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Living with myocardial ischaemia and no obstructive coronary arteries: a qualitative study
Open Heart Pub Date : 2024-02-01 , DOI: 10.1136/openhrt-2023-002569
Helen Humphreys , Danielle Paddock , Sarah Brown , Colin Berry , Aynsley Cowie , Susan Dawkes , Simon Nichols

Objective To explore the lived experience of people with myocardial ischaemia with no obstructive arteries. Design Qualitative study using semistructured interviews. Setting Telephone interviews with 17 participants living in the UK. Participants 17 people (2 males, 15 females; aged 31–69 years) with a presumed or confirmed diagnosis of myocardial ischaemia with no obstructive arteries, recruited via social media and online patient-led support forums. Results Five themes were generated. Theme 1 describes the wide range of experiences that participants described, particularly the frequency and intensity of symptoms, and the uncertainty and fear that symptoms commonly provoked. Theme 2 describes the major impact on social relationships, employment and other aspects of everyday life. Theme 3 illustrates challenging and traumatising experiences participants described around pathways to diagnosis and accessing medical support. Theme 4 highlights the lack of consensus and clarity that participants had been confronted with around treatment and management. Theme 5 describes coping and supportive strategies valued by participants. Conclusions This study provides insight into the challenges of living with myocardial ischaemia with no obstructive arteries. Findings highlight the significant psychological impact on people living with these conditions and the need for improvements in diagnosis, support and long-term management. No data are available. Complete transcripts are not available to protect participant anonymity.

中文翻译:

患有心肌缺血且冠状动脉无阻塞:一项定性研究

目的探讨无动脉阻塞的心肌缺血患者的生活经历。使用半结构化访谈设计定性研究。对居住在英国的 17 名参与者进行电话采访。参与者 17 人(2 名男性,15 名女性;年龄 31-69 岁),推测或确诊为心肌缺血,无动脉阻塞,通过社交媒体和在线患者主导的支持论坛招募。结果 生成了五个主题。主题 1 描述了参与者描述的广泛经历,特别是症状的频率和强度,以及症状通常引发的不确定性和恐惧。主题 2 描述了对社会关系、就业和日常生活其他方面的主要影响。主题 3 阐述了参与者围绕诊断和获得医疗支持的途径所描述的具有挑战性和创伤性的经历。主题 4 强调了参与者在治疗和管理方面面临的缺乏共识和清晰度的问题。主题 5 描述了参与者重视的应对和支持策略。结论 这项研究深入了解了没有动脉阻塞的心肌缺血患者生活所面临的挑战。研究结果强调了这些疾病对人们的重大心理影响,以及改进诊断、支持和长期管理的必要性。无可用数据。无法提供完整的成绩单以保护参与者的匿名性。
更新日期:2024-02-01
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