The experiences of younger women with coronary artery disease.

Coronary artery disease (CAD) continues to be a major cause of death in women, with increased incidence noted among women after menopause. Many younger women also develop CAD, and little is known about the experiences of these women. In this investigation, premenopausal women were recruited from a cardiac rehabilitation program in a large inner-city hospital. In-depth interviews were conducted with 11 younger women. Interviews were transcribed verbatim, and the computer program QSR NUD.IST was used to facilitate data analysis. Foci of analysis included risk factors, presenting signs and symptoms, and participants' experiences after their diagnosis with CAD. All participants had strong family histories of CAD. However, several believed they were safe until after menopause or were not at risk because of their gender. Although most participants experienced chest discomfort, often this was not the initial symptom. Participants discussed the effects of their illness on their lifestyle. Areas of concern included diet, exercise, careers, and relationships. Strategies for coping and adapting, as well as advice for other younger women newly diagnosed with CAD, were discussed. The diagnosis of CAD strongly and uniquely affects the lives of younger women. Understanding the unique experiences of younger women is essential to providing them with relevant healthcare as they recover from and learn to live with CAD.