Abstract:
BACKGROUND:To examine sex differences in pain and associated symptoms in patients with exercise-related ischemia, as well as the independence of these findings from other clinical factors. METHODS:Prospective study of 482 women and 425 men (mean age 58 years) undergoing exercise stress testing with myocardial perfusion imaging (MPI). Analyses were performed on 38 women and 94 men with both angina and MPI evidence of ischemia during exercise. MEASURES:Chest pain localization, extension, intensity, quality, and presence of various non-pain-related symptoms. RESULTS:Women rated their pain as more intense, used different words to describe it, and reported more non-pain-related symptoms than men (P < .05). They experienced pain and other sensations in the neck area more frequently (P < .05). Most of these differences remained after controlling for clinical or psychological variables, with the exception of pain intensity measures. CONCLUSIONS:Sex differences in the experience of symptoms associated with MPI evidence of myocardial ischemia may complicate timely and accurate diagnosis of ischemia in women.
journal_name
Am Heart Jjournal_title
American heart journalauthors
D'Antono B,Dupuis G,Fortin C,Arsenault A,Burelle Ddoi
10.1016/j.ahj.2005.06.028subject
Has Abstractpub_date
2006-04-01 00:00:00pages
813-9issue
4eissn
0002-8703issn
1097-6744pii
S0002-8703(05)00645-9journal_volume
151pub_type
杂志文章abstract::We retrospectively contrasted the medical outcome of patients removed from the heart transplant consideration list because of clinical improvement with that of transplant recipients. Of 60 patients awaiting transplantation, 18 were removed from the list (group A), and 42 required transplant or died (group B). Group A ...
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