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What do spontaneous coronary artery dissection survivors want to support their recovery? A qualitative study

Binnie, Kirsten; Neubeck, Lis; McHale, Sheona; Hanson, Coral L.

Authors

Kirsten Binnie



Abstract

Aims:
Spontaneous Coronary Artery Dissection (SCAD) is increasingly recognised as an important cause of myocardial infarction predominantly affecting women aged under 50 years. There is limited research addressing female and male SCAD survivors’ experience of, or requirements for, support post-SCAD. This study explored what SCAD survivors wanted to support recovery.

Methods and Results:
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’ views about support requirements. 1) 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. 2) Physical Activity. Requirements were for advice tailored to individuals’ specific needs, physical capabilities, and physical activity preferences. Participants suggested that utilising wearable technology was helpful to encourage a safe return to activity. 3) Psychosocial Support. Participants wanted formal psychosocial support immediately post-event, during cardiac rehabilitation and in the longer term.

Conclusion:
Better healthcare professional training may improve diagnosis and increase support and awareness of SCAD. SCAD support programmes should provide early SCAD specific education utilising online sources, individually tailor physical activity prescription, offer wearable technology to support a return to being active, and provide short- and longer-term psychosocial support. As SCAD is predominately a female condition, programmes should consider female physical activity preferences.

Journal Article Type Article
Acceptance Date Jan 17, 2023
Online Publication Date Jan 19, 2023
Publication Date 2023-11
Deposit Date Jan 18, 2023
Publicly Available Date Feb 6, 2023
Journal European Journal of Cardiovascular Nursing
Print ISSN 1474-5151
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 22
Issue 8
Pages 814–823
DOI https://doi.org/10.1093/eurjcn/zvad013
Keywords Cardiac Rehabilitation, Coronary Vessel Anomalies, Exercise, Health Education, Psychosocial Intervention, Spontaneous Coronary Artery Dissection,
Public URL http://researchrepository.napier.ac.uk/Output/3006500

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