Chest Pain in Women: Gender- and Sex-based Differences in the Presentation and Diagnosis of Heart Disease

Author:

Sawan Mariem A1ORCID,Steinberg Rebecca S2,Sayegh Michael N3ORCID,Devlin Christian2,Behbahani-Nejad Omid1,Wenger Nanette K1ORCID

Affiliation:

1. Department of Medicine, Division of Cardiology, Emory University School of Medicine, Atlanta, GA

2. Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA

3. Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA

Abstract

Ischemic heart disease is a major cause of morbidity and mortality in the US, affecting both men and women significantly. The presentation of chest pain is largely similar in female and male patients, but additional non-chest pain symptoms can confound timely diagnosis in women. Management, diagnostic evaluation, and clinical outcomes for patients admitted with chest pain differ significantly between men and women, and understanding of these discrepancies is limited. The objective of this review is to familiarize readers with gender- and sex-specific differences in the presentation, diagnosis, and management of chest pain.

Publisher

Radcliffe Media Media Ltd

Subject

Cardiology and Cardiovascular Medicine

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