Mind the Gap: Women and Acute Myocardial Infarctions-An Integrated Review of Literature.

Clare Koning, Lynne Young, Anne Bruce
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Abstract

Mortality rates of women suffering from an acute myocardial infarction (AMI) are high, and in young women are on the rise. The goal of this review is to investigate what is known about women's experience of AMI symptoms. By exploring the complexity and intersections evident in the literature though an integrative literature review process, it becomes apparent that the problem involves deeper contextual influences arisingfrom women's situation in society. Keyfindings in this review suggest that not recognizing the risk or symptoms of an AMI can lead to delayed health care seeking behaviours, and warrants the need for further education. Awareness of these findings has implications for women's health outcomes and mortality rates. This review adds value to clinical practice by reifying the potential gaps in knowledge currently available to women and health care providers, and suggests filling these gaps with new more inclusive ways of knowing surrounding this phenomenon.

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注意差距:女性和急性心肌梗死——文献综述。
妇女患急性心肌梗塞的死亡率很高,年轻妇女的死亡率呈上升趋势。本综述的目的是调查女性AMI症状的已知情况。通过一个综合的文献回顾过程来探索文献中明显的复杂性和交叉点,很明显,这个问题涉及到由妇女在社会中的处境引起的更深层次的背景影响。本综述的主要发现表明,未认识到急性心肌梗死的风险或症状可能导致延迟就医行为,并且需要进一步的教育。认识到这些发现对妇女的健康结果和死亡率有影响。本综述通过明确妇女和卫生保健提供者目前可获得的知识方面的潜在差距,为临床实践增加了价值,并建议以新的更具包容性的方式了解这一现象,以填补这些差距。
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