the presentation and management of patients with acute chest pain. Ann Intern Med 1993; 118(8): 593-601.
20. Chaturvedi N. Ethnic differences in cardiovascular disease. Heart 2003; 89(6): 681-686,
21. Fischbacher CM, Bhopal R, Unwin N, el al. The performance of the Rose angina questionnaire in South Asian and European origin populations: a comparative study in Newcastle, UK. Int J Epidemiol 2001; 30(5): 1009-1016.
22. Svavarsdóttir AE, Jónasson MR, Gudmundsson GH, Fjeldsted K. Chest pain in family practice. Diagnosis and long-term outcome in a community setting. Can Fam Physician 1996; 42: 1122-1128.
23. Ruigomez A, Rodriguez LA, Wallandcr MA, et al. Chest pain in general practice: incidence, comorbidity and mortality. Fam Pract 2006; 23(2): 167-174,
24. Nilsson S, Scheike M, Karlsson LG, et al. Chest pain and ischaemic heart disease in primary care. Br J Gen Pract 2003; 53(490): 378-382.
25. Lampe FC, Whincup PH, Wanamethce SG, et al. Cilest pain on questionnaire and prediction of major ischaemic heart disease events in men. Eur Heart J 1998; 19(1): 63-73.
26. Junghans C, Feder G, Hemingway H, et al. Recruiting patients to medical research: double blind randomised trial of 'opt-in' versus 'opt-out' strategics. BMJ 2005; 331(7522): 940.
27. Glaser BG, Strauss A. The discovery of grounded theory: strategics for qualitative research. Chicago IL: Aldine Publishing Co, 1967.
28. Christopher Jones R, Pothier CE, et al. Prognostic importance of presenting symptoms in patients undergoing exercise testing for evaluation of known or suspected coronary disease, Am J Med 2004; 117(6): 380-389.
29. Gardner K, Chapple A. Barriers to referral in patients with angina: qualitative study. BMJ 1999; 319(418): 421.
30. Thompson DR, Lewin RJP. Coronary disease: management of the post-myoeardial infarction patient: rehabilitation and cardiac neurosis. Heart 2000; 84(1): 101-105.
31. Richards HM, Reid ME, Watt GCM. Socioeconomic variations in responses to chest pain: qualitative study. BMJ 2002; 324(7349): 1308.
32. Feder G, Crook AM, Magee P, et al. Ethnic differences in invasive management of coronary disease: prospective cohort study of patients undergoing angiography. BMJ 2002; 324(7336): 511-516.
33. Marcus GM, Cohen J, Varosy PD. The utility of gestures in patients with chest discomfort. Am J Med 2007; 120(1): 83-89.
34. Cook DG, Shaper AG. Breathlessness, angina pectoris and coronary artery disease. Am J Cardiol 1989; 63(12): 921-924.
35. Braunwald E, Zipes DP, Libby P. Heart disease: a textbook of cardiovascular medicine. 6th edn. Philadelphia: WB Saunders Co, 2001.
36. Erskine A, Morley S, Pearce S, Memory for pain: a review. Pain 1990; 41(3): 255-265.
37. Fitzsimons D, Parahoo K, Stringer M, Waiting for coronary artery bypass surgery: a qualitative analysis. J Adv Nurs 2000; 32(5): 1243-1252.