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Perk, J., De Backer, G., Gohlke, H., Graham, I., Reinr, Z., Verschuren, W.M., Albus, C., Benlian, P., Boysen, G., Cifkova, R., Deaton, C., Ebrahim, S., Fisher, M., Germanò, G., Hobbs, R., Hoes, A., Karadeniz, S., Mezzani, A., Prescott, E., Ryden, L., Scherer, M., Syvanne, M., Scholte, Op Reimer, W.J., Vrints, C., Wood, D., Zamorano, J.L. and Zannad, F. (2012) European Guidelines on Cardiovascular Disease Prevention in Clinical Practice. The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Atherosclerosis, 223, 1-68.
http://dx.doi.org/10.1016/j.atherosclerosis.2012.05.007

has been cited by the following article:

• TITLE: Life before Myocardial Infarction—A Qualitative Study of Middle-Aged Women

  AUTHORS: Carina Wennerholm, Michaela Jern, Marja-Liisa Honkasalo, Tomas Faresjö

  KEYWORDS: Myocardial Infarction, Women, Risk Factors, Psychosocial Factors, Qualitative Research

  JOURNAL NAME: Health, Vol.6 No.20, December 11, 2014

  ABSTRACT: The health burden of myocardial infarction is rising for middle-aged women and they are underrepresented in research of cardiovascular diseases. The aim of this qualitative study was to explore how life had been for middle-aged women before they suffered a myocardial infarction (MI). Through a health care register, we identified all women (n = 46) under 65 years of age in a defined region in southeast Sweden who had suffered an MI the past 2 years and a strategic selection of n = 16 women from these was made. These selected women were interviewed and their narratives were interpreted by qualitative content analysis. The qualitative interviews generated five general themes: “Serious life events”, “Negative affectivity”, “Loneliness”, “Being a good girl” and “Lack of control”. The interviews revealed that many of these women had been exposed to extreme and repeated traumatic life events in their lives. Many had a cynical attitude towards others, felt lonely and experienced a lack of social support. Many of these women endeavored to “be a good girl”, which was a special psychosocial phenomenon found. This study uncovered that these women before they suffered an MI were affected by a variety of psychosocial factors. The study stresses the importance of psychosocial risk factors in the assessment of middle-aged women’s risk profile for MI. A general conclusion for clinical practice is that in the assessment of the individual risk for myocardial infarction for middle-aged women, potential psychosocial factors might also be considered.