{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:30:00Z","timestamp":1787319000080,"version":"build-2736575974"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T00:00:00Z","timestamp":1674086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Spontaneous coronary artery dissection (SCAD) is increasingly recognized as an important cause of myocardial infarction predominantly affecting women aged younger than 50 years. There is limited research addressing female and male SCAD survivors\u2019 experience of, or requirements for, support post-SCAD. This study explored what SCAD survivors wanted to support recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A qualitative study using semi-structured video and telephone interviews. Data were analysed through thematic analysis using the framework approach. We interviewed 20 participants (19 females) with a mean age of 54.6 (+\/-SD 8.5 years). Three overarching themes encapsulated participants\u2019 views about support requirements. (i) Education and information. Participants thought healthcare professionals involved in diagnosis and supporting recovery required greater awareness of SCAD and the psychological effect of SCAD. They wanted accessible SCAD information immediately post-event and during the educational component of cardiac rehabilitation. (ii) Physical activity. Requirements were for advice tailored to individuals\u2019 specific needs, physical capabilities, and physical activity preferences. Participants suggested that utilizing wearable technology was helpful to encourage a safe return to activity. (iii) Psychosocial support. Participants wanted formal psychosocial support immediately post-event, during cardiac rehabilitation and in the longer term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Better healthcare professional training may improve diagnosis, and increase support and awareness of SCAD. SCAD support programmes should provide early SCAD specific education utilizing online sources, individually tailor physical activity prescription, offer wearable technology to support a return to being active, and provide short- and long-term psychosocial support. As SCAD is predominately a female condition, programmes should consider female physical activity preferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad013","type":"journal-article","created":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T23:26:08Z","timestamp":1673997968000},"page":"814-823","source":"Crossref","is-referenced-by-count":22,"title":["What do spontaneous coronary artery dissection survivors want to support their recovery? a qualitative study"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0505-2195","authenticated-orcid":false,"given":"Kirsten","family":"Binnie","sequence":"first","affiliation":[{"name":"Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"},{"name":"School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5852-1034","authenticated-orcid":false,"given":"Lis","family":"Neubeck","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"},{"name":"School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"},{"name":"Susan Wakil School of Nursing and Midwifery, University of Sydney , Western Ave, Camperdown, NSW 2050 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6222-2141","authenticated-orcid":false,"given":"Sheona","family":"McHale","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"},{"name":"School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1602-1968","authenticated-orcid":false,"given":"Coral L","family":"Hanson","sequence":"additional","affiliation":[{"name":"Centre for Cardiovascular Health, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"},{"name":"School of Health and Social Care, Edinburgh Napier University, Sighthill Campus, Sighthill Court , Sighthill, Edinburgh EH11 4BN , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,1,19]]},"reference":[{"key":"2023121405275421400_zvad013-B1","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1016\/j.jacc.2020.05.084","article-title":"Spontaneous coronary artery dissection: JACC state-of-the-art review","volume":"76","author":"Hayes","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2023121405275421400_zvad013-B2","doi-asserted-by":"crossref","first-page":"3353","DOI":"10.1093\/eurheartj\/ehy080","article-title":"European Society of cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection ESC-ACCA position paper on spontaneous coronary artery dissection","volume":"39","author":"Adlam","year":"2018","journal-title":"Eur Heart J"},{"key":"2023121405275421400_zvad013-B3","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.ijcard.2015.09.072","article-title":"Incidence and characterisation of spontaneous coronary artery dissection as a cause of acute coronary syndrome\u2014A single-centre Australian experience","volume":"202","author":"Rashid","year":"2015","journal-title":"Int J Cardiol"},{"key":"2023121405275421400_zvad013-B4","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1177\/2048872613504310","article-title":"Prevalence of spontaneous coronary artery dissection in patients with acute coronary syndrome","volume":"5","author":"Nishiguchi","year":"2016","journal-title":"European heart journal. Acute cardiovascular care"},{"key":"2023121405275421400_zvad013-B5","doi-asserted-by":"crossref","first-page":"2358","DOI":"10.1056\/NEJMra2001524","article-title":"Spontaneous coronary-artery dissection","volume":"383","author":"Kim","year":"2020","journal-title":"N Engl J Med"},{"key":"2023121405275421400_zvad013-B6","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1093\/eurjcn\/zvac009","article-title":"Spontaneous coronary artery dissection: a systematic review of physical and psychosocial recovery following discharge from hospital","volume":"21","author":"Neubeck","year":"2022","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2023121405275421400_zvad013-B7","doi-asserted-by":"crossref","first-page":"1188","DOI":"10.1093\/eurheartj\/ehz007","article-title":"Canadian Spontaneous coronary artery dissection cohort study: in-hospital and 30-day outcomes","volume":"40","author":"Saw","year":"2019","journal-title":"Eur Heart J"},{"key":"2023121405275421400_zvad013-B8","doi-asserted-by":"crossref","first-page":"E20","DOI":"10.1097\/HCR.0000000000000460","article-title":"Patient-Reported psychological distress after spontaneous coronary artery dissection: EVIDENCE FOR POST-TRAUMATIC STRESS","volume":"39","author":"Edwards","year":"2019","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2023121405275421400_zvad013-B9","first-page":"510","article-title":"Standards and core components for cardiovascular disease prevention and rehabilitation","volume":"105","author":"Cowie","year":"2019","journal-title":"Heart (British Cardiac Society)"},{"key":"2023121405275421400_zvad013-B10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2015.10.044","article-title":"Exercise-Based cardiac rehabilitation for coronary heart disease cochrane systematic review and meta-analysis","volume":"67","author":"Anderson","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"2023121405275421400_zvad013-B11","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.cjca.2016.01.009","article-title":"The first dedicated cardiac rehabilitation program for patients with spontaneous coronary artery dissection: description and initial results","volume":"32","author":"Chou","year":"2016","journal-title":"Can J Cardiol"},{"key":"2023121405275421400_zvad013-B12","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1097\/HCR.0000000000000111","article-title":"Cardiac rehabilitation after spontaneous coronary artery dissection","volume":"35","author":"Silber","year":"2015","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2023121405275421400_zvad013-B13","article-title":"Safety and outcomes of cardiac rehabilitation for patients with spontaneous coronary artery dissection","volume":"1","author":"Imran","year":"2018","journal-title":"J Rehabil Med Clin Commun"},{"key":"2023121405275421400_zvad013-B14","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1016\/j.cjca.2019.11.004","article-title":"Secondary preventative care for patients after spontaneous coronary artery dissection: A qualitative analysis of health care providers\u2019 perspectives","volume":"36","author":"Bouchard","year":"2020","journal-title":"Can J Cardiol"},{"key":"2023121405275421400_zvad013-B15","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1037\/hea0001086","article-title":"Recovering from spontaneous coronary artery dissection: patient-reported challenges and rehabilitative intervention needs","volume":"40","author":"Bouchard","year":"2021","journal-title":"Health Psychol"},{"key":"2023121405275421400_zvad013-B16","doi-asserted-by":"crossref","first-page":"e523","DOI":"10.1161\/CIR.0000000000000564","article-title":"Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American heart association","volume":"137","author":"Hayes","year":"2018","journal-title":"Circulation"},{"key":"2023121405275421400_zvad013-B17","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.amjcard.2018.10.012","article-title":"Conditions and factors associated with spontaneous coronary artery dissection (from a national population-based cohort study)","volume":"123","author":"Krittanawong","year":"2019","journal-title":"Am J Cardiol"},{"key":"2023121405275421400_zvad013-B18","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/HCR.0000000000000330","article-title":"Spontaneous coronary artery dissection (SCAD): FEMALE SURVIVORS\u2019 EXPERIENCES OF STRESS AND SUPPORT","volume":"38","author":"Wagers","year":"2018","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2023121405275421400_zvad013-B19","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"key":"2023121405275421400_zvad013-B20","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","author":"World Medical Association","year":"2013","journal-title":"JAMA"},{"key":"2023121405275421400_zvad013-B21","author":"Beat SCAD"},{"key":"2023121405275421400_zvad013-B22","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1007\/978-981-10-5251-4_103","volume-title":"Handbook of research methods in health social sciences","author":"Braun","year":"2019"},{"key":"2023121405275421400_zvad013-B23","first-page":"220","volume-title":"Qualitative research practice: A guide for social science students and researchers","author":"Ritchie","year":"2003"},{"key":"2023121405275421400_zvad013-B24","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1126\/science.847460","article-title":"The need for a new medical model: a challenge for biomedicine","volume":"196","author":"Engel","year":"1977","journal-title":"Science"},{"key":"2023121405275421400_zvad013-B25","doi-asserted-by":"crossref","first-page":"112846","DOI":"10.1016\/j.socscimed.2020.112846","article-title":"Pathways to well-being: untangling the causal relationships among biopsychosocial variables","volume":"272","author":"Karunamuni","year":"2021","journal-title":"Social science & medicine (1982)"},{"key":"2023121405275421400_zvad013-B26","doi-asserted-by":"crossref","DOI":"10.1111\/spc3.12328","article-title":"Rethinking the biopsychosocial model of health: understanding health as a dynamic system","volume":"11","author":"Lehman","year":"2017","journal-title":"Soc Personal Psychol Compass"},{"key":"2023121405275421400_zvad013-B27","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1002\/ccd.26977","article-title":"Clinical presentation of patients with spontaneous coronary artery dissection: clinical presentation of patients with SCAD","volume":"89","author":"Luong","year":"2017","journal-title":"Catheter Cardiovasc Interv"},{"key":"2023121405275421400_zvad013-B28","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.119.012307","article-title":"Presenting symptoms in men and women diagnosed with myocardial infarction using sex-specific criteria","volume":"8","author":"Ferry","year":"2019","journal-title":"J Am Heart Assoc"},{"key":"2023121405275421400_zvad013-B29","doi-asserted-by":"crossref","first-page":"1073.e1075","DOI":"10.1016\/j.cjca.2015.03.018","article-title":"Spontaneous coronary artery dissection misdiagnosed as takotsubo cardiomyopathy: a case series","volume":"31","author":"Chou","year":"2015","journal-title":"Can J Cardiol"},{"key":"2023121405275421400_zvad013-B30","doi-asserted-by":"crossref","first-page":"930","DOI":"10.33963\/KP.a2021.0068","article-title":"The diagnosis and management of spontaneous coronary artery dissection\u2014expert opinion of the association of cardiovascular interventions (ACVI) of Polish cardiac society","volume":"79","author":"K\u0105dziela","year":"2021","journal-title":"Kardiologia Pol"},{"key":"2023121405275421400_zvad013-B31","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.1016\/j.amjcard.2016.02.034","article-title":"Usefulness of cardiac rehabilitation after spontaneous coronary artery dissection","volume":"117","author":"Krittanawong","year":"2016","journal-title":"Am J Cardiol"},{"key":"2023121405275421400_zvad013-B32","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1177\/2047487314520783","article-title":"Sex bias in referral of women to outpatient cardiac rehabilitation? A meta-analysis","volume":"22","author":"Colella","year":"2015","journal-title":"Eur J Prev Cardiol"},{"key":"2023121405275421400_zvad013-B33","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.cjca.2013.11.007","article-title":"Sex differences in cardiac rehabilitation enrollment: a meta-analysis","volume":"30","author":"Samayoa","year":"2014","journal-title":"Can J Cardiol"},{"key":"2023121405275421400_zvad013-B34","author":"Doherty","year":"2017"},{"key":"2023121405275421400_zvad013-B35","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1186\/s12872-021-02267-0","article-title":"Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review","volume":"21","author":"Mamataz","year":"2021","journal-title":"BMC Cardiovasc Disord"},{"key":"2023121405275421400_zvad013-B36","doi-asserted-by":"crossref","first-page":"2957","DOI":"10.3390\/ijerph18062957","article-title":"Understanding leisure centre-based physical activity after physical activity referral: evidence from scheme participants and completers in Northumberland UK","volume":"18","author":"Bell","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2023121405275421400_zvad013-B37","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/2047487313501093","article-title":"Alternative models of cardiac rehabilitation: a systematic review","volume":"22","author":"Clark","year":"2013","journal-title":"Eur J Prev Cardiol"},{"key":"2023121405275421400_zvad013-B38","doi-asserted-by":"crossref","first-page":"189","DOI":"10.14503\/THIJ-15-5097","article-title":"Heavy lifting causing spontaneous coronary artery dissection with anterior myocardial infarction in a 54-year-old woman","volume":"43","author":"Yiangou","year":"2016","journal-title":"Tex Heart Inst J"},{"key":"2023121405275421400_zvad013-B39","doi-asserted-by":"crossref","first-page":"642739","DOI":"10.3389\/fcvm.2021.642739","article-title":"Physical activity and exercise patterns after spontaneous coronary artery dissection: insights from a large multinational registry","volume":"8","author":"Chacin-Suarez","year":"2021","journal-title":"Front Cardiovasc Med"},{"key":"2023121405275421400_zvad013-B40","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/HCR.0000000000000030","article-title":"Prevalence and predictors of depression and anxiety among survivors of myocardial infarction due to spontaneous coronary artery dissection","volume":"34","author":"Liang","year":"2014","journal-title":"J Cardiopulm Rehabil Prev"},{"key":"2023121405275421400_zvad013-B41","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s12471-020-01437-7","article-title":"Psychological and clinical characteristics of female patients with spontaneous coronary artery dissection","volume":"28","author":"Smaardijk","year":"2020","journal-title":"Neth Heart J"},{"key":"2023121405275421400_zvad013-B42","doi-asserted-by":"crossref","first-page":"e014372","DOI":"10.1161\/JAHA.119.014372","article-title":"Analysis of posttraumatic stress disorder, depression, anxiety, and resiliency within the unique population of spontaneous coronary artery dissection survivors","volume":"9","author":"Johnson","year":"2020","journal-title":"J Am Heart Assoc"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurjcn\/advance-article-pdf\/doi\/10.1093\/eurjcn\/zvad013\/49032344\/zvad013.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/22\/8\/814\/54257314\/zvad013.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/22\/8\/814\/54257314\/zvad013.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:29:33Z","timestamp":1702513773000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/22\/8\/814\/6993036"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,19]]},"references-count":42,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,1,19]]},"published-print":{"date-parts":[[2023,12,14]]}},"URL":"https:\/\/doi.org\/10.1093\/eurjcn\/zvad013","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,11]]},"published":{"date-parts":[[2023,1,19]]}}}