Evidence map›Paper›PMID 23885024›Full record

ArticleJournal of the American Heart Association2013

"I'm not just a heart, I'm a whole person here": a qualitative study to improve sexual outcomes in women with myocardial infarction.

Emily M Abramsohn, Carole Decker, Brian Garavalia, Linda Garavalia, Kensey Gosch, Harlan M Krumholz, John A Spertus, Stacy Tessler Lindau

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 55 citations in OpenAlex.

  1. Review
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  4. Review
  5. Perceptions of patients undergoing percutaneous coronary intervention on pre-operative education in China: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2021
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  12. Observational
  13. Let's talk about sex : (title of a song from 1991 by 'Salt 'n Pepa').Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2013
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Emily M AbramsohnProgram in Integrative Sexual Medicine for Women and Girls, Department of Obstetrics and Gynecology, Section of Gynecology Oncology, the University of Chicago, Chicago, IL.
Carole Decker
Brian Garavalia
Linda Garavalia
Kensey Gosch
Harlan M Krumholz
John A Spertus
Stacy Tessler Lindau
Saint Luke's Hospital · USUniversity of Missouri–Kansas City · USCancer Research Center · USUniversity of Chicago · USYale New Haven Hospital · US

Funding

SCCOR in Cardiac Dysfunction and DiseaseP50HL077113 · NHLBI · WASHINGTON UNIVERSITY · PI KELLY, DANIEL PATRICK · 2005 to 2009
$13.4M
Young Women With Acute Myocardial InfarctionR01HL081153 · NHLBI · YALE UNIVERSITY · PI KRUMHOLZ, HARLAN MARC · 2007 to 2012
$10.6M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Center for Cardiovascular Outcomes Research at Yale UniversityU01HL105270 · NHLBI · YALE UNIVERSITY · PI CURTIS, JEPTHA PELHAM, KRUMHOLZ, HARLAN MARC · 2010 to 2013
$5.8M
PROGRAM DEVELOPMENT COREP30AG012857 · NIA · NATIONAL OPINION RESEARCH CENTER · PI LINDAU, STACY TESSLER · 1999 to 2013
$5.7M
HEARTLAND INSTITUTE FOR CLINICAL AND TRANSLATIONAL RESEARCHUL1RR033179 · NCRR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2011 to 2011
$3.2M
Sexuality, Aging and Heart Disease: Translating from Population to PatientK23AG032870 · NIA · UNIVERSITY OF CHICAGO · PI LINDAU, STACY TESSLER · 2009 to 2012
$747k
NCRR NIH HHS 1UL1RR033179NCRR NIH HHS UL1 RR033179NHLBI NIH HHS P50 HL077113NHLBI NIH HHS R01 HL081153NHLBI NIH HHS U01 HL105270NIA NIH HHS K23 AG032870NIA NIH HHS P30 AG012857NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundLittle is known about recovery of female sexual function following an acute myocardial infarction (MI). Interventions to improve sexual outcomes in women are limited. METHODS AND

resultsSemistructured, qualitative telephone interviews were conducted with 17 partnered women (aged 43 to 75 years) purposively selected from the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients' Health Status Registry to deepen knowledge of recovery of female sexual function following an acute myocardial infarction (MI) and to improve sexual outcomes in women. Sixteen women had a monogamous relationship with a male spouse; 1 had a long-term female partner. Most women resumed sexual activity within 4 weeks of their MI. Sexual problems and concerns were prevalent, including patient and/or partner fear of "causing another heart attack." Few women received counseling about sexual concerns or the safety of returning to sex. Most women who discussed sex with a physician initiated the discussion themselves. Inquiry about strategies to improve sexual outcomes elicited key themes: need for privacy, patient-centeredness, and information about the timing and safe resumption of sexual activity. In addition, respondents felt that counseling should be initiated by the treating cardiologist, who "knows whether your heart is safe," and then reinforced by the care team throughout the rehabilitation period.

conclusionsPartnered women commonly resume sexual activity soon after an MI with fear but without directed counseling from their physicians. Proactive attention to women's concerns related to sexual function and the safety of sexual activity following an MI could improve post-MI outcomes for women and their partners.

Indexed as

Sexual BehaviorAdultAgedCounselingFearFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedMotivationMyocardial InfarctionPatient Care TeamPhysician-Patient RelationsQualitative Researchagingmyocardial infarctionoutcomessexwomen

Identifiers

PMID23885024
PMCPMC3828784
OpenAlexW2114241712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.