{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:41:08Z","timestamp":1790181668223,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,30]],"date-time":"2007-01-30T00:00:00Z","timestamp":1170115200000},"content-version":"vor","delay-in-days":700,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Progress Cardiovascular Nurs"],"published-print":{"date-parts":[[2005,3]]},"abstract":"<jats:p> <jats:italic>Most women are unaware that that they may experience atypical coronary heart disease (CHD) symptoms. Women's atypical presentation often results in women having difficulty being diagnosed with CHD or myocardial infarction. Investigating women's CHD diagnostic experiences may reveal vital areas amenable to intervention. This secondary analysis explored women's CHD diagnostic experiences. Forty women completed in\u2010depth interviews in their homes that were audiotaped and lasted 2\u20133 hours. Using content analysis and constant comparison, five themes emerged: awareness, seeking treatment, frustration, treatment decisions, and anger. Despite numerous symptoms and visits with clinicians, most women were not diagnosed with CHD before myocardial infarction. During the infarction, women with typical symptoms were easily diagnosed while those with atypical symptoms received a delayed diagnosis. Those who repeatedly sought treatment were angry about not being diagnosed earlier. Further research is needed to promote early symptom recognition, timely diagnosis, and efficacious treatment\u2014keys to improving women's CHD outcomes and to preventing similar negative diagnostic experiences.<\/jats:italic> <\/jats:p>","DOI":"10.1111\/j.0889-7204.2005.04447.x","type":"journal-article","created":{"date-parts":[[2007,2,2]],"date-time":"2007-02-02T21:41:59Z","timestamp":1170452519000},"page":"48-57","source":"Crossref","is-referenced-by-count":50,"title":["What's Wrong With Me? Women's Coronary Heart Disease Diagnostic Experiences"],"prefix":"10.1111","volume":"20","author":[{"given":"Jean C.","family":"McSweeney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne L.","family":"Lefler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth F.","family":"Crowder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,1,30]]},"reference":[{"key":"e_1_2_9_2_2","volume-title":"Heart Disease and Stroke Statistics\u20142004 Update","author":"American Heart Association","year":"2003"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000115222.69428.C9"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-120-7-199404010-00005"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0095-4543(05)70172-X"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1300\/J074v10n02_06"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-240X(200004)23:2<135::AID-NUR6>3.0.CO;2-1"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200107000-00007"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.01837.x"},{"issue":"2","key":"e_1_2_9_10_2","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/BF03404919","article-title":"The experiences of women with heart disease: what are their needs","volume":"91","author":"Murray JC","year":"2000","journal-title":"Can J Public Health"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200305000-00005"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2000.0702"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0964-3397(98)80525-9"},{"issue":"2","key":"e_1_2_9_14_2","first-page":"79","article-title":"Why do men and women respond differently to chest pain? A qualitative study","volume":"57","author":"Richards HM","year":"2002","journal-title":"J Am Med Womens Assoc"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(99)70072-5"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-126-8-199704150-00001"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(02)00026-6"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(98)90128-0"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2002.121402"},{"key":"e_1_2_9_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0008-6363(01)00511-9"},{"key":"e_1_2_9_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-200104000-00004"},{"key":"e_1_2_9_22_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2001.119133"},{"key":"e_1_2_9_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2003.08.003"},{"key":"e_1_2_9_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-200104000-00003"},{"key":"e_1_2_9_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000097116.29625.7C"},{"key":"e_1_2_9_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(05)80089-5"},{"key":"e_1_2_9_27_2","unstructured":"McSweeneyJC CodyM O'SullivanP et al.Do healthy women experience prodromal symptoms similar to women with CHD? Paper presented at: American Heart Association Scientific Sessions;November 9 2004; New Orleans LA."},{"key":"e_1_2_9_28_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199307223290406"},{"key":"e_1_2_9_29_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.45.5.414"},{"key":"e_1_2_9_30_2","volume-title":"Results of Systematic Review of Research on Diagnosis and Treatment of Coronary Heart Disease in Women","author":"Grady D","year":"2003"},{"key":"e_1_2_9_31_2","volume-title":"Exploring the Biological Contributions to Human Health: Does Sex Matter","author":"Committee on Understanding the Biology of Sex and Gender Differences","year":"2001"},{"key":"e_1_2_9_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9150(97)00317-1"},{"key":"e_1_2_9_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.24.3223"},{"key":"e_1_2_9_34_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.14.1651"},{"key":"e_1_2_9_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0147-9563(97)90082-0"},{"key":"e_1_2_9_36_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhl.2000.106940"},{"key":"e_1_2_9_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005082-199904000-00003"},{"key":"e_1_2_9_38_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200004203421603"},{"issue":"2","key":"e_1_2_9_39_2","first-page":"110","article-title":"Assessment of women with suspected myocardial ischemia","volume":"2","author":"Lewis J","year":"2002","journal-title":"Curr Womens Health Rep"},{"key":"e_1_2_9_40_2","volume-title":"Qualitative Research Methods for Health Professionals","author":"Morse JM","year":"1995"},{"key":"e_1_2_9_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_9_42_2","volume-title":"Qualitative Research in Nursing","author":"Speziale HJS","year":"2003"},{"key":"e_1_2_9_43_2","volume-title":"The Practice of Nursing Research: Conduct, Critique, and Utilization","author":"Burns N","year":"2005"},{"key":"e_1_2_9_44_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200407000-00005"},{"key":"e_1_2_9_45_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.23.4.345"},{"key":"e_1_2_9_46_2","author":"American Heart Association","journal-title":"Go Red for Women"},{"key":"e_1_2_9_47_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.4.388"},{"key":"e_1_2_9_48_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7349.1308"},{"key":"e_1_2_9_49_2","doi-asserted-by":"publisher","DOI":"10.1177\/019394599701900503"},{"key":"e_1_2_9_50_2","doi-asserted-by":"publisher","DOI":"10.1089\/152460999319101"},{"key":"e_1_2_9_51_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.17.2096"},{"key":"e_1_2_9_52_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.20929.x"},{"issue":"3","key":"e_1_2_9_53_2","first-page":"387","article-title":"Acute coronary syndrome\u2014factors causing delayed presentation at the emergency department","volume":"31","author":"Ho KK","year":"2002","journal-title":"Ann Acad Med Singapore"},{"key":"e_1_2_9_54_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000114834.85476.81"}],"container-title":["Progress in Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.0889-7204.2005.04447.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.0889-7204.2005.04447.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/j.0889-7204.2005.04447.x","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.0889-7204.2005.04447.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T01:12:41Z","timestamp":1694394761000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.0889-7204.2005.04447.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,3]]},"references-count":53,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,3]]}},"alternative-id":["10.1111\/j.0889-7204.2005.04447.x"],"URL":"https:\/\/doi.org\/10.1111\/j.0889-7204.2005.04447.x","archive":["Portico"],"relation":{},"ISSN":["0889-7204","1751-7117"],"issn-type":[{"value":"0889-7204","type":"print"},{"value":"1751-7117","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,3]]}}}