ArticleClinical cardiology2013
Women at risk for cardiovascular disease lack knowledge of heart attack symptoms.
Article in Clinical cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Cardiac symptom attribution and knowledge of the symptoms of acute myocardial infarction: a systematic review.BMC cardiovascular disorders · 2020Pooled it
- Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas.The Journal of cardiovascular nursingTrial
- Article
- The Development of a Chest-Pain Protocol for Women Presenting to the Emergency Department.CJC open · 2024Review
- Review
- Prodromal symptoms as unfamiliar feelings: Experiences of Iranian myocardial infarction patients.ARYA atherosclerosis · 2021Article
- Sexual Identity and Racial/Ethnic Differences in Awareness of Heart Attack and Stroke Symptoms: Findings From the National Health Interview Survey.American journal of health promotion : AJHP · 2021Article
- Review
- Association between knowledge and risk for cardiovascular disease among older adults: A cross-sectional study in China.International journal of nursing sciences · 2020Article
- Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2017Article
- Cardiovascular Disease Risk Among Young Urban Women.Journal of women's health (2002) · 2016Article
- Vivir Con Un Corazón Saludable: a Community-Based Educational Program Aimed at Increasing Cardiovascular Health Knowledge in High-Risk Hispanic Women.Journal of racial and ethnic health disparities · 2016Article
- Adverse Trends in Ischemic Heart Disease Mortality among Young New Yorkers, Particularly Young Black Women.PloS one · 2016Article
- Are we living longer but less healthy? Trends in mortality and morbidity in Catalonia (Spain), 1994-2011.European journal of ageing · 2015Article
- Community-based cardiovascular disease prevention to reduce cardiometabolic risk in Latina women: a pilot program.Journal of women's health (2002) · 2014Article
- Cardiac rehabilitation with a nurse case manager (GoHeart) across local and regional health authorities improves risk factors, self-care and psychosocial outcomes. A one-year follow-up study.JRSM cardiovascular disease · 2014Article
- Sex differences in long-term outcomes of coronary patients treated with drug-eluting stents at a tertiary medical center.Vascular health and risk management · 2014Article
- Parity and later life risk for coronary heart disease among slum-dwelling women in Mysore, India.Indian heart journalArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundIt is not known whether cardiovascular disease (CVD) risk level is related to knowledge of the leading cause of death of women or heart attack symptoms. HYPOTHESIS: Women with higher CVD risk estimated by Framingham Risk Score (FRS) or metabolic syndrome (MS) have lower CVD knowledge.
methodsWomen visiting primary care clinics completed a standardized behavioral risk questionnaire. Blood pressure, weight, height, waist size, fasting glucose, and lipid profile were assessed. Women were queried regarding CVD knowledge.
resultsParticipants (N = 823) were Hispanic women (46%), non-Hispanic white (37%), and non-Hispanic black (8%). FRS was determined in 278: low (63%), moderate (29%), and high (8%); 24% had ≥3 components of MS. The leading cause of death was answered correctly by 54%, heart attack symptoms by 67%. Knowledge was lowest among racial/ethnic minorities and those with less education (both P< 0.001). Increasing FRS was inversely associated with knowing the leading cause of death (low 72%, moderate 68%, high 45%, P = 0.045). After multivariable adjustment, moderate/high FRS was inversely associated with knowing symptoms (moderate odds ratio [OR] 0.52, 95% confidence interval [CI]: 0.28-0.98; high OR 0.29, 95% CI: 0.11-0.81), but not the leading cause of death. MS was inversely associated with knowing the leading cause of death (P< 0.001) or heart attack symptoms (P = 0.018), but not after multivariable adjustment.
conclusionsWomen with higher FRS were less likely to know heart attack symptoms. Efforts to target those at higher CVD risk must persist, or the most vulnerable may suffer disproportionately, not only because of risk factors but also inadequate knowledge.
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Registered trials
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