title: Women's descriptions of symptoms and delay reasons in seeking medical care at the time of a first myocardial infarction: a qualitative study.
abstract: BACKGROUND
  Coronary heart disease (CHD) is a major cause of mortality in women. Women have also been identified as late presenters in seeking medical care.
  
  
  OBJECTIVE
  The aim of this study was to explore and describe women's symptoms and the reasons for delay in seeking medical care at the time of the first myocardial infarction (MI).
  
  
  METHODS
  The study had an explorative and descriptive design based on content analysis approach. Nineteen women were interviewed at the hospital 2 or 3 days after hospitalisation.
  
  
  RESULTS
  The result showed that the women had difficulties interpreting, understanding and linking the symptoms to CHD. They tried to handle the discomfort and even the chest pain, rather then ask for professional help. The women had problems with making the final decision.
  
  
  CONCLUSIONS
  Women need to be made aware of the clinical symptoms of CHD, in order to understand the consequences of delay in seeking medical care following an MI.
authors.affiliation: Division of Nursing, University of Lund, P.O. Box 157, SE-221 00 Lund, Sweden. Annica.Sjöström-Strand@med.lu.se
authors.forename: Annica
authors.initials: A
authors.lastname: Sjöström-Strand
authors.forename: Bengt
authors.initials: B
authors.lastname: Fridlund
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000503:physiopathology* / Q000628:therapy*; D036301:Qualitative Research