{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T19:47:36Z","timestamp":1760730456950,"version":"3.41.2"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2013,8,22]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Little is known about recovery of female sexual function following an acute myocardial infarction (\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              ). Interventions to improve sexual outcomes in women are limited.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Semistructured, qualitative telephone interviews were conducted with 17 partnered women (aged 43 to 75\u00a0years) purposively selected from the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients\u2019 Health Status Registry to deepen knowledge of recovery of female sexual function following an acute myocardial infarction (\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              ) and to improve sexual outcomes in women. Sixteen women had a monogamous relationship with a male spouse; 1 had a long\u2010term female partner. Most women resumed sexual activity within 4\u00a0weeks of their\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              . Sexual problems and concerns were prevalent, including patient and\/or partner fear of \u201ccausing another heart attack.\u201d Few women received counseling about sexual concerns or the safety of returning to sex. Most women who discussed sex with a physician initiated the discussion themselves. Inquiry about strategies to improve sexual outcomes elicited key themes: need for privacy, patient\u2010centeredness, and information about the timing and safe resumption of sexual activity. In addition, respondents felt that counseling should be initiated by the treating cardiologist, who \u201cknows whether your heart is safe,\u201d and then reinforced by the care team throughout the rehabilitation period.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Partnered women commonly resume sexual activity soon after an\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              with fear but without directed counseling from their physicians. Proactive attention to women's concerns related to sexual function and the safety of sexual activity following an\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              could improve post\u2010\n              <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n              outcomes for women and their partners.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.113.000199","type":"journal-article","created":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T05:43:15Z","timestamp":1374730995000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":43,"title":["\u201cI'm Not Just a Heart, I'm a Whole Person Here\u201d: A Qualitative Study to Improve Sexual Outcomes in Women With Myocardial Infarction"],"prefix":"10.1161","volume":"2","author":[{"given":"Emily M.","family":"Abramsohn","sequence":"first","affiliation":[{"name":"Program in Integrative Sexual Medicine for Women and Girls, Department of Obstetrics and Gynecology, Section of Gynecology Oncology,  the University of Chicago, Chicago, IL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole","family":"Decker","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart and Vascular Institute, University of Missouri, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Garavalia","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart and Vascular Institute, University of Missouri, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Garavalia","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Administration, University of Missouri\u2010Kansas City School of Pharmacy, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensey","family":"Gosch","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart and Vascular Institute, University of Missouri, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harlan M.","family":"Krumholz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Yale School of Medicine, New Haven, CT"},{"name":"Section of Health Policy and Administration, Yale School of Public Health, New Haven, CT"},{"name":"Center for Outcomes Research and Evaluation, Yale\u2010New Haven Hospital, New Haven, CT"},{"name":"Section of Cardiovascular Medicine and the Robert Wood Johnson Clinical Scholars Program, New Haven, CT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Spertus","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart and Vascular Institute, University of Missouri, Kansas City, MO"},{"name":"University of Missouri\u2010Kansas City School of Medicine, Kansas City, MO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy Tessler","family":"Lindau","sequence":"additional","affiliation":[{"name":"Program in Integrative Sexual Medicine for Women and Girls, Department of Obstetrics and Gynecology, Section of Gynecology Oncology,  the University of Chicago, Chicago, IL"},{"name":"Department of Medicine\u2010Geriatrics, University of Chicago, Chicago, IL"},{"name":"Biological Sciences Division, University of Chicago Pritzker School of Medicine, Chicago, IL"},{"name":"MacLean Center for Clinical Medical Ethics, Chicago, IL"},{"name":"University of Chicago Cancer Research Center, Chicago, IL"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00059-010-3401-8"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)11181-4"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2011.08.107"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.17.1892"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.522"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3182009701"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.10.063"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(00)00756-6"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr203"},{"key":"e_1_3_4_11_2","first-page":"e215","article-title":"ACCF\/AHA focused update incorporated into the ACC\/AHA 2007 guidelines for the management of patients with unstable angina\/non\u2013ST\u2010elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"57","author":"Anderson J","year":"2011","unstructured":"Anderson J, Adams C, Antman E, Bridges C, Califf R, Casey DJ, Chavey WE, Fesmire F, Hochman J, Levin T, Lincoff A, Peterson E, Theroux P, Wenger N, Wright R. ACCF\/AHA focused update incorporated into the ACC\/AHA 2007 guidelines for the management of patients with unstable angina\/non\u2013ST\u2010elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2011;57:e215\u2013e367.","journal-title":"J Am Coll Cardiol"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3182447787"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs215"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.180945"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2012.01.355"},{"key":"e_1_3_4_16_2","first-page":"467","article-title":"Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients\u2019 Health status (TRIUMPH): design and rationale of the prospective multicenter registry","volume":"4","author":"Arnold S","year":"2011","unstructured":"Arnold S, Chan P, Jones P, Decker C, Buchanan D, Krumholz H, Ho P, Spertus J. Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients\u2019 Health status (TRIUMPH): design and rationale of the prospective multicenter registry. Circulation. 2011;4:467\u2013476.","journal-title":"Circulation"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/13.6.522"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0046016"},{"key":"e_1_3_4_19_2","volume-title":"The Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser B","year":"1967","unstructured":"Glaser B, Strauss A. The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago, IL: Aldine; 1967."},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2727"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.336"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01406.x"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-005-9005-3"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067423"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2010.10.001"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e3181f68aa6"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhl.2002.127938"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20022"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/00008483-199811000-00001"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2007.00619.x"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2005.12.002"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e31822f0f79"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.11.019"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2010.11.016"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151788.08740.5C"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2003.08.008"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423611000296"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.113.000199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T10:45:07Z","timestamp":1715597107000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.113.000199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,22]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,8,22]]}},"alternative-id":["10.1161\/JAHA.113.000199"],"URL":"https:\/\/doi.org\/10.1161\/jaha.113.000199","relation":{},"ISSN":["2047-9980"],"issn-type":[{"type":"electronic","value":"2047-9980"}],"subject":[],"published":{"date-parts":[[2013,8,22]]},"assertion":[{"value":"2013-03-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-06-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-07-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e000199"}}