000296770 001__ 296770
000296770 005__ 20240617134033.0
000296770 0247_ $$2doi$$a10.3399/bjgp10X532378
000296770 037__ $$aARTICLE
000296770 245__ $$aPatients' descriptions of angina symptoms$$ba qualitative study of primary care patients
000296770 269__ $$a2009
000296770 336__ $$aJournal Articles
000296770 520__ $$aBackground:Initial diagnosis of angina in primary care is based on the history of symptoms as described by the patient in consultation with their GP. Deciphering and categorising often complex symptom narratives, therefore, represents an ongoing challenge in the early diagnosis of angina in primary care. Aim: To explore how patients with a preexisting angina diagnosis describe their symptoms. Method: Semi-structured interviews were conducted with 64 males and females, identified from general practice records as having received a diagnosis of angina within the previous 5 years. Results: While some patients described their angina symptoms in narratives consistent with typical anginal symptoms, others offered more complex descriptions of their angina experiences, which were less easy to classify. The latter was particularly the case for severe coronary artery disease, where some patients tended to downplay chest pain or attribute their experience to other causes. Conclusion: Patients with a known diagnosis of angina do not always describe their symptoms in a way that is consistent with Diamond and Forrester’s diagnostic framework for typicality of angina. Early diagnosis of angina in primary care requires that GPs operate with a broad level of awareness of the various ways in which their patients describe their symptoms.
000296770 580__ $$aIn: British Journal of General Practice. -  Volume 60(2009), Issue 579, pages 735-741
000296770 700__ $$aJones, Melvyn M.
000296770 700__ $$aSomerville, Claire
000296770 700__ $$aFeder, Gene
000296770 700__ $$aFoster, Gill
000296770 8564_ $$9f1fb2ddf-6410-44a4-8563-6c1d700bdcfd$$s143518$$uhttps://repository.graduateinstitute.ch/record/296770/files/735.full.pdf
000296770 901__ $$uGender Centre
000296770 909CO $$ooai:repository.graduateinstitute.ch:296770$$pGLOBAL_SET$$pIHEID:Explore