Key result
Women under 50 undergo less cTn testing than men, linked to lower cardiac catheterization rates.
Why the study?
Are there sex differences in cardiac troponin testing and cardiac catheterization rates among patients presenting to the ED with ischemic chest pain?
Are there sex differences in cardiac troponin testing and cardiac catheterization rates among patients presenting to the ED with ischemic chest pain?
Young women under 50 presenting with ischemic chest pain are less likely to receive cardiac troponin testing, and women overall undergo less cardiac catheterization compared to men.
Answers are grounded in this paper and cite their sources.
May indicate under-testing of young women; challenges consensus but leaves causal impact on outcomes open.
In men and women presenting to the ED with ischemic CP, cTn testing overall is similar except among young women under 50 years old, where it is markedly lower. Women undergo less cardiac catheterization, irrespective of CP type.
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Humphries et al. (2018) studied this question. Cardiac troponin testing is significantly lower in young women under 50 years old compared to men, leading to less cardiac catheterization in this group.
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