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Adult nursing
Fatigue is an important potential symptom of myocardial infarction in women
  1. David Barrett
  1. Faculty of Health Sciences, University of Hull, Hull, UK
  1. Correspondence to Dr David Barrett, Faculty of Health Sciences, University of Hull, Hull HU6 7RX, UK; D.I.Barrett{at}

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Commentary on: Blakeman JR, Stapleton SJ. An integrative review of fatigue experienced by women before and during myocardial infarction. J Clin Nurs 2017; 27: 906-916

Implications for practice and research

  • Nurses must recognise that women may experience a range of symptoms other than chest pain, including fatigue, before or during myocardial infarction (MI).

  • More research is required into interventions that enhance the early presentation, assessment and treatment of women with MI.


Though mortality rates for coronary heart disease (CHD) have fallen over time due to improvements in prevention and management, the condition is still responsible for approximately one-third of adult deaths globally.1 As an acute manifestation of CHD, MI is a common cause of mortality and morbidity. Recognising the symptoms of MI is crucial, as early presentation, diagnosis and treatment improve patient outcomes. This review by Blakeman and Stapleton2 explored a symptom not always …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.