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Psychological stress and fatal heart attack: the Athens (1981) earthquake natural experiment.

The effects of acute and subacute psychological stress caused by a sudden general disaster on mortality from atherosclerotic heart disease (underlying cause) and cardiac events (proximate cause) were investigated by comparing total and cause-specific mortality during the days after a major earthquake in Athens in 1981 with the mortality during the surrounding month and the corresponding periods of 1980 and 1982. There was an excess of deaths from cardiac and external causes on the days after the major earthquake, but no excess of deaths from cancer and little, if any, excess of deaths from other causes. The excess mortality was more evident when atherosclerotic heart disease was considered as the underlying cause (5, 7, and 8 deaths on the first three days, respectively; background mean deaths per day 2.6; upper 95th centile 5) than when cardiac events in general were considered as the proximate cause (9, 11, and 14 deaths on the first three days, respectively; background mean 7.1, upper 95th centile 12).

Acute Disease↗

Serious as a heart attack: health-related content of late-night comedy television.

Although the medical community hoped that Vice President Dick Cheney's public experiences with heart problems and subsequent treatments would serve to raise awareness, educate the public about heart disease and treatment options, and showcase advances in cardiac care, late-night comedians saw Cheney's health problems as joke fodder. Comedians like Jay Leno, David Letterman, and Conan O'Brien ridiculed Cheney in their monologues, suggesting the vice president was frail, weak, and near death-certainly not a "poster boy" for contemporary cardiac care. This investigation presents a textual analysis of late-night comedy monologue jokes from July 25, 2000, to October 7, 2003. The themes that emerge in the jokes include Cheney's infirmity, his questionable fitness for office, and ridicule for his state-of-the-art defibrillator. Implications of health-related content in late-night comedy programs are offered, including the potential impacts on health knowledge and attitudes toward illness. This study takes an important step toward understanding health messages in an unconventional yet powerful media venue.

Persons with Disabilities↗

Stroke and heart attack prevention education.

Nurses should assume a more active role in developing effective preventative health care programs. A successful, cost-effective collaborative approach to heart and stroke education has been developed that all nurses can use in a variety of settings.

Cerebrovascular Disorders↗

Lipids in cadaver sera after fatal heart attacks.

Blood lipids have been measured in sera from 750 cadavers. All nine fractions measured show a remarkably consistent pattern of differences between the various gross morbid anatomical forms of ischaemic heart disease. The highest mean values are found when an obvious coronary thrombus is present and those in simple atheromatous occlusion are nearly as high. When there is recognizable necrosis the values are considerably more normal. The serum lipids show relatively little change due to autolysis, about one half of 1% per hour or less. Lipoprotein levels assayed with Cl.welchii alpha toxin correlate well with disease states.

Cadaver↗

Women and heart attack: a study of women's experiences.

Cardiovascular disease in general, and myocardial infarction (MI) in particular, is the major health problem of females after 50 years of age. To date, heart disease research has focused primarily on males. The limited evidence suggests that the physical, psychological, and social ramifications of MI for women are significant, and different from those of men. Since the specific rehabilitation needs of women are not yet clear, this study was designed to explore the unique experiences and needs of women following a first MI. A phenomenological study using focus groups was used to explore the experiences, questions, concerns, and preferred interventions of women after a MI. Participants were female volunteers (n = 14) who had been hospitalized for a MI within the previous 6 months. Focus groups were audio taped and analysed by the investigators. Four major themes emerged: validation; perceived gender differences; role expectations/role tensions; and helps and hindrances to recovery.

Adult↗