Time to standardize and broaden the criteria of acute coronary syndrome symptom presentations in women
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Document Type
Journal ArticlePublication Date
2014-07-01Keywords
*Acute Coronary SyndromeDiagnostic Imaging
*Disease Management
Female
Humans
Morbidity
Risk Assessment
Risk Factors
Sex Factors
Time Factors
World Health
Cardiology
Cardiovascular Diseases
Diagnosis
Women's Health
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Show full item recordAbstract
Early recognition of the signs and symptoms of acute coronary syndromes (ACS) is essential to improving patient management and associated outcomes. It is widely reported that women might have a different ACS symptom presentation than men. Multiple review articles have examined sex differences in symptom presentation of ACS and these studies have yielded inconclusive results and/or inconsistent recommendations. This is largely because these studies have included diverse study populations, different methods of assessing the chief complaint and associated coronary symptoms, relatively small sample sizes of women and men, and lack of adequate adjustment for age or other potentially confounding differences between the sexes. There is a substantial overlap of ACS symptoms that are not mutually exclusive according to sex, and are generally found in women and men. However, there are apparent differences in the frequency and distribution of ACS symptoms among women and men. Women, on average, are also more likely to have a greater number of ACS-related symptoms contributing to the perception that women have more atypical symptoms than men. In this review, we address issues surrounding whether women should have a different ACS symptom presentation message than men, and provide general recommendations from a public policy perspective. In the future, our goal should be to standardize ACS symptom presentation and to elucidate the full range of ACS and myocardial infarction symptoms considering the substantial overlap of symptoms among women and men rather than use conventional terms such as "typical" and "atypical" angina. All rights reserved.Source
Can J Cardiol. 2014 Jul;30(7):721-8. doi: 10.1016/j.cjca.2013.10.015. Link to article on publisher's siteDOI
10.1016/j.cjca.2013.10.015Permanent Link to this Item
http://hdl.handle.net/20.500.14038/37261PubMed ID
24530216Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.cjca.2013.10.015