American Heart Journal
Volume 159, Issue 3 , Pages 392-398 , March 2010

Differences in mortality in acute coronary syndrome symptom clusters

  • Barbara Riegel, DNSc, RN, FAAN

      Affiliations

    • School of Nursing, University of Pennsylvania, Philadelphia, PA
  • ,
  • Alexandra L. Hanlon, PhD

      Affiliations

    • School of Nursing, University of Pennsylvania, Philadelphia, PA
  • ,
  • Sharon McKinley, PhD, RN

      Affiliations

    • Faculty of Nursing Midwifery and Health, University of Technology Sydney and Northern Sydney Central Coast Health, Sydney, Australia
  • ,
  • Debra K. Moser, DNSc, RN, FAAN

      Affiliations

    • College of Nursing, University of Kentucky, Lexington, KY
  • ,
  • Hendrika Meischke, PhD

      Affiliations

    • Department of Health Services, University of Washington, Seattle, WA
  • ,
  • Lynn V. Doering, DNSc, RN, FAAN

      Affiliations

    • School of Nursing, University of California, Los Angeles, CA
  • ,
  • Patricia Davidson, PhD, RN

      Affiliations

    • Curtin University, Australia
  • ,
  • Michele M. Pelter, RN, PhD

      Affiliations

    • Orvis School of Nursing, University of Nevada, Reno, NV
  • ,
  • Kathleen Dracup, DNSc, RN, FAAN

      Affiliations

    • School of Nursing, University of California, San Francisco, CA
    • Corresponding Author InformationReprint requests: Barbara Riegel, DNSc, RN, FAAN, University of Pennsylvania, School of Nursing, 418 Curie Boulevard, Philadelphia, PA 19104-4217.

Received 11 October 2009 ,Accepted 6 January 2010.

References 

  1. Moser DK, Kimble LP, Alberts MJ, et al. Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on Cardiovascular Nursing and Stroke Council. J Cardiovasc Nurs. 2007;22:326–343
  2. American Heart Association . Heart attack, stroke and cardiac arrest warning signs. American Heart Association. Available at: http://www.americanheart.org/presenter.jhtml?identifier=3053#Heart_AttackLast accessed July 30, 2009
  3. Kim HJ, McGuire DB, Tulman L, et al. Symptom clusters: concept analysis and clinical implications for cancer nursing. Cancer Nurs. 2005;28:270–282quiz 283-274
  4. Gift AG. Symptom clusters related to specific cancers. Semin Oncol Nurs. 2007;23:136–141
  5. Dodd M, Janson S, Facione N, et al. Advancing the science of symptom management. J Adv Nursing. 2001;33:668–676
  6. Miaskowski C, Dodd M, Lee K. Symptom clusters: the new frontier in symptom management research. J Natl Cancer Inst Monogr. 2004;17–21
  7. Zimmerman L. Foreword: cluster analysis. J Card Nursing. 2010;
  8. Eslick GD. Usefulness of chest pain character and location as diagnostic indicators of an acute coronary syndrome. Am J Cardiol. 2005;95:1228–1231
  9. Ryan CJ, DeVon HA, Horne R, et al. Symptom clusters in acute myocardial infarction: a secondary data analysis. Nurs Res. 2007;56:72–81
  10. Lindgren TG, Fukuoka Y, Rankin SH, et al. Cluster analysis of elderly cardiac patients' prehospital symptomatology. Nurs Res. 2008;57:14–23
  11. Dracup K, McKinley S, Riegel B, et al. A nursing intervention to reduce prehospital delay in acute coronary syndrome: a randomized clinical trial. J Cardiovasc Nurs. 2006;21:186–193
  12. Dracup K, Alonzo AA, Atkins JM, et al. The physician's role in minimizing prehospital delay in patients at high risk for acute myocardial infarction: recommendations from the National Heart Attack Alert Program. Working Group on Educational Strategies To Prevent Prehospital Delay in Patients at High Risk for Acute Myocardial Infarction. Ann Intern Med. 1997;126:645–651
  13. Lenfant C, LaRosa JH, Horan MJ, et al. Considerations for a national heart attack alert program. Clin Cardiol. 1990;13(8 Suppl 8):VIII9–VIII11
  14. Dracup K, McKinley S, Riegel B, et al. A randomized clinical trial to reduce patient prehospital delay to treatment in acute coronary syndrome. Circ Cardiovasc Qual Outcomes. 2009;2:524–532
  15. Simons-Morton DG, Goff DC, Osganian S, et al. Rapid early action for coronary treatment: rationale, design, and baseline characteristics. REACT Research Group. Acad Emerg Med. 1998;5:726–738
  16. Sandelowski M. Combining qualitative and quantitative sampling, data collection and analysis techniques in mixed-methods studies. Res Nursing Health. 2000;23:246–255
  17. Miaskowski C, Aouizerat BE, Dodd M, et al. Conceptual issues in symptom clusters research and their implications for quality-of-life assessment in patients with cancer. J Natl Cancer Inst Monogr. 2007;39–46
  18. Eslick GD, Howell SC, Hammer J, et al. Empirically derived symptom sub-groups correspond poorly with diagnostic criteria for functional dyspepsia and irritable bowel syndrome. A factor and cluster analysis of a patient sample. Aliment Pharmacol Ther. 2004;19:133–140
  19. Melia M, Heckerman D. An experimental comparison of several clustering and initialization methods. 1998;
  20. Goldstein P, Wiel E. Management of prehospital thrombolytic therapy in ST-segment elevation acute coronary syndrome (<12 hours). Minerva Anestesiol. 2005;71:297–302
  21. Booker KJ, Holm K, Drew BJ, et al. Frequency and outcomes of transient myocardial ischemia in critically ill adults admitted for noncardiac conditions. Am J Crit Care. 2003;12:508–516discussion 517
  22. Meuret AE, White KS, Ritz T, et al. Panic attack symptom dimensions and their relationship to illness characteristics in panic disorder. J Psychiatr Res. 2006;40:520–527
  23. Milner KA, Vaccarino V, Arnold AL, et al. Gender and age differences in chief complaints of acute myocardial infarction (Worcester Heart Attack Study). Am J Cardiol. 2004;93:606–608
  24. McSweeney JC, Cody M, O'Sullivan P, et al. Women's early warning symptoms of acute myocardial infarction. Circulation. 2003;108:2619–2623
  25. Kosuge M, Kimura K, Ishikawa T, et al. Differences between men and women in terms of clinical features of ST-segment elevation acute myocardial infarction. Circ J. 2006;70:222–226
  26. Arslanian-Engoren C, Patel A, Fang J, et al. Symptoms of men and women presenting with acute coronary syndromes. Am J Cardiol. 2006;98:1177–1181
  27. DeVon HA, Ryan CJ. Chest pain and associated symptoms of acute coronary syndromes. J Cardiovasc Nurs. 2005;20:232–238

PII: S0002-8703(10)00057-8

doi: 10.1016/j.ahj.2010.01.003

American Heart Journal
Volume 159, Issue 3 , Pages 392-398 , March 2010