{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:22:05Z","timestamp":1787268125356,"version":"build-2736575974"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:00:00Z","timestamp":1694649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Faculty of Medicine and Health Research Centres Stipend Scholarship"},{"DOI":"10.13039\/501100001030","name":"Heart Foundation Fellowship","doi-asserted-by":"publisher","award":["102627"],"award-info":[{"award-number":["102627"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NSW Health Cardiovascular Research Elite Postdoctoral","award":["APP1194139"],"award-info":[{"award-number":["APP1194139"]}]},{"DOI":"10.13039\/501100000925","name":"National Health & Medical Research Council of Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"New South Wales Health Senior Scientist Cardiovascular","award":["RG194194"],"award-info":[{"award-number":["RG194194"]}]},{"name":"New South Wales Health Senior Clinician Cardiovascular","award":["RG193092"],"award-info":[{"award-number":["RG193092"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is an under-recognized cause of myocardial infarction. We aimed to investigate SCAD survivors\u2019 perceptions of their quality-of-care and its relationship to quality-of-life.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>An anonymous survey was distributed online to SCAD survivors involved in Australian SCAD support groups, with 172 (95.3% female, mean age 52.6 \u00b1 9.2 years) participants in the study. The survey involved assessment of quality-of-life using a standardized questionnaire (EQ-5DTM-3L). Respondents rated the quality-of-care received during their hospital admission for SCAD with a median of 8\/10 [interquartile range (IQR) 7\u201310]. Respondents \u2264 50 years vs. &amp;gt;50 years were more likely to perceive that their symptoms were not treated seriously as a myocardial infarction (\u03c72 = 4.127, df = 1, P &amp;lt; 0.05). Participants rated clinician\u2019s knowledge of SCAD with a median of 4\/10 (IQR 2\u20138) and 7\/10 (IQR 3\u20139) for Emergency and Cardiology clinicians, respectively (P &amp;lt; 0.05). The internet was the most selected source (45.4%) of useful SCAD information. The mean EQ-5DTM summary index was 0.79 (population norm 0.87). A total of 47.2% of respondents reported a mental health condition diagnosis, with 36% of these diagnosed after their admission with SCAD. Quality-of-life was significantly associated with perceived quality-of-care: EQ-5DTM index\/(1-EQ-5DTM index) increased by 13% for each unit increase in quality-of-care after adjusting for age and comorbidities (P &amp;lt; 0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>While SCAD survivors rated their overall hospital care highly, healthcare providers\u2019 knowledge of SCAD was perceived to be poor, and the most common source of SCAD information was the internet. Mental health conditions were common, and a significant association was observed between perceived quality-of-care and SCAD survivors\u2019 quality-of-life.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvad096","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T22:18:49Z","timestamp":1694729929000},"page":"400-407","source":"Crossref","is-referenced-by-count":10,"title":["Patients\u2019 perspective of quality-of-care and its correlation to quality-of-life following spontaneous coronary artery dissection"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0309-1289","authenticated-orcid":false,"given":"Quan","family":"Dang","sequence":"first","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney , 176 Hawkesbury Rd, Westmead, Sydney, NSW 2145 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Murphy","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , Melbourne , Australia"},{"name":"Melbourne School of Psychological Sciences, The University of Melbourne , Melbourne , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M","family":"Graham","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute , Sydney , Australia"},{"name":"Faculty of Medicine and Health, University of New South Wales , Sydney , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniket","family":"Puri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Christchurch Hospital , Christchurch , New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Ford","sequence":"additional","affiliation":[{"name":"SCAD Research Incorporated , Sydney , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Marschner","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney , 176 Hawkesbury Rd, Westmead, Sydney, NSW 2145 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James J H","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Westmead Hospital , Sydney , Australia"},{"name":"The Westmead Institute for Medical Research , Sydney , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6289-583X","authenticated-orcid":false,"given":"Sarah","family":"Zaman","sequence":"additional","affiliation":[{"name":"Westmead Applied Research Centre, Faculty of Medicine and Health, University of Sydney , 176 Hawkesbury Rd, Westmead, Sydney, NSW 2145 , Australia"},{"name":"Department of Cardiology, Westmead Hospital , Sydney , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"2024052723520002900_zvad096-B1","first-page":"18","article-title":"Clinical features and prognoses of middle-aged women with ST-elevation myocardial infarction with a focus on spontaneous coronary artery dissection","volume":"21","author":"Almasi","year":"2022","journal-title":"Crit Pathw Cardiol"},{"key":"2024052723520002900_zvad096-B2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijcard.2022.01.018","article-title":"Acute coronary syndromes in young patients: phenotypes, causes and clinical outcomes following percutaneous coronary interventions","volume":"350","author":"Zanchin","year":"2022","journal-title":"Int J Cardiol"},{"key":"2024052723520002900_zvad096-B3","doi-asserted-by":"crossref","first-page":"642739","DOI":"10.3389\/fcvm.2021.642739","article-title":"Physical activity and exercise patterns after 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